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ritical Care Evaluation 120/70 78/15 NCIDENCE OF SINUSITIS
ASSOCIATED WITH ENDOTRACHEAL AND NASOGASTRIC TUBES: NIS
DATABASE By Norma A. Metheny, RN, PhD, Leslie J. Hinyard, P… Show more

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Background Endotracheal and nasogastric tubes are recognized risk factors
for nosocomial sinusitis.The extent to which these tubes affect the overall
incidence of nos- ocomial sinusitis in acute care hospitals is un… Show more

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ndotracheal and nasogastric tubes are recognized risk factors for
nosocomial sinus- itis”6 and present a concern in intensive care units
where both types of tubes are commonly used. For example, e… Show more

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lar patients” (computed tomography scans and pres- formula may
enter the nasal pas- | patients is uncertain. ence of purulent sinus fluid were
used as diagnostic sages after regurgitation (or per- measures … Show more

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Table 1 Frequency and weighted percentage for sample demographics (N=1
141632, unweighted) Unweighted Weighted Weighted (naso-)gastric tube
(intubation for decompression); Characteristic N N % (SE) or (3… Show more

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34 140756 597 214 12.32 (0.03) z 5 823 312 4082 287 72.13 (0.04)
Insurance (n=1 100099) Insured 1035 336 5133 369 94.11 (0.02) Uninsured
54753 321053 5.85 (0.02) abstracts of approximately 8 million … Show more

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Table 2 Bivariate comparisons Sinusitis No sinusitis Unweighted Weighted
Weighted Unweighted Weighted Weighted Characteristica N N % (SE) N N
% (SE) x 2 P Tube type 73.7 <.001 Nasogastric 276 1362 16.5... Show more Image transcription text patients (89.27%) had nonelective hospital admis 1.25-1.63) than in patients with a nasogastric tube sions and hospital stays longer than 5 days (72.13%). only. The odds of sinusitis developing in patients Sinusitis was ... Show more Image transcription text Table 3 Crude and adjusted odds of sinusitis by type of tube Elective admission was associated with a 36% Model Odds ratio (95% CI) reduced odds of having sinusitis (OR, 0.64; 95% CI, Crude model 0.53-0... Show more Image transcription text Table 4 admission was associated with 21% reduced odds Crude and adjusted odds of of in-hospital mortality (OR, 0.79; 95% CI, 0.78- in-hospital mortality for sinusitis 0.81), and being insured was associated ... Show more Image transcription text sinusitis developing in patients with a 3— to 4—day length of stay were 64% greater (OR, 1.64; 95% CI, 1.32—2.03) and in those with a length of stay of 5 or more days were 87% greater (OR, 1.87; 95% CI, 1.57— 2.22) t... Show more Image transcription text it was not possible to compare the incidence of ventilator-associated sinusitis).20 This is in contrast sinusitis according to the route of tube insertion to a 1989 report of 53 patients with endotracheal (ie, ... Show more Image transcription text For example, in a study" in which computed tomog- Several limitations exist. Use of retrospective data raphy scans were used to monitor 16 critically ill makes it impossible to determine cause-and-effect ... Show more Image transcription text Conclusion 16. cn J, maxillary sinusitis during mechanical ventilation: a pro- Despite the low incidence of sinusitis identified spective comparison of orotracheal versus the nasotra- cheal route for intubation. Inte... Show more   SCIENCE HEALTH SCIENCE NURSING NUR 2222