Ventilator-associated events, not ventilator-associated pneumonia, is associated with higher mortality in trauma patients
The Journal of Trauma and Acute Care Surgery Aug 02, 2019
Meagher A, Lind M, Senekjian, et al. - Researchers investigated the occurrence of ventilator-associated events (VAE) among adult trauma patients, who were Washington residents, admitted between 2012 and 2017, and required at least 3 days of mechanical ventilation (MV). In addition, they examined how these events affect survival, and length of stay, as compared with the traditional definition of ventilator-associated pneumonia (VAP). Among 1,533 included trauma patients, 124 (8.1%) patients developed VAE, 114 (7.4%) patients developed VAP, and 63 (4.1%) patients met criteria for both VAE and VAP. The likelihood for mortality was three times more and MV utilization was more of almost 3 days among critically injured trauma patients who develop VAE vs those who develop VAP. The objective criteria of VAE make it a promising indicator on which quality indicator efforts should be focused.
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