Comprehensive risk assessment for hospital-acquired pneumonia: sociodemographic, clinical, and hospital environmental factors associated with the incidence of hospital-acquired pneumonia
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Bo-Guen | - |
dc.contributor.author | Kang, Minwoong | - |
dc.contributor.author | Lim, Jihyun | - |
dc.contributor.author | Lee, Jin | - |
dc.contributor.author | Kang, Danbee | - |
dc.contributor.author | Kim, Minjung | - |
dc.contributor.author | Kim, Jinhee | - |
dc.contributor.author | Park, Hyejeong | - |
dc.contributor.author | Min, Kyung Hoon | - |
dc.contributor.author | Cho, Juhee | - |
dc.contributor.author | Jeon, Kyeongman | - |
dc.date.accessioned | 2022-04-01T20:41:40Z | - |
dc.date.available | 2022-04-01T20:41:40Z | - |
dc.date.created | 2022-04-01 | - |
dc.date.issued | 2022-01-12 | - |
dc.identifier.issn | 1471-2466 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/139408 | - |
dc.description.abstract | Background Social and hospital environmental factors that may be associated with hospital-acquired pneumonia (HAP) have not been evaluated. Comprehensive risk assessment for the incidence of HAP including sociodemographic, clinical, and hospital environmental factors was conducted using national health insurance claims data. Methods This is a population-based retrospective cohort study of adult patients who were hospitalized for more than 3 days from the Health Insurance Review and Assessment Service-National Inpatient Sample data between January 1, 2016 and December 31, 2018 in South Korea. Multivariable logistic regression analyses were conducted to identify the factors associated with the incidence of HAP. Results Among the 512,278 hospitalizations, we identified 25,369 (5.0%) HAP cases. In multivariable analysis, well-known risk factors associated with HAP such as older age (over 70 vs. 20-29; adjusted odds ratio [aOR], 3.66; 95% confidence interval [CI] 3.36-3.99), male sex (aOR, 1.35; 95% CI 1.32-1.39), pre-existing lung diseases (asthma [aOR, 1.73; 95% CI 1.66-1.80]; chronic obstructive pulmonary disease [aOR, 1.62; 95% CI 1.53-1.71]; chronic lower airway disease [aOR, 1.79; 95% CI 1.73-1.85]), tube feeding (aOR, 3.32; 95% CI 3.16-3.50), suctioning (aOR, 2.34; 95% CI 2.23-2.47), positioning (aOR, 1.63; 95% CI 1.55-1.72), use of mechanical ventilation (aOR, 2.31; 95% CI 2.15-2.47), and intensive care unit admission (aOR, 1.29; 95% CI 1.22-1.36) were associated with the incidence of HAP. In addition, poverty (aOR, 1.08; 95% CI 1.04-1.13), general hospitals (aOR, 1.54; 95% CI 1.39-1.70), higher bed-to-nurse ratio (Grade >= 5; aOR, 1.45; 95% CI 1.32-1.59), higher number of beds per hospital room (6 beds; aOR, 3.08; 95% CI 2.77-3.42), and ward with caregiver (aOR, 1.19; 95% CI 1.12-1.26) were related to the incidence of HAP. Conclusions The incidence of HAP was associated with various sociodemographic, clinical, and hospital environmental factors. Thus, taking a comprehensive approach to prevent and treat HAP is important. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.subject | VENTILATOR-ASSOCIATED PNEUMONIA | - |
dc.subject | NOSOCOMIAL PNEUMONIA | - |
dc.subject | HEALTH | - |
dc.subject | CARE | - |
dc.subject | MULTICENTER | - |
dc.subject | SERVICES | - |
dc.subject | POVERTY | - |
dc.title | Comprehensive risk assessment for hospital-acquired pneumonia: sociodemographic, clinical, and hospital environmental factors associated with the incidence of hospital-acquired pneumonia | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Min, Kyung Hoon | - |
dc.identifier.doi | 10.1186/s12890-021-01816-9 | - |
dc.identifier.scopusid | 2-s2.0-85122928075 | - |
dc.identifier.wosid | 000741381500002 | - |
dc.identifier.bibliographicCitation | BMC PULMONARY MEDICINE, v.22, no.1 | - |
dc.relation.isPartOf | BMC PULMONARY MEDICINE | - |
dc.citation.title | BMC PULMONARY MEDICINE | - |
dc.citation.volume | 22 | - |
dc.citation.number | 1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.subject.keywordPlus | VENTILATOR-ASSOCIATED PNEUMONIA | - |
dc.subject.keywordPlus | NOSOCOMIAL PNEUMONIA | - |
dc.subject.keywordPlus | HEALTH | - |
dc.subject.keywordPlus | CARE | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | SERVICES | - |
dc.subject.keywordPlus | POVERTY | - |
dc.subject.keywordAuthor | Epidemiology | - |
dc.subject.keywordAuthor | Hospital-acquired pneumonia | - |
dc.subject.keywordAuthor | Risk factors | - |
dc.subject.keywordAuthor | Mortality | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.