Impact of hospital infections in the clinical medicine area of “Federico II” University Hospital of Naples assessed by means of statistical analysis and logistic regression

E. Montella, A. Scala, Maddalena Di Lillo, M. Lamberti, L. Donisi, M. Triassi, Martina Profeta
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Abstract

Healthcare Associated Infections (HAIs) has significant consequences both on the quality and the economy of the nation's healthcare system. Numerous factors influence the HAIs contraction during hospitalization. Is it possible to identify the principal risk factors leading to HAIs and try to avoid its contraction? In this work we answer this question by correlating patients’ gender, age, McCabe score and the eventual use of urinary catheter, central intravascular catheter and peripheral intravenous catheter with the probability to contract HAIs, by using the machine learning technique. Data of 226 patients hospitalized in 2019 were collected at the University Hospital “Federico II” in Naples in the clinical medicine area. Descriptive statistics was performed and logistic regression was used to test the association between HAIs, and the different risk factors under study. Results show that the variables influencing HAIs contraction were the McCabe score, the clinical use of a central intravascular catheter and the hospitalization at the infectious diseases department.
采用统计分析和logistic回归方法评价那不勒斯“费德里科二世”大学医院临床医学区医院感染的影响
医疗保健相关感染(HAIs)对国家医疗保健系统的质量和经济都有重大影响。住院期间影响HAIs收缩的因素很多。是否有可能确定导致HAIs的主要危险因素并尽量避免其收缩?在这项工作中,我们通过使用机器学习技术,将患者的性别、年龄、McCabe评分以及最终使用的导尿管、中心血管内导尿管和外周静脉导尿管与感染HAIs的概率联系起来,回答了这个问题。收集那不勒斯临床医学区“费德里科二世”大学医院2019年住院患者的226例数据。采用描述性统计和逻辑回归来检验HAIs与所研究的不同危险因素之间的相关性。结果表明,影响HAIs收缩的变量为McCabe评分、中心血管内导管的临床使用和在感染性疾病科的住院时间。
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