Should Ventilator-Associated Events become a Quality Indicator for ICUs?
نویسندگان
چکیده
منابع مشابه
Should Ventilator-Associated Events become a Quality Indicator for ICUs?
The United States Centers for Disease Control and Prevention replaced their longstanding ventilator-associated pneumonia (VAP) definitions with ventilator-associated event (VAE) definitions in 2013. Controversy abounds as to whether VAE definitions are potentially suitable to serve as quality indicators for ICUs. On the pro side, VAE definitions overcome many of the weaknesses of traditional VA...
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The economic and clinical burden of ventilator-associated pneumonia (VAP) is uncontested. In many hospitals, VAP surveillance is conducted to identify outbreaks and to monitor infection rates. Here, we discuss the concept of benchmarking in health care as modeled on industry, and we contribute personal arguments against considering the VAP rate as a potential candidate for benchmarking or for m...
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Results We found 58/83 (69.9%) patients developed VAEs. Of these, 32/83 (39.0%) had VAC, 27/83 (32.5%) had infection related ventilatorassociated conditions (IVACs) and 31/83 (38.3%) had probable VAP. At multivariate analysis, a high diastolic blood pressure (OR 0.78; 95% CI 0.64-0.95, p = 0.014), high GCS (OR 0.37; 95% CI 0.14-0.98, p = 0.045) and longer duration of ventilation (OR 0.32; 95% C...
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Dooshanveer Nuckchady, MD; Michael G. Heckman, MS; Nancy N. Diehl, BS; Darlene Carey, RN; John Moss, MD; Tara Creech, RN; Robert Domnick; Walter C. Hellinger MD; Infectious Disease, Mayo Clinic Jacksonville, Jacksonville, FL; Biostatistics, Mayo Clinic Florida, Jacksonville, FL; Infection Prevention and Control, Mayo Clinic Florida, Jacksonville, FL; Mayo Clinic Florida, Jacksonville, FL; Infor...
متن کاملValue and price of ventilator-associated pneumonia surveillance as a quality indicator
ICU is growing but the methodology is still under development and subject to debate [1-3]. Ventilatorassociated pneumonia (VAP) seemed to come close to being an important, valid, reliable, responsive, interpretable and feasible outcome parameter [3]. We therefore decided to measure VAP incidence on a regular basis. A prospective study was carried out with yearly assessment of the incidence of V...
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ژورنال
عنوان ژورنال: Respiratory Care
سال: 2016
ISSN: 0020-1324,1943-3654
DOI: 10.4187/respcare.04548