Journal article
Duration of prehospital intubation is not a risk factor for development of early ventilator-associated pneumonia
Journal of critical care, Vol.29(4), pp.539-544
08/2014
DOI: 10.1016/j.jcrc.2014.03.030
PMID: 24793661
Abstract
Ventilator-associated pneumonia (VAP) is a significant cause of morbidity and mortality among critically ill patients with trauma. Few VAP prevention strategies have been studied in the prehospital environment. The objectives of this study are to measure the association between duration of prehospital intubation and intubation location with subsequent incidence of early (within 5 days) VAP.
Single-center retrospective cohort study of all intubated adult (age ≥18 years) patients with trauma presenting to a 711-bed Midwestern Level I trauma center between January 2005 and December 2011 (n = 860).
Thirty-five patients (6.4%) were diagnosed as having early VAP during the study period. Using multivariable logistic regression to adjust for age, injury severity score, and year (corresponding to VAP bundle implementation), the duration of intubation prior to hospital admission was not associated with subsequent diagnosis of VAP (adjusted odds ratio, 0.90 per hour; 95% confidence interval, 0.70-1.15). Location of intubation was similarly not associated with VAP.
Duration of prehospital intubation and intubation location were not different in patients with trauma who developed early VAP. Further prospective analyses should be conducted to better elucidate the effect of prehospital management on the development of traditionally in-hospital complications.
Details
- Title: Subtitle
- Duration of prehospital intubation is not a risk factor for development of early ventilator-associated pneumonia
- Creators
- Nicholas M Mohr - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IAKarisa K Harland - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IADionne Skeete - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IAKent Pearson - Department of Anesthesia, Division of Critical Care, University of Iowa Carver College of Medicine, Iowa City, IAKent Choi - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Journal of critical care, Vol.29(4), pp.539-544
- DOI
- 10.1016/j.jcrc.2014.03.030
- PMID
- 24793661
- NLM abbreviation
- J Crit Care
- ISSN
- 0883-9441
- eISSN
- 1557-8615
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 08/2014
- Academic Unit
- Epidemiology; Emergency Medicine; Surgery; Anesthesia; Injury Prevention Research Center; Public Policy Center (Archive); Law Faculty
- Record Identifier
- 9984024551702771
Metrics
23 Record Views