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Title: | Factors related to hospital stay among patients with nosocomial infection acquired in the intensive care unit | Authors: | Olaechea, Pedro M. Ulibarrena, Miguel Angel Álvarez-Lerma, Francisco Insausti, Jesús Palomar, Mercedes De la Cal, Miguel Angel Cebrián, Javier Gudín, José Martín, José L. Rodríguez-Colomo, Oscar Antón, Carlos Ramón Iruretagoyena, J. Rodríguez, Alberto Carrasco, Nieves De Miguel, Eva Angel Alcalá, M. Arnau, Elena Torres, Antonio Zabala, Elisabeth Mateu, Antonio Herranz, Miguel Ucio, Pablo Trinidad Fuentes, María Ruiz-Santana, Sergio Villar, Jesús Lopez-Camps, Vincent Álvarez-Rocha, Luis Paniagua, M. J. Arroyo, L. Sierra, Rafael Jesús Huertas, M. Tejada, Antonio González, Victor Valdovinos, M. C. Luque, Pilar Jesús López-Cambra, M. Ruíz-Ferrón, Francisco Jesús López-Pueyo, M. Zabalegui, Arturo Barcenilla, Fernando Valverdú, M. Castillo, Fernando Camacho, Pedro Flores, Juan M. Felices, Francisco Martínez-Pellús, Antonio Esquinas, Antonio Bru, M. Carrillo, Andrés García-Córdoba, Francisco Blanco, Armando Alonso, Ricardo Mendía, Angel Quiroga, Juan Maraví, Enrique Lobo, Joaquín Quintana, Manuel Jordá, Ricard Homar, Javier Sánchez, Bernabélvarez Espeleta, Ana Victoria de la Torre, M. Pascual, Pedro Homs, Carlos Fernández-Renedo, Carlos Sancho, Heliodoro Panadero de Manuel, J. A. Chirosa, M. A. Moreno, A. Rello, Jordi Ruíz-Valverde, Andrés Martínez-Coronel, J. F. Labayen, Fermín |
UNESCO Clasification: | 32 Ciencias médicas 3201 Ciencias clínicas 320505 Enfermedades infecciosas |
Keywords: | Patients Nosocomial infections Intensive Care Unit |
Issue Date: | 2003 | Journal: | Infection Control and Hospital Epidemiology | Abstract: | Objectives: To assess the influence of nosocomial infection on length of stay in the intensive care unit (ICU) and to determine the relative effect of other factors on extra length of hospitalization associated with nosocomial infection. Design: Prospective cohort multicenter study in the context of the ENVIN-UCI project. Setting: Medical or surgical ICUs of 49 different hospitals in Spain. Methods: All consecutive patients (N = 6,593) admitted to ICUs of the participating hospitals who stayed for more than 24 hours during a 3-month period (from January 15 to April 15, 1996) were included. Length of ICU stay was compared between patients with and without nosocomial infections. Results: Uninfected patients (N = 5,868) had a median stay in the ICU of 3 days, whereas the median for infected patients (N = 725) was 17 days (P < .001). The median for infected patients with one episode of nosocomial infection was 13 days. The greatest length of stay (40 days) was among patients admitted to the ICU because of medical diseases, with an infection acquired before admission to the ICU, and with the largest number of nosocomial infection episodes. In extended stays, nosocomial infection was significantly associated with length of hospitalization (day 21; odds ratio, 22.38; 95% confidence interval, 16.6 to 30.4), whereas an effect of variables related to severity of illness on admission (Acute Physiology and Chronic Health Evaluation II score, urgent surgery, and infection prior to ICU admission) was not found. Conclusions: The presence of nosocomial infection and the number of infection episodes were the variables with the strongest association with prolonged hospital stay among ICU patients. | URI: | http://hdl.handle.net/10553/45966 | ISSN: | 0899-823X | DOI: | 10.1086/502191 | Source: | Infection Control and Hospital Epidemiology [ISSN 0899-823X],v. 24(3), p. 207-213 |
Appears in Collections: | Artículos |
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