Ventilator-associated events after cardiac surgery: evidence from 1,709 patients
Ventilator-associated events after cardiac surgery: evidence from 1,709 patients
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DOI：
10.21037/jtd.2018.01.49
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发表时间：
2018-02-01
影响因子：
2.5
通讯作者：
Zhang, Jinbao
中科院分区：
文献类型：
--
作者：
He, Siyi;Wu, Fan;Zhang, Jinbao
背景：呼吸机相关事件（VAE）是机械通气患者医院感染的一种新的监测方法。迄今为止，对心脏手术后的VAE知之甚少。方法：对2012年9月至2015年12月心脏手术后患者进行VAE监测。结果：共纳入1,709例成人VAE患者，其中166例符合VAE诊断标准。平均发病率达9.7%，49.9/1000机械通气日。采用单因素和多因素Logistic回归分析，慢性阻塞性肺疾病（COPD）、左室射血分数（LVEF）
Background: Ventilator-associated event (VAE) is a new surveillance for nosocomial infections in mechanically ventilated patients. To date, little is known about VAEs after cardiac surgeries. The present study firstly focused on patients who have undergone heart operations, intending to draw a comprehensive description of VAEs.Methods: Postoperative patients from September 2012 to December 2015 were monitored for VAEs. By reviewing electronic medical records and preserved files retrospectively, clinical data were further analyzed.Results: A total of 1,709 adult patients were enrolled, of which 166 episodes met the criteria for VAE. The mean incidence rate reached up to 9.7% and 49.9 per 1,000 mechanical ventilation days. By using both univariate analysis and multiple logistic regression analysis, chronic obstructive pulmonary disease (COPD), left ventricle ejection fraction (LVEF)