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Ultima descărcare din IBN: 2022-07-10 23:39 |
SM ISO690:2012 TOMA, Cristina. Predictorii evoluţiei nefaste în pneumoniile nosocomiale. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 305. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 305-305 | ||||||
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Rezumat | ||||||
Background. Hospital-acquired pneumonia (HAP) is one of the most important nosocomial infection due to it’s high mortality, which ranges from 30-70% in different hospitals. A lot of studies are aimed to highlight the risk factors for mortality among HAP patients. Objective of the study. To identify the mortality predictors in hospital-acquired pneumonia. Material and Methods. A total of 110 patients with HAP were included in our study: 70 (63,6%) were survivors (S) and 40 (36,4%) non-survivors (NS). Differences of the clinical, radiological and laboratory characteristics between S and NS groups were analyzed by a regresional logistic model, using the MedCalc11.5.0.0 package. Results. There are several significant independent predictive factors for mortality in HAP: age ≥65 years (OR 10,9; p0,0019), confusion (OR 5,9; p-0,0049), the lenght of mechanical ventilation ≥48 hours (OR 15,4; p0,0003), high levels of creatinine (OR 7,6; p-0,0126), clinical pulmonary infection score ≥6 points (OR 7,4; p-0,0053) and bilateral pneumonic infiltration diagnosed by chest X-ray (OR 5,6; p-0,0114). The discriminatory power of the logistic model for predicting mortality was high - AUC 0,93 (95% CI: 0,86– 0,97). Conclusion. Our study highlighted several clinical, laboratory and imaging prognostic factors for HAP. Revealing the mortality risk factors in hospital-acquired pneumonia is important for the development of preventive measures to decrease mortality among HAP patients. |
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Cuvinte-cheie Hospial-acquired pneumonia, mortality predictors, pneumonie nosocomială, predictorii mortalităţii |
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