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Association of compliance of ventilator bundle with incidence of ventilator-associated pneumonia and ventilator utilization among critical patients over 4 years
| Content Provider | Scilit |
|---|---|
| Author | Balkhy, Hanan H. Arabi, Yaseen M. Al-Thaqafy, Majid S. El-Saed, Aiman |
| Copyright Year | 2014 |
| Abstract | Background: Several studies showed that the implementation of the Institute for Healthcare Improvement (IHI) ventilator bundle alone or with other preventive measures are associated with reducing Ventilator-Associated Pneumonia (VAP) rates. However, the association with ventilator utilization was rarely examined and the findings were conflicting. The objectives were to validate the bundle association with VAP rate in a traditionally high VAP environment and to examine its association with ventilator utilization. Materials and Methods: The study was conducted at the adult medical-surgical intensive care unit (ICU) at King Abdulaziz Medical City, Saudi Arabia, between 2010 and 2013. VAP data were collected by a prospective targeted surveillance as per Centers for Disease Control and Prevention (CDC)/National Healthcare Safety Network (NHSN) methodology while bundle data were collected by a cross-sectional design as per IHI methodology. Results: Ventilator bundle compliance significantly increased from 90% in 2010 to 97% in 2013 (P for trend < 0.001). On the other hand, VAP rate decreased from 3.6 (per 1000 ventilator days) in 2010 to 1.0 in 2013 (P for trend = 0.054) and ventilator utilization ratio decreased from 0.73 in 2010 to 0.59 in 2013 (P for trend < 0.001). There were negative significant correlations between the trends of ventilator bundle compliance and VAP rate (cross-correlation coefficients −0.63 to 0.07) and ventilator utilization (cross-correlation coefficients −0.18 to −0.63). Conclusion: More than 70% improvement of VAP rates and approximately 20% improvement of ventilator utilization were observed during IHI ventilator bundle implementation among adult critical patients in a tertiary care center in Saudi Arabia. Replicating the current finding in multicenter randomized trials is required before establishing any causal link. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166069/pdf |
| File Format | XHTML |
| ISSN | 18171737 |
| e-ISSN | 19983557 |
| DOI | 10.4103/1817-1737.140132 |
| Journal | Annals of Thoracic Medicine |
| Issue Number | 4 |
| Volume Number | 9 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2014-01-01 |
| Access Restriction | Open |
| Subject Keyword | Bundle Health-care-associated Infection Institute for Healthcare Improvement Quality Improvement Ventilator-associated Pneumonia Ventilator Utilization Annals of Thoracic Medicine, Volume 9, Issue 4 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
