The objective of this study was to identify factors related to death in patients diagnosed with ventilator-associated pneumonia admitted to the intensive care unit of the University Hospital of Brasília. Methodology: Retrospective study, based on the analysis of the medical records of 73 patients diagnosed with ventilator-associated pneumonia, from March 2017 to December 2020. Statistical analyzes were performed using the unpaired Student's t test and the Chi test. -Pearson square. Results: The factors age, Simplified Acute Physiology III, probability of death, relative mechanical ventilation time, relative intensive care unit time and respiratory comorbidities were related to mortality in the patients studied. Conclusion: This study contributed to a better understanding of ventilator-associated pneumonia, reinforcing the need for control and epidemiological surveillance of its risk of death..
Introduction: Ventilator-associated pneumonia (VAP) is one of the causes that increases morbidity and mortality, accounting for 25% of all infections acquired in an intensive care unit (ICU). Objective: To describe the epidemiological profile of patients diagnosed with VAP in an ICU of a University Hospital. Methods: This is a descriptive and retrospective study, of sociodemographic data and clinical characteristics such as length of mechanical ventilation (MV), length of ICU and hospital stay, collected from electronic medical records. Results: The sample consisted of 77 patients, 53.2% male and 46.8% female. 80.5% were brown, 7.7% white and 11.8% did not declare their ethnicity. The mean MV time was 35.83(48.08), ICU time was 50.54(63.01), and the mean hospital stay was 61.10(73.66). Conclusion: In this study, the prevalence of VAP cases was predominant in brown, black and male individuals, as well as, the MV time, ICU and hospital stay were expressive.
Introduction: Healthcare services have implemented major improvements in adherence to measures to prevent healthcare-associated infections. Ventilator-associated pneumonia (VAP) is among the most common infections in adult intensive care units (ICU). Objective: To analyze the knowledge of healthcare professionals about the Ventilator-Associated Pneumonia Prevention bundle in the Adult Intensive Care Unit of a Teaching Hospital in the Federal District (DF). Method: A quasi-experimental research of quantitative nature. A questionnaire was applied to 93 health professionals in the ICU (physicians, nurses, physical therapists, nursing technicians and dentists), with questions about the items of the VAP prevention bundle, from August to October 2022. Results and Discussion: the overall average of correct answers was 74.6%. Final considerations: Healthcare professionals considered that among the difficulties mentioned to perform VAP prevention care, the most difficult was to maintain the adequate position of the filter and trachea and to perform oral hygiene. Therefore, it is considered that the bundle alone does not ensure the reduction of VAP rates, and should be implemented together with a group of actions with the same objective.
Introduction: The occurrence of cardiovascular diseases has been encouraging all over the world, and Myocardial Revascularization Surgery (CABG), when indicated, has been showing good results. Objective: To identify the clinical and sociodemographic characteristics of patients admitted to CABG. Methods: Cross-sectional, retrospective, descriptive and analytical study of the electronic medical records of a University Hospital. Results: The sample consisted of 57 patients, 77.2% male and 22.8% female, 50.9% were married, and 40.3% were overweight. The main comorbidities were cardiovascular (82.5%) and metabolic (77.2%). The mean length of stay on MV (Mechanical Ventilation) was 1.40 ± 3.87 days, length of stay in the Coronary Unit (CCU) 6.26 ± 4.07 days, and length of hospital stay of 26.88 days ± 24.48 days. Conclusion: Most patients who underwent CABG were men, married and overweight. The most prevalent comorbidities were cardiovascular and metabolic. As for the days on MV, men spent more days intubated than women, but the latter stayed longer in the CCU and hospitalized.
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