Table 2. Bivariate analysis of categorical variables potentially associated with acquiring a healthcare-associated infection (HAI) in 3 intensive care units and one step-down unit in Hospital das Clínicas, University of São Paulo, Brazil (May 2009–August 2009).
Variables | Patients who acquired HAI (n: 43) | Patients who did NOT acquire HAI (n: 152) | Relative risk | 95% confidence interval | p |
Male sex | 23 | 76 | 1.12 | 0.66–1.89 | 0.69 |
Presence of comorbidity | 34 | 109 | 1.52 | 0.75–3.05 | 0.23 |
Origin | 0.93 | ||||
• Hospital ward | 8 | 31 | |||
• Emergency room | 25 | 89 | |||
• Operating room | 4 | 16 | |||
• Other | 6 | 16 | |||
Excessive nursing workload (NAS≥51%) | 40 | 116 | 3.33 | 1.09–10.21 | 0.016 |
Medical/hospital interventions | |||||
• Enteral nutrition | 33 | 19 | 9.08 | 4.82–17.08 | <0.001 |
• CVC | 39 | 76 | 6.78 | 2.52–18.23 | <0.001 |
• Mechanical ventilation | 32 | 50 | 4.01 | 2.15–7.48 | <0.001 |
• Urinary catheter | 40 | 91 | 6.51 | 2.09–20.26 | <0.001 |
• Transfusion | 24 | 32 | 3.14 | 1.87–5.25 | <0.001 |
• Hemodialysis | 14 | 20 | 2.29 | 1.36–3.84 | 0.003 |
• Endoscopy | 8 | 10 | 2.25 | 1.24–4.08 | 0.016 |
• Total parenteral nutrition | 1 | 1 | 2.30 | 0.56–9.42 | 0.34 |
• Bronchoscopy | 4 | 11 | 1.23 | 0.51–2.98 | 0.65 |
• Drains | 3 | 10 | 1.05 | 0.38–2.94 | 0.93 |
• Surgery | 7 | 24 | 1.03 | 0.50–2.10 | 0.94 |
Death during stay in the unit | 17 | 23 | 2.53 | 1.53–4.19 | <0.001 |
Death during hospital stay | 19 | 29 | 2.42 | 1.46–4.02 | <0.001 |
Occurrence of other adverse events during hospitalization | |||||
• Pressure ulcer | 31 | 28 | 5.95 | 3.29–10.77 | <0.001 |
• Cancellation of programmed surgery | 3 | 1 | 3.58 | 1.91–6.72 | 0.01 |
• Hypoglicemia | 15 | 27 | 1.95 | 1.15–3.30 | 0.016 |
• Phlebitis | 11 | 26 | 1.47 | 0.82–2.63 | 0.21 |
• Delay >24 h of consults | 8 | 21 | 1.31 | 0.68–2.53 | 0.44 |
• Hospitalization >24 h after discharge ordered | 10 | 33 | 1.07 | 0.58–1.99 | 0.83 |
• Cancellation of invasive procedure | 1 | 9 | 0.44 | 0.07–2.88 | 0.35 |
CVC: central venous catheter; NAS: Nursing activity score.