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Medicinski pregled
2011, vol. 64, br. 7-8, str. 403-407
jezik rada: srpski
vrsta rada: stručni članak
doi:10.2298/MPNS1108403M


Incidencija i faktori rizika za nastanak pneumonije tokom mehaničke ventilacije bolesnika sa teškom povredom glave
aKlinički centar Niš
bUniverzitet u Nišu, Medicinski fakultet

e-adresa: prof.marjanovic@gmail.com

Sažetak

Bolesnici sa teškom povredom glave su pod rizikom od nastanka pneumonije tokom mehaničke ventilacije, a cilj ove studije je da opiše incidenciju, etiologiju, faktore rizika za pojavu pneumonije i ishod bolesti. Retrospektivna studija je učinjena na 72 bolesnika sa teškom povredom glave, koji su zahtevali primenu mehaničke ventilacije duže od 48 sati. Pneumonija je evidentirana kod 31 bolesnika (43,06%). Sigurni faktori rizika za pojavu pneumonije su: prolongirana mehanička ventilacija (12,42 u odnosu na 4,34 dana, p<0,001), duži boravak u jedinici intenzivne nege (17 u odnosu na 5 dana, p<0,001) i povreda grudnog koša (51,61 u odnosu na 19,51%, p= 0,009) u odnosu na bolesnike bez pneumonije. Kod bolesnika sa pneumonijom evidentirana je povećana smrtnost (38,71 u odnosu na 21,95%, p=0,12). Pojava pneumonije tokom mehaničke ventilacije bolesnika sa teškom povredom glave povećala je značajno morbiditet usled dužeg trajanja mehaničke ventilacije i boravka u jedinici intenzivne nege, usled povrede grudnog koša, bez uticaja na krajni ishod.

Ključne reči

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