| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Xu, Xuan Yang, Xianxian Li, Shangyingying Luo, Mei Qing, Ying Zhou, Xipeng Xue, Jian Qiu, Jingfu Li, Yingli |
| Description |
Country affiliation: China Author Affiliation: Xu X ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Yang X ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Li S ( Department of Anesthesiology, The Children's Hospital of Chongqing Medical University, Chongqing, China.); Luo M ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Qing Y ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Zhou X ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Xue J ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Qiu J ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China.); Li Y ( Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, China. Electronic address: liylyl@126.com.) |
| Abstract |
BACKGROUND: Lower respiratory tract infection (LRTI) after tracheal intubation under general anesthesia poses a serious threat to worldwide health care systems, especially those in developing countries. However, a significant number of studies have found inconsistent results in their investigation of the corresponding risk factors. METHODS: Relevant articles published up to September 2015 were retrieved from PubMed, Ovid, Embase, China National Knowledge Infrastructure, Chinese Biological Medical Database, China Science and Technology Journal Database, and Wanfang Data. The z test was used to determine the significance of the pooled odds ratio (OR). ORs and 95% confidence intervals were used to compare the risk factors of LRTI after intubation under general anesthesia. RESULTS: Fifteen case-control studies that included 27,304 participants were identified. We identified the following variables as independent risk factors: duration of general anesthesia >3 hours (OR, 2.45), age >60 years (OR, 2.35), normal endotracheal tube (OR, 1.63), deep intubation (OR, 2.66), unpracticed intubation (OR, 2.61), postoperative extubation time >2 hours (OR, 3.76), smoking history (OR, 3.02), chronic respiratory disease history (OR, 2.30), incomplete extubation indication (OR, 3.54), thoracic or craniocerebral surgery (OR, 1.90), and emergent surgery (OR, 2.54). CONCLUSIONS: Eleven risk factors, including surgery, anesthesia, and health condition, were related to LRTI after intubation under general anesthesia. Given the limitations of this study, well-designed epidemiologic studies with a large sample size should be performed in the future. |
| File Format |
HTM / HTML |
| ISSN |
01966553 |
| Issue Number |
11 |
| Journal |
American Journal of Infection Control |
| Volume Number |
44 |
| e-ISSN |
15273296 |
| Language |
English |
| Publisher |
Elsevier |
| Publisher Date |
2016-11-01 |
| Publisher Place |
United States |
| Access Restriction |
One Nation One Subscription (ONOS) |
| Subject Keyword |
Discipline Communicable Diseases |
| Content Type |
Text |
| Resource Type |
Article |
| Subject |
Infectious Diseases Public Health, Environmental and Occupational Health Epidemiology Health Policy |
