Analysis of influence factors of hospital acquired pneumonia in patients with cervical spinal cord injury

Abstract

To explore the influence factors of hospital acquired pneumonia(HAP) in patients with cervical spinal cord injury(CSCI). Regression analysis the clinical data of 478 cases of patients with CSCI, the CSCI patients were divided into the infection group and non-infection group.Firstly, the single factor analysis was used to compare the difference of the influence factors between the two groups.And then, logistic regression analysis was used to explore the influence factors of HAP in patients with CSCI.122 suffered HAP in the 478 patients with CSCI, accounted for 25.52%.There's significant difference in injured segments, JOAS scores on admission, methylprednisolone treatment within 8 h after injury, tracheotomy, history of smoking and lung disease between the infection group and non-infection group(P<0.05). logistic regression analysis showed that the injured segments(OR=4.474), JOAS scores on admission(OR=3.856), tracheotomy(OR=2.452), history of lung disease (OR=1.589)were the independent influence factors of HAP in patients with CSCI.The incidence rate of HAP was high in patients with CSCI, there were a variety of influence factors for the HAP, and we should take targeted intervention measures so as to reduce the incidence of HAP. Key words: Spinal cord injuries; Hospital acquired pneumonia