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:: Volume 19, Number 12 (3-2017) ::
amuj 2017, 19(12): 24-33 Back to browse issues page
The Assessment of Correlation between Blood Products Injection with Ventilator- Associated Pneumonia in Trauma Patients under Mechanical Mentilation in ICU
Homeyra Akbarzadeh , Abbas Alipour, Abolfazl Firuozian, Hadi Darvishi Khezri, Ghahraman Mahmoudi
Instructor, Department of Nursing, Sari Branch, Islamic Azad University, Sari, Iran , akbarzadeh@iausari.ac.ir
Abstract:   (983 Views)

Abstract

Background: Ventilator-associated pneumonia (VAP) is one of the most important causes of mortality in intubated traumatic patients admitted in ICU. The aim of current study was to determine correlation between blood products transfusion with incidence of VAP in traumatic patients under mechanical ventilation in ICU.

Materials and Methods: This study was a prospective descriptive-analytical study. Current study was carried out on traumatic patients under mechanical ventilation admitted to Imam Khomeini hospital ICU wards of Sari city, from September 2015 to September 2016. In addition to demographic data, patients' clinical information were daily recorded.

Results: Of total of 2304 patients admitted to ICU, 186 traumatic patients under mechanical ventilation longer than 48 hours were reviewed and analyzed. Among patients infected with VAP, 36 persons(87.8%) had transfusion of blood products before VAP incidence. Blood products transfusion (before and / or after 48 hours) had the highest adjusted risk ratio in the incidence of VAP (Odds ratio; OR=3.58). Also, amount of injected Packed Red Blood Cells and platelet were significantly higher in patients infected with VAP (p<0.005).

Conclusion: Considering remarkable increase in incidence of VAP following blood products transfusion and its correlation with injected PRBC and platelet, considering these modifiable risk factors for controlling and preventing the incidence of VAP in traumatic patients under mechanical ventilation in ICU is necessary and reasonable.

Keywords: Blood products, Blood transfusion, Intensive care unit, Mechanical ventilation, Trauma, Ventilator-associated pneumonia
Full-Text [PDF 650 kb]   (225 Downloads)    
Type of Study: Original Atricle | Subject: General
Received: 2016/10/22 | Accepted: 2016/12/31 | Published: 2017/02/14
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Akbarzadeh H, Alipour A, Firuozian A, Darvishi Khezri H, Mahmoudi G. The Assessment of Correlation between Blood Products Injection with Ventilator- Associated Pneumonia in Trauma Patients under Mechanical Mentilation in ICU. amuj. 2017; 19 (12) :24-33
URL: http://amuj.arakmu.ac.ir/article-1-4728-en.html
Volume 19, Number 12 (3-2017) Back to browse issues page
مجله دانشگاه علوم پزشکی اراک Arak Medical University Journal
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