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dc.contributor.authorJiao, Jing
dc.contributor.authorYang, Xiang-yun
dc.contributor.authorLi, Zhen
dc.contributor.authorZhao, Yan-wei
dc.contributor.authorCao, Jing
dc.contributor.authorLi, Fang-fang
dc.contributor.authorLiu, Ying
dc.contributor.authorLiu, Ge
dc.contributor.authorSong, Bao-yun
dc.contributor.authorJin, Jing-fen
dc.contributor.authorLiu, Yi-lan
dc.contributor.authorWen, Xian-xiu
dc.contributor.authorCheng, Shou-zhen
dc.contributor.authorYang, Lin-lin
dc.contributor.authorWu, Xin-juan
dc.contributor.authorSun, Jing
dc.date.accessioned2019-08-15T00:16:09Z
dc.date.available2019-08-15T00:16:09Z
dc.date.issued2019
dc.identifier.issn2296-2565
dc.identifier.doi10.3389/fpubh.2019.00221
dc.identifier.urihttp://hdl.handle.net/10072/386580
dc.description.abstractObjective: To identify the incidence and related factors for hospital-acquired pneumonia (HAP) among older bedridden patients in China. Study design and setting: This multicenter registry data-based study conducted between November 2015 and March 2016 surveyed 7,324 older bedridden patients from 25 hospitals in China (six tertiary, 12 non-tertiary, and seven community hospitals). The occurrence of HAP among all participants was monitored by trained investigators. Demographics, hospitalization information and comorbidity differences were compared between patients with and without HAP. A multilevel regression analysis was used to explore the factors associated with HAP. Results: Among 7,324 older bedridden patients, 566 patients were diagnosed with HAP. The incidence of HAP in this study was 13.9 per 1,000 person-days. There were statistical differences in gender, age, length of bedridden days, BMI, smoking, department, undergoing general anesthesia surgery, ventilator application, Charlson comorbity index (CCI) score, disturbance of consciousness, tranquilizer use, glucocorticosteroid use, and antibiotic use between patients with HAP and patients without HAP (all p < 0.05). Multilevel regression analysis found no significant variance for HAP at the hospital level (0.332, t = 1.875, p > 0.05). There were significant differences for the occurrence of HAP among different departments (0.553, t = 4.320, p < 0.01). The incidence density of HAP was highest in the ICU (30.1‰) among the selected departments, followed by the departments of neurosurgery (18.7‰) and neurology medicine (16.6‰). Individual patient-level factors, including older age, disturbance of consciousness, total CCI score, ICU admission, and glucocorticoid and antibiotic use, were found to be associated with the occurrence of HAP (all p < 0.05). Conclusion: A relatively high incidence density of HAP among older bedridden patients was identified, as well as several factors associated with HAP among the population. This suggests that attention should be paid to the effective management of these related factors of older bedridden patients to reduce the occurrence of HAP.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherFrontiers Media SA
dc.relation.ispartofjournalFrontiers in Public Health
dc.relation.ispartofvolume7
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1103
dc.titleIncidence and Related Factors for Hospital-Acquired Pneumonia Among Older Bedridden Patients in China: A Hospital-Based Multicenter Registry Data Based Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationJiao, J; Yang, X-Y; Li, Z; Zhao, Y-W; Cao, J; Li, F-F; Liu, Y; Liu, G; Song, B-Y; Jin, J-F; Liu, Y-L; Wen, X-X; Cheng, S-Z; Yang, L-L; Wu, X-J; Sun, J, Incidence and Related Factors for Hospital-Acquired Pneumonia Among Older Bedridden Patients in China: A Hospital-Based Multicenter Registry Data Based Study, Frontiers in Public Health, 7
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2019-08-13T07:58:09Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 Jiao, Yang, Li, Zhao, Cao, Li, Liu, Liu, Song, Jin, Liu, Wen, Cheng, Yang, Wu and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorSun, Jing


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