中国感染控制杂志2017，Vol.16Issue(1)：28-31,4.DOI:10.3969/j.issn.1671-9638.2017.01.006
呼吸机相关事件的目标性监测
Targeted monitoring on ventilator-associated events
摘要
Abstract
Objective To monitor ventilator-associated event (VAE) for the first time in an intensive care unit (ICU) in China,understand the applicability,incidence,and clinical significance of VAE in China.Methods Targeted monitoring on VAE was performed among patients ≥18 years and with mechanical ventilation (MV)＞2 days in the ICU of a hospital between January 2014 and September 2015,incidence of VAE was calculated,and patients were grouped according to whether or not they had VAE,prognostic factors were analyzed statistically.Results A total of 1 004 patients were monitored,the total hospital stay was 13 795 days in patients who used ventilator,307 (30.58％) cases of VAE occurred,incidence of VAE per 1 000 ventilator-days was 22.25.Univariate analysis showed that patients with VAE had longer length of ICU stay and MV,and higher mortality rate than patients without VAE when they moved out of ICU (all P＜0.05).Multivariate logistic regression analysis showed that VAE was independent risk factor for length of ICU stay,duration of MV,as well as mortality when patients moved out of ICU(all P＜0.05).Conclusion Judgment of VAE is based on MV parameters,it is more objective and accurate.There is a high incidence of VAE among ICU patients,it may lead to poor clinical outcomes,and has good values for the targeted monitoring on ICU patients in large comprehensive hospitals of China.关键词
医院感染/重症监护病房/目标性监测/呼吸机相关肺炎/呼吸机相关事件Key words
healthcare-associated infection/intensive care unit/targeted monitoring/ventilator-associated pneumonia/ventilator-associated event分类
医药卫生引用本文复制引用
朱仕超,宗志勇,乔甫,张慧,李婧闻,蔡琳,邓宇骅,尹维佳..呼吸机相关事件的目标性监测[J].中国感染控制杂志,2017,16(1):28-31,4.基金项目
国家自然科学基金(81222025) （81222025）
