ObjectiveTo analyze the risk factors of hospital-acquired pneumonia (HAP) in elderly patients with long-term hospitalization and provides evidence for the development of relevant interventions.
MethodsA total of 294 patients with hospital-acquired pneumonia were selected as the study group and another 297 patients were HAP-free as control group.The patients were discharged from geriatric nursing hospitals and Shunchang hospital of Huangpu District from July 2015 to June 2017.A case-control study was performed to screen for risk factors for HAP in elderly patients with long-term hospitalization by univariate and multivariate Logistic regression analysis.
ResultsThere were many risk factors for stroke in elderly patients.The results of this study showed that combination with three or more underlying diseases, as previous infection, indwelling gastric tube, fasting blood glucose, BNP, age, stroke site proved to be an important risk factor for HAP.Stroke type, years of stroke history, hemoglobin and albumin were not shown to be risk factors.Multivariate Logistic regression analysis showed that age, 3 or more underlying diseases were independent risk factors for HAP in elderly stroke patients.
ConclusionFor elderly patients with stroke, active treatment of underlying diseases and complications is the key to prevent HAP in elderly stroke patients.
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