Profile of patients in private home care who developed ventilator-associated pneumonia

to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic....

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Published inRevista Brasileira de Enfermagem Vol. 77; no. 3; pp. e20230146 - 6
Main Authors Cezar, Fabiana Schimidt, Jacober, Fabiana Camolesi, Gonçalves, Heloísa Amaral Gaspar, Cantarini, Katia Vanessa, Oliveira, Claudio Flauzino de
Format Journal Article
LanguageEnglish
Published Brazil Associação Brasileira de Enfermagem 01.01.2024
Subjects
Adolescent
Adult
Aged
Artificial
Brazil - epidemiology
Catheters
Child
Child, Preschool
Clinical outcomes
Disease control
Electronic health records
Epidemiology
Ethics
Female
Health surveillance
Health Systems Agencies
Home Care Services
Home Care Services - standards
Home Care Services - statistics & numerical data
Home Care Services - trends
Hospitals
Humans
Incidence
Infant
Infections
Intensive care
Intensive Care Units
Male
Medical equipment
Middle Aged
Observational studies
Original
Patients
Pediatrics
Pneumonia
Pneumonia, Ventilator-Associated - epidemiology
Pneumonia, Ventilator-Associated - etiology
Prevention
Respiration
Respiration, Artificial - adverse effects
Respiration, Artificial - statistics & numerical data
Retrospective Studies
Ventilator-Associated
Ventilators
Brazil
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Abstract to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
AbstractList Descriptors: Home Care Services; Pneumonia, Ventilator-Associated; Intensive Care Units; Health Systems Agencies; Respiration, Artificial. OBJECTIVES To analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and compare the incidence with national data METHODS Ethical Aspects The study was conducted in accordance with national ethical guidelines, under the Certificate of Presentation for Ethical Appraisal (CAAE) and was approved by the Research Ethics Committee of the Padre Bento Hospital Complex in Guarulhos, São Paulo. Patient consent was waived as this observational study only utilized information from the Electronic Health Records (EHR), without the use of biological material and without any alteration to or influence on the routine treatment of the research participants, thereby posing no additional risk or harm to their well-being. The following data were collected from the Electronic Health Record (EHR) and exported to an Excel spreadsheet: utilization rate and duration of Home Mechanical Ventilation (HMV) until the development of Ventilator-Associated Pneumonia (VAP), VAP incidence density, gender, age group, age, diagnosis, treatment (location and antibiotic used), and outcome Analysis of Results and Statistics The utilization rate of continuous Home Mechanical Ventilation (HMV) was calculated by dividing the number of patients on HMV by the total number of patients treated during the period, then multiplying by 100.
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
ABSTRACT Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. Methods: this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. Results: the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. Conclusions: patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia. RESUMEN Objetivos: analizar el perfil y el desenlace clínico de pacientes que desarrollaron Neumonía Asociada a la Ventilación en Asistencia Domiciliaria privada y comparar la incidencia con datos nacionales. Métodos: estudio retrospectivo, con recolección de datos entre julio de 2021 y junio de 2022 en registros médicos de una clínica privada, excluyendo la ventilación intermitente y la ausencia de soporte ventilatorio. Resultados: la tasa de utilización de ventilación mecánica fue del 15,9%. La densidad de neumonía en pediatría fue de 2,2 casos por 1000 ventilaciones-día y en adultos de 1,7 casos por 1000 ventilaciones-día, datos inferiores a los reportados por la Agencia Nacional de Vigilancia Sanitaria. Se registraron 101 episodios de neumonía en 73 pacientes, en su mayoría varones (65,8%), adultos (53,4%) y con enfermedades neurológicas (57,5%). El régimen de tratamiento prevaleció en el domicilio (80,2%) y se registró un deceso. Conclusiones: los pacientes en Asistencia Domiciliaria presentaron baja incidencia y mortalidad por neumonía asociada a la ventilación mecánica. RESUMO Objetivos: analisar o perfil e o desfecho clínico de pacientes que desenvolveram Pneumonia Associada à Ventilação em Assistência Domiciliar privada e comparar a incidência com dados nacionais. Métodos: estudo retrospectivo, com coleta entre julho de 2021 e junho de 2022 em prontuários de pacientes de uma instituição privada, sendo excluídos a ventilação intermitente e a ausência de suporte ventilatório. Resultados: a taxa de utilização de ventilação mecânica foi de 15,9%. A densidade de pneumonia na pediatria foi de 2,2 casos por 1000 ventilações-dia e em adultos de 1,7 casos por 1000 ventilações-dia, dados inferiores aos reportados pela Agência Nacional de Vigilância Sanitária. Ocorreram 101 episódios de pneumonia em 73 pacientes, em sua maioria do sexo masculino (65,8%), adultos (53,4%) e com doenças neurológicas (57,5%). O regime de tratamento prevaleceu no domicílio (80,2%) e ocorreu um óbito. Conclusões: os pacientes em Assistência Domiciliar apresentaram baixa incidência e mortalidade por pneumonia associada à ventilação mecânica.
ABSTRACT Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. Methods: this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. Results: the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. Conclusions: patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Author Gonçalves, Heloísa Amaral Gaspar
Cantarini, Katia Vanessa
Cezar, Fabiana Schimidt
Oliveira, Claudio Flauzino de
Jacober, Fabiana Camolesi
AuthorAffiliation I Home Doctor. São Paulo, São Paulo, Brazil
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    fullname: Núñez SA
– start-page: 40
  year: 2016
  ident: ref17
– volume: 10
  start-page: 5404
  year: 2024
  ident: ref1
  article-title: Panorama das infecções relacionadas à assistência à saúde em unidades de terapia intensiva de um hospital público
  publication-title: Rev Pre Infec Saúde
  contributor:
    fullname: Garcez MVN
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Snippet to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence...
ABSTRACT Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to...
Descriptors: Home Care Services; Pneumonia, Ventilator-Associated; Intensive Care Units; Health Systems Agencies; Respiration, Artificial. OBJECTIVES To...
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StartPage e20230146
SubjectTerms Adolescent
Adult
Aged
Artificial
Brazil - epidemiology
Catheters
Child
Child, Preschool
Clinical outcomes
Disease control
Electronic health records
Epidemiology
Ethics
Female
Health surveillance
Health Systems Agencies
Home Care Services
Home Care Services - standards
Home Care Services - statistics & numerical data
Home Care Services - trends
Hospitals
Humans
Incidence
Infant
Infections
Intensive care
Intensive Care Units
Male
Medical equipment
Middle Aged
Observational studies
Original
Patients
Pediatrics
Pneumonia
Pneumonia, Ventilator-Associated - epidemiology
Pneumonia, Ventilator-Associated - etiology
Prevention
Respiration
Respiration, Artificial - adverse effects
Respiration, Artificial - statistics & numerical data
Retrospective Studies
Ventilator-Associated
Ventilators
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Title Profile of patients in private home care who developed ventilator-associated pneumonia
URI https://www.ncbi.nlm.nih.gov/pubmed/39082534
https://www.proquest.com/docview/3096567242/abstract/
https://pubmed.ncbi.nlm.nih.gov/PMC11290723
https://doaj.org/article/90f6a664214d45b99789b4bd1a0ffae9
Volume 77
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