NGHIÊN CỨU YẾU TỐ NGUY CƠ VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI LIÊN QUAN THỞ MÁY Ở BỆNH NHÂN BỎNG NẶNG

Abstract

Objectives: Determine risk factors and results of ventilator-associated pneumonia in severe burn patients. Subjects and methods: Prospective study was conducted on 124 severe burn patients with invasive ventilation, treated in the ICU at the Le Huu Trac National burns Hospital from 1/2021 to 12/ 2023. Ventilator-associated pneumonia was diagnosed according to the International Burn Association 2018. Patients were divided into 2 groups, with or without ventilator-associated pneumonia. The criteria were compared between the 2 groups. Results: In the group of burn patients with ventilator-associated pneumonia, the prognostic indicators of burn patients such as burn area, deep burn area, burn index, and inhalation injury were all higher than the group without ventilator-associated pneumonia (p<0.001). Regarding burn location, only patients with back burns had a higher incidence of ventilator-related pneumonia than the group without (p<0.05). Multivariate analysis showed that inhalation injury were independent risk factor for ventilator-associated pneumonia. The mortality rate in burn patients with ventilator-associated pneumonia is 73.24%. Conclusion: Ventilator-associated pneumonia is a complication with a high mortality rate in severe burn patients. Inhalation injury were independent risk factor for ventilator-associated pneumonia in severe burned patients.