title: Risk factors for ventilator-associated pneumonia: among trauma patients with and without brain injury.
abstract: Ventilator-associated pneumonia (VAP) rates remain highest among trauma and brain injured patients; yet, no research compares VAP risk factors between the 2 groups. This retrospective, case-controlled study identified risk factors for VAP among critically ill trauma patients with and without brain injury. Data were abstracted on trauma patients with (cases) and without (controls) brain injury. Data gathered on n = 157 subjects. Trauma patients with brain injury had more emergent and field intubations. Age was strongest predictor of VAP in cases, and ventilator days predicted VAP in controls. Trauma patients with brain injury may be at higher risk for VAP.
authors.affiliation: Department of Nursing, The MetroHealth Medical Center, Cleveland, Ohio.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Gianakis
authors.forename: Molly
authors.initials: M
authors.lastname: McNett
authors.forename: Josie
authors.initials: J
authors.lastname: Belle
authors.forename: Cristina
authors.initials: C
authors.lastname: Moran
authors.forename: Dawn
authors.initials: D
authors.lastname: Grimm
mesh_terms: D000328:Adult; D000367:Age Factors; D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D016022:Case-Control Studies; D002423:Cause of Death; D016638:Critical Illness / Q000401:mortality / Q000628:therapy; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology* / Q000503:physiopathology; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D018709:Statistics, Nonparametric; D014193:Trauma Centers; D015599:Trauma Severity Indices; D012122:Ventilators, Mechanical / Q000009:adverse effects*; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult