Temporal trends of ventilator-associated pneumonia incidence and the effect of implementing health-care bundles in a suburban community.

ABSTRACT:

Background

Recent changes in critical care delivery, including the widespread implementation of health-care bundles, were aimed at reducing complications of critical illness, in particular ventilator-associated pneumonia (VAP), but no population-based study evaluated its effectiveness.

Methods

Using a previously validated electronic medical record database, we identified adult (≥ 18 years old) critically ill patients from Olmsted County, Minnesota, requiring mechanical ventilation for ≥ 48 h from January 2003 to December 2009. Trained intensivists identified cases of VAP according to different established clinical definitions. The incidence and outcome of VAP was compared before and after implementation of the so-called "VAP bundle."

Results

The median age, severity o

SUBMITTER: Ding S 

PROVIDER: S-EPMC3817928 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature