Characteristics and factors associated with nosocomial pneumonia among patients undergoing continuous renal replacement therapy (CRRT): A case–control study

Zuo, Manhua; Tang, Jun; Xiang, Miaomiao; Long, Qing; Dai, Jianping; Hu, Xiuying

doi:10.1016/j.ijid.2018.01.008

Cited by 12 publications

(18 citation statements)

References 42 publications

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“…It should be noted that there is not enough data in the literature about IP rates in STEMI patients. Also, one study described the correlation between IP and CKD [35]. We supposed that this correlation may be found in STEMI patients with renal dysfunction.…”

Section: Resultsmentioning

confidence: 94%

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Petrosyan

Hayrapetyan

Torozyan

et al. 2022

Romanian Journal of Cardiology

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Objective The goal of this study was to examine in-hospital complications in patients with acute ST-elevation myocardial infarction with a different renal function. Methods 351 patients were included in the study. Percutaneous coronary intervention was performed on all patients. 116 had a glomerular filtration rate < 60 ml/min/1.73 m2 (Group 1), 120 ≥ 60 ml/min/1.73 m2 and < 90 ml/min/1.73 m2 (Group 2) and 115 ≥ 90 ml/min/1.73 m2 (Group 3). Other parameters in the groups were comparable. The composite rate of acute pulmonary oedema and cardiogenic shock, in-hospital pneumonia, pulseless ventricular tachycardia or ventricular fibrillation, new-onset atrial fibrillation or atrial flutter, and in-hospital death were all compared among study groups. Results Mean glomerular filtration rate in Group 1 was 48.2±10.4; in Group 2, 74.7±8.7; and in Group 3, 104.1±14.6 (p < 0.001). The incidence of atrial fibrillation or atrial flutter was higher in Group 1 than in Groups 2 and 3: 12.1%, 5.8%, and 3.5%, respectively (p < 0.05). Group 3 had significantly lower rates of acute pulmonary oedema and cardiogenic shock than Groups 1 and 2: 10.3%, 5.8%, and 0.9%, respectively (p < 0.05). There was also a significant difference between groups when comparing the rate of in-hospital pneumonia: Group 1 had reasonably higher rates of in-hospital pneumonia than Group 2 and Group 3: 13.8%, 6.7%, and 4.3% (p < 0.05), respectively. The authors discovered no significant differences in additional complications: pulseless ventricular tachycardia or ventricular fibrillation occurred in 2.6%, 3.3%, and 0.9%, respectively (p > 0.05). in-hospital death was 3.4% in Group 1; 0.8% in Group 2: and 0 in Group 3, (p > 0.05). Conclusion Patients with lower glomerular filtration rate were more likely to develop in-hospital acute pulmonary oedema and cardiogenic shock, pneumonia, and new-onset atrial fibrillation or atrial flutter in ST-elevation myocardial infarction.

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Section: Resultsmentioning

confidence: 94%

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Petrosyan

Hayrapetyan

Torozyan

et al. 2022

Romanian Journal of Cardiology

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“…Fourth, patients with decreased renal function have impaired immunity and higher vulnerability to infections [22]. Nephrologists may change modifiable risk factors for nosocomial pneumonia, such as improving nutrition and controlling organ failure [23]. Fifth, chronic kidney disease is associated with an exceedingly high risk of coronary artery disease and causes a worse prognosis after myocardial infarction [24].…”

Section: Discussionmentioning

confidence: 99%

Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study

Wang

Yang

Yeh

et al. 2021

JCM

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The influence of physician specialty on the outcomes of kidney diseases (KDs) remains underexplored. We aimed to compare the complications and mortality of patients with admissions for KD who received care by nephrologists and non-nephrologist (NN) physicians. We used health insurance research data in Taiwan to conduct a propensity-score matched study that included 17,055 patients with admissions for KD who received care by nephrologists and 17,055 patients with admissions for KD who received care by NN physicians. Multivariable logistic regressions were conducted to calculate adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for 30-day mortality and major complications associated with physician specialty. Compared with NN physicians, care by nephrologists was associated with a reduced risk of 30-day mortality (OR 0.29, 95% CI 0.25–0.35), pneumonia (OR 0.82, 95% CI 0.76–0.89), acute myocardial infarction (OR 0.68, 95% CI 0.54–0.87), and intensive care unit stay (OR 0.78, 95% CI 0.73–0.84). The association between nephrologist care and reduced admission adverse events was significant in every age category, for both sexes and various subgroups. Patients with admissions for KD who received care by nephrologists had fewer adverse events than those who received care by NN physicians. We suggest that regular nephrologist consultations or referrals may improve medical care and clinical outcomes in this vulnerable population.

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“…Until now, the nursing model of some hospitals has tended to be standardized, so that patients follow the same standard for postoperative recovery plans. Although such a nursing model can have a clear standard specification, it is difficult to guarantee the surgical effect of patients [ 13 ]. But in fact, each patient is an independent individual, and their psychological situation, living environment, eating habits, etc.…”

Section: Introductionmentioning

confidence: 99%

Nursing Countermeasures of Continuous Renal Replacement Treatment in End-Stage Renal Disease with Refractory Hypotension in the Context of Smart Health

Guo

Sun

et al. 2022

Computational and Mathematical Methods in Medicine

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This work is aimed at exploring the nursing strategies and effects of continuous renal replacement therapy (CRRT) for end-stage renal disease (ESRD) with refractory hypotension under the background of smart health. 40 ESRD patients with refractory hypotension who received CRRT treatment were enrolled as the research objects and were randomly rolled into the intervention group and the control group, with 20 cases in each group. Patients in the control group received routine nursing, and those in the intervention group received individualized nursing. The incidence of hypotension, dry body weight, serous cavity effusion, renal function indicators (blood urea nitrogen (BUN) and creatinine (Cre)), and patient satisfaction were compared between the two groups. The results showed that the probability of hypotension in the intervention group was 9.38%, which was lower than that in the control group (34.38%). The probability of early termination of dialysis in the intervention group was 0%, which was lower than that in the control group (18.75%), and the difference was statistically significant ( P < 0.05 ). The decreases of BUN and Cre in the intervention group were significantly greater than those in the control group, and the differences were statistically significant ( P < 0.05 ). The proportion of water growth less than 10% during dialysis in the intervention group was 98.44%, which was greater than that in the control group (93.45%), and the difference was statistically significant ( P < 0.05 ). The ultrafiltration volume after dialysis in the intervention group was 2850 ± 400 mL, which was greater than that in the control group 2350 ± 350 mL. After intervention, the proportion of patients with pleural effusion in the intervention group was 10% less than that in the control group (20%), and the difference was statistically significant ( P < 0.05 ). The satisfaction rate of the intervention group was 97.66%, which was higher than that of the control group (65.63%). In conclusion, individualized nursing was more helpful to the recovery of ESRD patients with refractory hypotension treated with CRRT than routine nursing.

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Characteristics and factors associated with nosocomial pneumonia among patients undergoing continuous renal replacement therapy (CRRT): A case–control study

Abstract: Results from this study indicate that by modifying risk factors, such as providing adequate nutrition, earlier treatment of underlying diseases, and controlling organ failure, the risks associated with nosocomial pneumonia may be reduced.

Cited by 12 publications

References 42 publications

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

The Influence of Renal Function on In-Hospital Complications in Patients with ST-Elevation Myocardial Infarction

Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study

Nursing Countermeasures of Continuous Renal Replacement Treatment in End-Stage Renal Disease with Refractory Hypotension in the Context of Smart Health

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