Abstract | OBJECTIVE: The aim of this study was to determine the incidence, characteristics and in-hospital mortality of non- ventilator-associated hospital-acquired pneumonia (NV-HAP) in a regional (Modified Monash Model 2) Australian hospital. METHODS: All cases with NV-HAP were obtained from the Business Analysis and Decision Support ( BADS) Unit between 1st January 2013 and 31st December 2018. Medical records were reviewed, and data pertaining to incidence, characteristics (age and gender), length of stay, co-morbidities (measured using the Charlson Comorbidity Index) and in-hospital mortality were extracted. Incidence rate was calculated as a proportion of NV-HAP cases per 1000 bed-days. DESIGN: A retrospective study design was used to review all cases of NV-HAP between 1 January 2013 and 31 December 2018 at a single regional Australian hospital. Using the Modified Monash Model (MMM), our regional setting is classified as a regional centre (MMM-2). SETTING: Rockhampton Hospital, Australia. PARTICIPANTS: Patient cases. MAIN OUTCOME MEASURES: Incidence rate, Incidence proportion, mortality. RESULTS: A total of 501 cases were identified with an incidence rate of 0.98 cases per 1000 bed-days over the study period 2013-2018. Cases with NV-HAP had a median age of 78.2 years (interquartile range 18.8), a median length of stay of 13.0 days (interquartile range 12.0) and a median Charlson Comorbidity Index score of 3.0 out of 39 (interquartile range 3.0), and a greater proportion was male (n = 297, 57%). The in-hospital mortality rate for NV-HAP cases was 18.9%. CONCLUSION: This study revealed an overall incidence rate of 0.98 cases per 1000 bed-days from 2013 to 2018 in a regional Australian hospital. In addition, this study provided the descriptive characteristics for patients with NV-HAP at our regional hospital.
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Authors | Wenonah Gardiner, Kassandra Brown, Heather Richardson, Nellie Pretorius, Luke Heales |
Journal | The Australian journal of rural health
(Aust J Rural Health)
Vol. 31
Issue 1
Pg. 138-143
(Feb 2023)
ISSN: 1440-1584 [Electronic] Australia |
PMID | 36106699
(Publication Type: Journal Article)
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Copyright | © 2022 National Rural Health Alliance Ltd.. |
Topics |
- Humans
- Male
- Aged
- Retrospective Studies
- Incidence
- Queensland
- Hospital Mortality
- Australia
- Pneumonia, Ventilator-Associated
(epidemiology)
- Hospitals
- Risk Factors
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