Scoring system for nosocomial pneumonia in ICUs.
作者： A. Kropec , F. Daschner , G. Schulgen , M. Schumacher , H. Just
DOI: 10.1007/BF01709329
关键词:
摘要: To develop a scoring system for stratifying patients in intensive care units (ICUs) by risk of developing nosocomial pneumonia (NP), based on variables generally available an ICU, and to determine the probability patient NP ICU. A 2-year prospective cohort study conducted medical surgical 756 admitted ICU 48 h or more were followed up until development death discharge from 129 (17.1%) developed NP, 106 (14%) first 2 weeks. The following independent factors identified multivariate analysis: no infection admission [relative (RR)=3.1, 95% confidence intervals (CI)=2.0 4.8]; thorax drainage (RR=2.1, CI=1.2 3.5); administration antacids CI=1.4 3.1); partial pressure oxygen (PO2)>110 mmHg (RR=1.6, CI=1.0 2.6); coagulation (RR=1.8, 3.2); male gender (RR=2.7, 6.3); urgent surgery (RR=2.4, CI=0.9 6.4); neurological diseases (RR=4.2, CI=1.9 9.4). obtain predictive index was using model. varied between 11.0% lowest group 42.3% highest group. patients' acquiring seven times higher score category (IV) than one (I). can be stratified into high- low-risk groups NP. No admission, drainage, antacids, PO2>110 associated with during entire 2-week period.
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