Abstract
Objectives: The aim of this study was to reveal the prognostic factors of Ventilator-Associated Pneumonia (VAP) in the surgical ICU of Showa University Hospital in Tokyo.
Patients and methods: We reviewed 1629 cases administrated mechanical ventilation in surgical ICU from Apr,2006 to Dec,2010. In these 1629 cases, 46 patients were diagnosed VAP. We evaluated whether backgrounds, general conditions, laboratory data, chest radiographic features at the time of VAP onset and severity of VAP may contribute to the mortality or survival period.
Results: Twenty-three patients (50%) were dead. Multivariate analyses using significant (p<0.05) parameter in univariate analyses revealed different results, but bilateral pneumonia had significant differences in the both multivariate analyses of mortality and survival period (Table 1 & 2).
Figure 1 shows Kaplan-Meier curves of radiographic findings and survival period.
Conclusion: In this study, bilateral pneumonia had high mortality and was shorten survival period. We will present the other risk factors for mortality in this Annual Congress.
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