Hubungan antara Durasi Ventilator Mekanik dengan Ventilator Ascociated Pneuomonia (VAP) dan Luaran Pasien di Neonatal Intensive Care Unit
Abstract
Background: Respiratory problems are the most common cause of hospitalization and mechanical ventilation in newborns. Prolonged mechanical ventilation increases complications and poor outcomes. Ventilator-associated pneumonia (VAP) is the most common complication in NICU patients.
Objective: To determine the relationship between the duration of mechanical ventilation and VAP and patient outcomes in the NICU.
Method: This study used an analytical cross-sectional design. The sample consisted of 26 neonates treated in the NICU at Andalas University from January to March 2024 who met the inclusion criteria. Analysis was performed using the Chi-square test with SPSS.
Result: This study involved 26 neonates treated in the NICU, 53.8% of whom were male, with diagnoses of pneumonia (16%) and sepsis (11.5%). A total of 53.8% of neonates used mechanical ventilation for more than 7 days, and 34.6% were diagnosed with VAP. The mortality rate was 42.3%. There was a significant association between ventilator use duration and VAP in neonates [p = 0.014 [OR 14.6 CI 95% (1.46 -146.96). There was no significant association between ventilator duration and patient outcomes (p = 0.39 (OR 2 C (0.40–9.83).
Conclusion: This study found a significant association between mechanical ventilator duration and VAP. Further research is needed to identify factors influencing mechanical ventilator duration to reduce complications and improve patient outcomes.
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