Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker
Introduction: Ventilator associated pneumonia (VAP) rate has been tracked as a comparable quality measure but there is significant variation between types of ICUs. We sought to understand variability and improve its utility as a marker of quality. Methods: The National Trauma Database was surveyed t...
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| Veröffentlicht in: | Journal of intensive care medicine 2021-10, Vol.36 (11), p.1354-1360 |
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| container_title | Journal of intensive care medicine |
| container_volume | 36 |
| creator | Keneally, Ryan J. Peterson, Thomas J. Benjamin, John R. Hawkins, Katrina Davison, Danielle |
| description | Introduction:
Ventilator associated pneumonia (VAP) rate has been tracked as a comparable quality measure but there is significant variation between types of ICUs. We sought to understand variability and improve its utility as a marker of quality.
Methods:
The National Trauma Database was surveyed to identify risk factors for VAP. Logistic regression, χ2, Student’s T-test or Mann-Whitney U test were used.
Results:
Risk factors associated with developing VAP were: injury severity score (ISS) (OR 1.03, 95% CI 1.03 -1.04), prehospital assisted respiration (PHAR) (OR 1.10, 1.03 -1.17), thoracic injuries (OR 2.28, 1.69-3.08), diabetes (OR 1.32, 1.20 -1.46), male gender (OR 1.38, 1.28 -1.60), care at a teaching hospital (OR 1.40, 1.29 -1.47) and unplanned intubation (OR 2.76, 2.52-3.03).
Discussion:
ISS, PHAR, diabetes, male gender, care at a teaching hospital and unplanned intubation are risk factors for the development of VAP. These factors should be accounted for in order to make VAP an effective quality marker. |
| doi_str_mv | 10.1177/0885066620952763 |
| format | Article |
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Ventilator associated pneumonia (VAP) rate has been tracked as a comparable quality measure but there is significant variation between types of ICUs. We sought to understand variability and improve its utility as a marker of quality.
Methods:
The National Trauma Database was surveyed to identify risk factors for VAP. Logistic regression, χ2, Student’s T-test or Mann-Whitney U test were used.
Results:
Risk factors associated with developing VAP were: injury severity score (ISS) (OR 1.03, 95% CI 1.03 -1.04), prehospital assisted respiration (PHAR) (OR 1.10, 1.03 -1.17), thoracic injuries (OR 2.28, 1.69-3.08), diabetes (OR 1.32, 1.20 -1.46), male gender (OR 1.38, 1.28 -1.60), care at a teaching hospital (OR 1.40, 1.29 -1.47) and unplanned intubation (OR 2.76, 2.52-3.03).
Discussion:
ISS, PHAR, diabetes, male gender, care at a teaching hospital and unplanned intubation are risk factors for the development of VAP. These factors should be accounted for in order to make VAP an effective quality marker.</description><identifier>ISSN: 0885-0666</identifier><identifier>EISSN: 1525-1489</identifier><identifier>DOI: 10.1177/0885066620952763</identifier><identifier>PMID: 32885716</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Female ; Humans ; Injury Severity Score ; Intensive Care Units ; Male ; Pneumonia, Ventilator-Associated - epidemiology ; Respiration, Artificial ; Retrospective Studies</subject><ispartof>Journal of intensive care medicine, 2021-10, Vol.36 (11), p.1354-1360</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-cd32b4d300d64ad4dfa365c820f7ef46c1025702926d270497bce9c8ba8206583</citedby><cites>FETCH-LOGICAL-c337t-cd32b4d300d64ad4dfa365c820f7ef46c1025702926d270497bce9c8ba8206583</cites><orcidid>0000-0002-4145-9200 ; 0000-0002-8990-6129</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0885066620952763$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0885066620952763$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32885716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keneally, Ryan J.</creatorcontrib><creatorcontrib>Peterson, Thomas J.</creatorcontrib><creatorcontrib>Benjamin, John R.</creatorcontrib><creatorcontrib>Hawkins, Katrina</creatorcontrib><creatorcontrib>Davison, Danielle</creatorcontrib><title>Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker</title><title>Journal of intensive care medicine</title><addtitle>J Intensive Care Med</addtitle><description>Introduction:
Ventilator associated pneumonia (VAP) rate has been tracked as a comparable quality measure but there is significant variation between types of ICUs. We sought to understand variability and improve its utility as a marker of quality.
Methods:
The National Trauma Database was surveyed to identify risk factors for VAP. Logistic regression, χ2, Student’s T-test or Mann-Whitney U test were used.
