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Full-Text Articles in Epidemiology
Multicenter Evaluation Of A Novel Surveillance Paradigm For Complications Of Mechanical Ventilation, Michael Klompas, Yosef Khan, Kenneth Kleinman, R.Scott Evans, James F. Lloyd, Kurt Stevenson, Matthew Samore, Richard Platt
Multicenter Evaluation Of A Novel Surveillance Paradigm For Complications Of Mechanical Ventilation, Michael Klompas, Yosef Khan, Kenneth Kleinman, R.Scott Evans, James F. Lloyd, Kurt Stevenson, Matthew Samore, Richard Platt
Public Health Department Faculty Publication Series
BACKGROUND:
Ventilator-associated pneumonia (VAP) surveillance is time consuming, subjective, inaccurate, and inconsistently predicts outcomes. Shifting surveillance from pneumonia in particular to complications in general might circumvent the VAP definition's subjectivity and inaccuracy, facilitate electronic assessment, make interfacility comparisons more meaningful, and encourage broader prevention strategies. We therefore evaluated a novel surveillance paradigm for ventilator-associated complications (VAC) defined by sustained increases in patients' ventilator settings after a period of stable or decreasing support.
METHODS:
We assessed 600 mechanically ventilated medical and surgical patients from three hospitals. Each hospital contributed 100 randomly selected patients ventilated 2-7 days and 100 patients ventilated >7 …