Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker
Journal of Intensive Care Medicine
adverse ventilator events; diabetes; pneumonia; thoracic trauma; ventilator associated pneumonia
© The Author(s) 2020. 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.
Keneally, R., Peterson, T., Benjamin, J., Hawkins, K., & Davison, D. (2020). Making Ventilator Associated Pneumonia Rate a Meaningful Quality Marker. Journal of Intensive Care Medicine, (). http://dx.doi.org/10.1177/0885066620952763