Risk factors of hospital acquired pneumonia in patients with severe senile dementia
Objective To analyze the risk factors of hospital acquired pneumonia(HAP)in patients with severe senile dementia.Methods 100 patients with severe senile dementia were selected.According to whether HAP occurred,40 patients with HAP were classified as case group,and 60 patients without HAP were classified as reference group.Logistic analysis was conducted to analyze the risk factors of HAP in patients with severe senile dementia.Results There were no significant differences in gender ratio,repeated sputum aspiration rate and dysphagia rate between the case group and the reference group(P>0.05).The percentage of≥70 years of age,invasive operation,underlying disease,use of antibacterial drugs,and long-term bed rest of the case group were 75.00%,80.00%,72.50%,70.00%and 55.00%,which were higher than 30.00%,30.00%,33.33%,43.33%and 16.67%of the reference group,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that≥70 years of age,invasive operation,underlying disease,use of antibacterial drugs,and long-term bed rest were independent risk factors for HAP in patients with severe senile dementia(OR=1.352,1.372,1.338,1.367,1.365;P<0.05).Conclusion The occurrence of HAP in patients with severe senile dementia is closely related to≥70 years of age,invasive operation,underlying diseases,use of antibacterial drugs,and long-term bed rest.The clinical treatment should be targeted at the above risk factors as early as possible to reduce the incidence of HAP.
Severe dementiaAgedHospital acquired pneumoniaRisk factors