Abstract
This study aimed to investigate the risk factors related to ventilator-acquired pneumonia (VAP) in aneurysmal subarachnoid hemorrhage (SAH) patients. From January 2011 to December 2015, a single-center retrospective study including 200 SAH patients requiring mechanical ventilation (MV) ≥48 h was performed. The clinical data of these patients were collected and analyzed. The age range of the patients were 41–63 and 72 (36%) were male. The Glasgow coma scale score range was 5–15 and the Simplified Acute Physiology Score II range was 31–52. One hundred and forty-eight (74%) patients had a World Federation of Neurosurgeons (WNFS) score ≥III. Aneurysm was secured with an endovascular coiling procedure in 168 (84%) patients and 94 (47%) patients presented VAP. Male gender (OR=2.25, 95%CI=1.15–4.45), use of mannitol (OR=3.02, 95%CI=1.53–5.94) and enteral feeding above 20 kcal·kg−1·day−1 (OR=2.90, 95%CI=1.26–6.67) after day 7 were independent factors for VAP. Patients with early-onset VAP had a longer duration of sedation (P=0.03), MV (P=0.001) and ICU length of stay (P=0.003) and a worse Glasgow Outcome Scale score (P<0.001), but did not have a higher death rate.
Ventilator-acquired pneumonia; Aneurysmal subarachnoid hemorrhage; Risk factors; Multivariate analysis; Pathogen
Retraction for: Braz J Med Biol Res | doi: http://10.1590/1414-431X20176830 | PMID: 29791584
The Brazilian Journal of Medical and Biological Research was contacted by one specialist questioning the validity of this study.
The Editors decided to retract the article: “Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients” that was published in volume 51 no. 7 (2018) (Epub May 17, 2018) in the Brazilian Journal of Medical and Biological Research <http://dx.doi.org/10.1590/1414-431X20176830> PMID: 29791584 | PMCID: PMC5972009
The authors agreed that this article should be retracted. All authors will be prohibited to publish in the Brazilian Journal of Medical and Biological Research in the future.
Publication Dates
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Publication in this collection
17 May 2018 -
Date of issue
2018
History
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Received
23 Sept 2017 -
Accepted
6 Dec 2017
