Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study.
<h4>Background</h4>Mortality among patients with hospital-acquired pneumonia (HAP) is quite high; however, information on risk factors for short-term mortality in this population remains limited. The aim of the current study was to identify the risk factors for mortality in bedridden pat...
Main Authors: | , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2021-01-01
|
Series: | PLoS ONE |
Online Access: | https://doi.org/10.1371/journal.pone.0249198 |
id |
doaj-7b61582a56db40048618b67611170273 |
---|---|
record_format |
Article |
spelling |
doaj-7b61582a56db40048618b676111702732021-04-10T04:30:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01163e024919810.1371/journal.pone.0249198Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study.Jing JiaoZhen LiXinjuan WuJing CaoGe LiuYing LiuFangfang LiChen ZhuBaoyun SongJingfen JinYilan LiuXianxiu WenShouzhen ChengXia Wan<h4>Background</h4>Mortality among patients with hospital-acquired pneumonia (HAP) is quite high; however, information on risk factors for short-term mortality in this population remains limited. The aim of the current study was to identify the risk factors for mortality in bedridden patients with HAP during a 3-month observation period.<h4>Methods</h4>A secondary data analysis was conducted. In total, 1141 HAP cases from 25 hospitals were included in the analysis. Univariate and multilevel regression analyses were performed to identify the risk factors for mortality.<h4>Results</h4>During the 3-month observation period, there were 189 deaths among bedridden patients with HAP. The mortality rate in this study was 16.56%. Multilevel regression analysis showed that ventilator-associated pneumonia (OR = 2.034, 95%CI: 1.256, 3.296, p = 0.004), pressure injuries (OR = 2.202, 95%CI: 1.258, 3.852, p = 0.006), number of comorbidities (OR = 1.076, 95%CI: 1.016,1.140, p = 0.013) and adjusted Charlson Comorbidity Index score (OR = 1.210, 95%CI: 1.090, 1.343, p<0.001) were associated with an increased risk of mortality, while undergoing surgery with general anaesthesia (OR = 0.582, 95%CI: 0.368, 0.920, p = 0.021) was associated with a decreased risk of mortality.<h4>Conclusions</h4>The identification of risk factors associated with mortality is an important step towards individualizing care plans. Our findings may help healthcare workers select high-risk patients for specific interventions. Further study is needed to explore whether appropriate interventions against modifiable risk factors, such as reduced immobility complications or ventilator-associated pneumonia, could improve the prognoses.https://doi.org/10.1371/journal.pone.0249198 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jing Jiao Zhen Li Xinjuan Wu Jing Cao Ge Liu Ying Liu Fangfang Li Chen Zhu Baoyun Song Jingfen Jin Yilan Liu Xianxiu Wen Shouzhen Cheng Xia Wan |
spellingShingle |
Jing Jiao Zhen Li Xinjuan Wu Jing Cao Ge Liu Ying Liu Fangfang Li Chen Zhu Baoyun Song Jingfen Jin Yilan Liu Xianxiu Wen Shouzhen Cheng Xia Wan Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. PLoS ONE |
author_facet |
Jing Jiao Zhen Li Xinjuan Wu Jing Cao Ge Liu Ying Liu Fangfang Li Chen Zhu Baoyun Song Jingfen Jin Yilan Liu Xianxiu Wen Shouzhen Cheng Xia Wan |
author_sort |
Jing Jiao |
title |
Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. |
title_short |
Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. |
title_full |
Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. |
title_fullStr |
Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. |
title_full_unstemmed |
Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. |
title_sort |
risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: a multicentre prospective study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2021-01-01 |
description |
<h4>Background</h4>Mortality among patients with hospital-acquired pneumonia (HAP) is quite high; however, information on risk factors for short-term mortality in this population remains limited. The aim of the current study was to identify the risk factors for mortality in bedridden patients with HAP during a 3-month observation period.<h4>Methods</h4>A secondary data analysis was conducted. In total, 1141 HAP cases from 25 hospitals were included in the analysis. Univariate and multilevel regression analyses were performed to identify the risk factors for mortality.<h4>Results</h4>During the 3-month observation period, there were 189 deaths among bedridden patients with HAP. The mortality rate in this study was 16.56%. Multilevel regression analysis showed that ventilator-associated pneumonia (OR = 2.034, 95%CI: 1.256, 3.296, p = 0.004), pressure injuries (OR = 2.202, 95%CI: 1.258, 3.852, p = 0.006), number of comorbidities (OR = 1.076, 95%CI: 1.016,1.140, p = 0.013) and adjusted Charlson Comorbidity Index score (OR = 1.210, 95%CI: 1.090, 1.343, p<0.001) were associated with an increased risk of mortality, while undergoing surgery with general anaesthesia (OR = 0.582, 95%CI: 0.368, 0.920, p = 0.021) was associated with a decreased risk of mortality.<h4>Conclusions</h4>The identification of risk factors associated with mortality is an important step towards individualizing care plans. Our findings may help healthcare workers select high-risk patients for specific interventions. Further study is needed to explore whether appropriate interventions against modifiable risk factors, such as reduced immobility complications or ventilator-associated pneumonia, could improve the prognoses. |
url |
https://doi.org/10.1371/journal.pone.0249198 |
work_keys_str_mv |
AT jingjiao riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT zhenli riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT xinjuanwu riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT jingcao riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT geliu riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT yingliu riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT fangfangli riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT chenzhu riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT baoyunsong riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT jingfenjin riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT yilanliu riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT xianxiuwen riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT shouzhencheng riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy AT xiawan riskfactorsfor3monthmortalityinbedriddenpatientswithhospitalacquiredpneumoniaamulticentreprospectivestudy |
_version_ |
1714684706191048704 |