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https://hdl.handle.net/11499/5111
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DC Field | Value | Language |
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dc.contributor.author | Erbay, Rıza Hakan | - |
dc.contributor.author | Yalcin, A.N. | - |
dc.contributor.author | Zencir, M. | - |
dc.contributor.author | Serin, S. | - |
dc.contributor.author | Atalay, Habip | - |
dc.date.accessioned | 2019-08-16T11:41:34Z | |
dc.date.available | 2019-08-16T11:41:34Z | |
dc.date.issued | 2004 | - |
dc.identifier.issn | 1471-2466 | - |
dc.identifier.uri | https://hdl.handle.net/11499/5111 | - |
dc.identifier.uri | https://doi.org/10.1186/1471-2466-4-3 | - |
dc.description.abstract | Background: Ventilator-associated pneumonia (VAP) which is an important part of all nosocomial infections in intensive care unit (ICU) is a serious illness with substantial morbidity and mortality, and increases costs of hospital care. We aimed to evaluate costs and risk factors for VAP in adult ICU. Methods: This is a-three year retrospective case-control study. The data were collected between 01 January 2000 and 31 December 2002. During the study period, 132 patients were diagnosed as nosocomial pneumonia of 731 adult medical-surgical ICU patients. Of these only 37 VAP patients were assessed, and multiple nosocomially infected patients were excluded from the study. Sixty non-infected ICU patients were chosen as control patients. Results: Median length of stay in ICU in patients with VAP and without were 8.0 (IQR: 6.5) and 2.5 (IQR: 2.0) days respectively (P<0.0001). Respiratory failure (OR, 11.8; 95%, CI, 2.2- 62.5; P<0.004), coma in admission (Glasgow coma scale<9) (OR, 17.2; 95% CI, 2.7-107.7; P< 0.002), depressed consciousness (OR, 8.8; 95% CI, 2.9-62.5; P<0.02), enteral feeding (OR, 5.3; 95% CI, 1.0-27.3; P=0.044) and length of stay (OR, 1.3; 95% CI, 1.0-1.7; P<0.04) were found as important risk factors. Most commonly isolated microorganism was methicillin resistant Staphylococcus aureus (30.4%). Mortality rates were higher in patients with VAP (70.3%) than the control patients (35.5%) (P<0.003). Mean cost of patients with and without VAP were 2832.2+/-1329.0 and 868.5+/-428.0 US Dollars respectively (P<0.0001). Conclusion: Respiratory failure, coma, depressed consciousness, enteral feeding and length of stay are independent risk factors for developing VAP. The cost of VAP is approximately fivefold higher than non-infected patients. © 2004 Erbay et al, licensee BioMed Central Ltd. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | BMC Pulmonary Medicine | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Cost | en_US |
dc.subject | Intensive care unit | en_US |
dc.subject | Risk factors | en_US |
dc.subject | Ventilator-associated pneumonia | en_US |
dc.subject | antibiotic agent | en_US |
dc.subject | adult | en_US |
dc.subject | aged | en_US |
dc.subject | article | en_US |
dc.subject | artificial ventilation | en_US |
dc.subject | bacterial pneumonia | en_US |
dc.subject | bacterium isolation | en_US |
dc.subject | case control study | en_US |
dc.subject | clinical article | en_US |
dc.subject | controlled study | en_US |
dc.subject | enteric feeding | en_US |
dc.subject | female | en_US |
dc.subject | Glasgow coma scale | en_US |
dc.subject | hospital cost | en_US |
dc.subject | hospital infection | en_US |
dc.subject | hospitalization | en_US |
dc.subject | human | en_US |
dc.subject | infection risk | en_US |
dc.subject | information processing | en_US |
dc.subject | intensive care unit | en_US |
dc.subject | length of stay | en_US |
dc.subject | male | en_US |
dc.subject | methicillin resistant Staphylococcus aureus | en_US |
dc.subject | mortality | en_US |
dc.subject | respiratory failure | en_US |
dc.subject | risk factor | en_US |
dc.subject | unconsciousness | en_US |
dc.title | Costs and risk factors for ventilator-associated pneumonia in a Turkish University Hospital's Intensive Care Unit: A case-control study | en_US |
dc.type | Article | en_US |
dc.identifier.volume | 4 | en_US |
dc.authorid | 0000-0003-0609-0580 | - |
dc.authorid | 0000-0001-9401-7812 | - |
dc.identifier.doi | 10.1186/1471-2466-4-3 | - |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.scopus | 2-s2.0-2642578308 | en_US |
dc.identifier.scopusquality | Q3 | - |
dc.owner | Pamukkale_University | - |
item.cerifentitytype | Publications | - |
item.fulltext | With Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.languageiso639-1 | en | - |
item.openairetype | Article | - |
item.grantfulltext | open | - |
crisitem.author.dept | 14.01. Surgical Medicine | - |
crisitem.author.dept | 14.01. Surgical Medicine | - |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu |
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1471-2466-4-3.pdf | 282.35 kB | Adobe PDF | View/Open |
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