Comparison of Ventilator-Associated Pneumonia and Surgical Site Infection between Two Methods of Tracheostomy

Objective. To compare the incidence of ventilator-associated pneumonia (VAP) and surgical site infection (SSI) between percutaneous dilatational tracheostomy (PDT) and surgical tracheostomy (ST). Methods. Data on 487 patients undergoing tracheostomy between 1st January 2014 and 30th September 2020 w...

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Veröffentlicht in:Computational and mathematical methods in medicine 2022-07, Vol.2022, p.3186634-6
Hauptverfasser: Zhang, Baozhi, Chen, Chunyan
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Sprache:eng
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Zusammenfassung:Objective. To compare the incidence of ventilator-associated pneumonia (VAP) and surgical site infection (SSI) between percutaneous dilatational tracheostomy (PDT) and surgical tracheostomy (ST). Methods. Data on 487 patients undergoing tracheostomy between 1st January 2014 and 30th September 2020 were reviewed. Patients were divided according to the surgical techniques. Clinical characteristics and postoperative care were compared to explore the risk factors for SSI and VAP. All tracheostomies were performed by intensivists who had completed at least ten tracheostomies. ST was performed using standard techniques. PDT was performed according to a modification technique described by Ciaglia. All procedures were performed at the bedside in the ICU. Results. Of all, 344 patients (70.6%) were men and 143 (29.4%) were women, and the mean age was 56 years (standard derivation [SD] 12 years). Two hundred and sixty-six patients (54.6%) received PDT, and 221 (45.4%) received SY. Patients in the PDT group had a significantly lower rate of SSI (3.4% vs. 8.5%, P=0.01) compared with the ST group. Multivariate analysis revealed that comorbidities (P=0.003), surgical type (P=0.01), and cluster nursing (P
ISSN:1748-670X
1748-6718
1748-6718
DOI:10.1155/2022/3186634