Alrefaei Mariya Ibrahim, Ahmed Reem Anees, Al Thoubaity Fatma
King Abdul-Aziz University.
College of Medicine, King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia.
Ann Med Surg (Lond). 2024 Aug 8;86(9):5043-5048. doi: 10.1097/MS9.0000000000002453. eCollection 2024 Sep.
Postoperative pneumonia (POP) can be defined as either hospital-acquired pneumonia (HAP, pneumonia developing 48-72 h after admission) or ventilator-associated pneumonia (VAP, pneumonia developing 48-72 h after endotracheal intubation)' or within 30 days in postoperative patients. POP accounts for 2.7-3.4% of postoperative complications. Few studies have evaluated the incidence and the risk factors of POP. This study aimed to estimate the incidence of POP and identify the predictive factors of POP in King Abdul-Aziz University Hospital (KAUH), Jeddah, Saudi Arabia. This retrospective record review included all patients diagnosed with POP at KAUH between 2011 and 2021. Patients younger than 18 years of age and those diagnosed with congenital heart or lung disease were excluded from the study. Data were analyzed using the SPSS program version 26. Of the 2350 patients, 236 met the inclusion criteria. The mean age of patients was 58.12± 17.66 years; 82.6% had comorbidities. ENT (6.4%) and cardiothoracic surgeries associated with POP were the most common surgeries (4.2%). Comorbidities were found as an independent predictor of pneumonia among the studied patients ( = 0.024). The incidence of developing POP was (19.9%). Therefore, Physicians should be aware of POP. Especially when treating patients with comorbidities and patients on corticosteroids.
术后肺炎（POP）可定义为医院获得性肺炎（HAP，入院后48 - 72小时发生的肺炎）或呼吸机相关性肺炎（VAP，气管插管后48 - 72小时发生的肺炎），或在术后患者30天内发生的肺炎。POP占术后并发症的2.7% - 3.4%。很少有研究评估POP的发病率和危险因素。本研究旨在估计沙特阿拉伯吉达阿卜杜勒 - 阿齐兹国王大学医院（KAUH）中POP的发病率，并确定其预测因素。这项回顾性病历审查纳入了2011年至2021年间在KAUH被诊断为POP的所有患者。年龄小于18岁的患者以及被诊断患有先天性心脏病或肺部疾病的患者被排除在研究之外。使用SPSS 26版程序对数据进行分析。在2350名患者中，236名符合纳入标准。患者的平均年龄为58.12±17.66岁；82.6%患有合并症。与POP相关的耳鼻喉科手术（6.4%）和心胸外科手术是最常见的手术（4.2%）。在研究患者中，合并症被发现是肺炎的独立预测因素（P = 0.024）。发生POP的发病率为（19.9%）。因此，医生应意识到POP。尤其是在治疗合并症患者和使用皮质类固醇的患者时。
