Time-dependent analysis of extra length of stay and mortality due to ventilator-associated pneumonia in intensive-care units of ten limited-resources countries: findings of the International Nosocomial Infection Control Consortium (INICC)
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cambridge Univ Press
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Ventilator-associated pneumonias (VAPs) are a worldwide problem that significantly increases patient morbidity, mortality, and length of stay (LoS), and their effects should be estimated to account for the timing of infection. The purpose of the study was to estimate extra LoS and mortality in an intensive-care unit (ICU) due to a VAP in a cohort of 69 248 admissions followed for 283 069 days in ICUs from 10 countries. Data were arranged according to the multi-state format. Extra LoS and increased risk of death were estimated independently in each country, and their results were combined using a random-effects meta-analysis. VAP prolonged LoS by an average of 2.03 days (95% CI 1.52-2.54 days), and increased the risk of death by 14% (95% CI 2-27). The increased risk of death due to VAP was explained by confounding with patient morbidity.
Açıklama
Dikmen, Yalim/0000-0002-3122-5099; Erben, Nurettin/0000-0003-0373-0132; Tsioutis, Constantinos/0000-0002-7865-8529; Barnett, Adrian/0000-0001-6339-0374; Abouqal, Redouane/0000-0002-6117-4341; Medeiros, Eduardo A/0000-0002-6205-259X; Leblebicioglu, Hakan/0000-0002-6033-8543; Gikas, Achilleas/0000-0002-8455-9631; Unal, Necmettin/0000-0002-9440-7893; Kanj, Souha/0000-0001-6413-3396; Graves, Nicholas/0000-0002-5559-3267; Barahona G., Nayide/0000-0003-3559-6900
WOS: 000296428300015
PubMed: 21320374
WOS: 000296428300015
PubMed: 21320374
Anahtar Kelimeler
Bacterial infections, hospital-acquired (noscomial) infections, hygiene and hospital infections, pneumonia, surveillance
Kaynak
Epidemiology And Infection
WoS Q Değeri
Q1
Scopus Q Değeri
Cilt
139
Sayı
11
