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027; 95% CI 0.263-0.923) and tracheostomy (p=0.001; 95% CI 0.112-0.545) were the independent factors supporting survival. We found that acute physiology and chronic health evaluation II score, presence of bacteremia, and enteral nutrition did not have a significant effect on mortality. Use of tracheostomy and PN in patients with LO-VAP has a positive effect on survival. Our study also points out that mortality can be high in patients with advanced age and unconsciousness. Use of tracheostomy and PN in patients with LO-VAP has a positive