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please summarize this articles Image transcription text 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 Image transcription text 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 Image transcription text 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 Image transcription text 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 Image transcription text 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 Image transcription text 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 Image transcription text 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

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