Bibliographic citations
Flores, M., (2021). Factores de riesgo asociados a ventilación mecánica prolongada en pacientes hospitalizados en el servicio de unidad de cuidados intensivos pediátricos del Hospital Regional de Loreto 2018 - 2019 [Universidad Nacional de la Amazonía Peruana]. https://hdl.handle.net/20.500.12737/7608
Flores, M., Factores de riesgo asociados a ventilación mecánica prolongada en pacientes hospitalizados en el servicio de unidad de cuidados intensivos pediátricos del Hospital Regional de Loreto 2018 - 2019 []. PE: Universidad Nacional de la Amazonía Peruana; 2021. https://hdl.handle.net/20.500.12737/7608
@mastersthesis{renati/283296,
title = "Factores de riesgo asociados a ventilación mecánica prolongada en pacientes hospitalizados en el servicio de unidad de cuidados intensivos pediátricos del Hospital Regional de Loreto 2018 - 2019",
author = "Flores Max, María Cristina",
publisher = "Universidad Nacional de la Amazonía Peruana",
year = "2021"
}
Acute respiratory diseases with a severity component are frequent in the pediatric population. The comprehensive approach to a patient with respiratory disease constitutes a diagnostic and therapeutic challenge; because regardless of the initial management, patients will require access to much more invasive procedures to maintain hemodynamic stability, as occurs with orotracheal intubation. This management already implies admission to a Pediatric Intensive Care Unit (PICU). In some circumstances, the prolonged stay in the PICU is not long; however, the stay is often long, which makes prolonged mechanical ventilation inherent, defined as one with a cut-off point greater than 21 days. This has aspects that imply the possibility of recovery of the patient, but in turn it has been associated with greater morbidity and mortality in the long term. Up to 10% of patients admitted to a PICU will require prolonged mechanical ventilation, and in this group the mortality rate is considerably high, close to 48%. The physiopathological background of ventilation damage is due to phenomena such as lung injury, hemodynamic instability, and an increased risk of infection (ventilator-associated pneumonia). In the Regional Hospital of Loreto, the Pediatric Intensive Care Unit has full human resources and has mechanical ventilators suitable for care; representing the regional reference center for the management of critical respiratory patients. That is why the need for research on this issue of prolonged ventilation is created, especially the associated factors in order to intervene on them early. Initially, permission will be requested from the ethics commission of the Regional Hospital of Loreto. Once the investigation is authorized, the execution of the project will begin. The main objective is to identify the factors associated with prolonged mechanical ventilation in patients admitted to the Pediatric Intensive Care Unit of the Regional Hospital of Loreto. All patients hospitalized in the PICU who have required mechanical ventilation during the years 2018 and 2019 will be included, then they will be disaggregated into 02 groups based on hospital stay, taking 21 days as a cut-off point. The data collection form will be filled out where the potential associated factors will be included, be they sociodemographic, clinical and related to ventilation; Those that will be analyzed later by risk measures and those with statistical significance will be included in the analysis by multiple logistic regression, taking as statistically significant a value of p <0.05.
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