LAUSR

Hospital acquired pneumonia is one of the hospital acquired infections happening after 48 hours of admission and it happens to 0.5% to 1% of general admission. When it comes to chest trauma patients, this study is to find out if there is any increase in the incidence of hospital acquired pneumonia and which factors are related to it. In this study, we looked at the data collected during the period from January, 2015 to December,2016. Sample taken from patients presented after sustaining chest wall injuries and excluded patients died at the scene. The total number of patients was 436 and 408 patients were discharged from the hospital however, 28 patients did not survive from that admission. The data showed fall was the major cause of chest injury in elderly patients (age above 65) and road traffic accident followed by fall was the major cause in young patients. 14 percent of elderly patients developed hospital acquired pneumonia and 11 percent of young patients developed it. ITU admission was not significantly related to it (p value of 0.41) and also applied for flail chest (p value of 0.14). However some factors were significantly related to hospital acquired pneumonia. They were long hospital stay (in this study, it meant more than 10 days of admission) (p value of 0.0054) and multiple ribs fracture (more than one rib fracture) (p value of 0.000003). All deceased patients died of reasons not related to hospital acquired pneumonia and non of them developed it during their hospital stay.Abstract P135 Figure 1