Results:
Risk factors associated with developing VAP were: injury severity score (ISS) (OR 1.03, 95% CI 1.03 -1.04), prehospital assisted respiration (PHAR) (OR 1.10, 1.03 -1.17), thoracic injuries (OR 2.28, 1.69-3.08), diabetes (OR 1.32, 1.20 -1.46), male gender (OR 1.38, 1.28 -1.60), care at a teaching hospital (OR 1.40, 1.29 -1.47) and unplanned intubation (OR 2.76, 2.52-3.03).
Discussion:
ISS, PHAR, diabetes, male gender, care at a teaching hospital and unplanned intubation are risk factors for the development of VAP. These factors should be accounted for in order to make VAP an effective quality marker.</description><subject>Female</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Pneumonia, Ventilator-Associated - epidemiology</subject><subject>Respiration, Artificial</subject><subject>Retrospective Studies</subject><issn>0885-0666</issn><issn>1525-1489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAUxC0EoqWwMyGPLIHnj9jJWCEoSK34ELBGL7ZTpU2TYidD_3sStTAgMT2d7ncnvSPkksENY1rfQpLEoJTikMZcK3FExizmccRkkh6T8WBHgz8iZyGsAJjggp2SkeC9o5kak9kC12W9pJ-ubssK28bTaQiNKbF1lr7Urts0dYn0rdcU6cJh3eNFV9HXDquy3dEF-rXz5-SkwCq4i8OdkI-H-_e7x2j-PHu6m84jI4RuI2MFz6UVAFZJtNIWKFRsEg6FdoVUhgGPNfCUK8s1yFTnxqUmybFHVJyICbne925989W50GabMhhXVVi7pgsZlxKkkkINKOxR45sQvCuyrS836HcZg2yYL_s7Xx-5OrR3-cbZ38DPXj0Q7YGAS5etms7X_bf_F34DYZx2IQ</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Keneally, Ryan J.</creator><creator>Peterson, Thomas J.</creator><creator>Benjamin, John R.</creator><creator>Hawkins, Katrina</creator><creator>Davison, Danielle</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4145-9200</orcidid><orcidid>https://orcid.org/0000-0002-8990-6129</orcidid></search><sort><creationdate>20211001</creationdate><title>Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker</title><author>Keneally, Ryan J. ; Peterson, Thomas J. ; Benjamin, John R. ; Hawkins, Katrina ; Davison, Danielle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-cd32b4d300d64ad4dfa365c820f7ef46c1025702926d270497bce9c8ba8206583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Female</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Pneumonia, Ventilator-Associated - epidemiology</topic><topic>Respiration, Artificial</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keneally, Ryan J.</creatorcontrib><creatorcontrib>Peterson, Thomas J.</creatorcontrib><creatorcontrib>Benjamin, John R.</creatorcontrib><creatorcontrib>Hawkins, Katrina</creatorcontrib><creatorcontrib>Davison, Danielle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keneally, Ryan J.</au><au>Peterson, Thomas J.</au><au>Benjamin, John R.</au><au>Hawkins, Katrina</au><au>Davison, Danielle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker</atitle><jtitle>Journal of intensive care medicine</jtitle><addtitle>J Intensive Care Med</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>36</volume><issue>11</issue><spage>1354</spage><epage>1360</epage><pages>1354-1360</pages><issn>0885-0666</issn><eissn>1525-1489</eissn><abstract>Introduction:
Ventilator associated pneumonia (VAP) rate has been tracked as a comparable quality measure but there is significant variation between types of ICUs. We sought to understand variability and improve its utility as a marker of quality.
Methods:
The National Trauma Database was surveyed to identify risk factors for VAP. Logistic regression, χ2, Student’s T-test or Mann-Whitney U test were used.
Results:
Risk factors associated with developing VAP were: injury severity score (ISS) (OR 1.03, 95% CI 1.03 -1.04), prehospital assisted respiration (PHAR) (OR 1.10, 1.03 -1.17), thoracic injuries (OR 2.28, 1.69-3.08), diabetes (OR 1.32, 1.20 -1.46), male gender (OR 1.38, 1.28 -1.60), care at a teaching hospital (OR 1.40, 1.29 -1.47) and unplanned intubation (OR 2.76, 2.52-3.03).
Discussion:
ISS, PHAR, diabetes, male gender, care at a teaching hospital and unplanned intubation are risk factors for the development of VAP. These factors should be accounted for in order to make VAP an effective quality marker.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32885716</pmid><doi>10.1177/0885066620952763</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4145-9200</orcidid><orcidid>https://orcid.org/0000-0002-8990-6129</orcidid></addata></record> |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Female Humans Injury Severity Score Intensive Care Units Male Pneumonia, Ventilator-Associated - epidemiology Respiration, Artificial Retrospective Studies |
| title | Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker |
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