Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/24140 |
Resumo: | Introduction: Ventilator-Associated Pneumonia (VAP) is a common complication found in the Intensive Care Unit (ICU) and is associated with increased mortality, length of hospital stay and mechanical ventilation (MV) time. Objective: To determine the incidence of VAP and its impact on the clinical course of the subject undergoing invasive MV in the ICU. Methods: This is a cohort study of hospitalized subjects in the general adult ICU of the State Hospital of Bauru / SP. The clinical information for the period of 19 months were collected. Stratification for the groups was based on the presence or absence of VAP, free_VAP and VAP, respectively. The Hotelling T² with 95% confidence, chi-square and the Mann-Whitney tests were executed using the "R" software and the results showed as mean ± standard deviation and absolute and relative distribution (p < 0.05). Results: The sample was of 322 subjects; the VAP group consisted of 73 (22.67%), 54.79% male, age: 62.31±16.96 years and the APACHE II: 29.98 ± 8.64. The VAP group had longer time of the MV and of the ICU compared to free VAP group; even in this group, the highest incidence of death in the ICU occurred between the 16th and 20th day of hospitalization. The free VAP group was older and 50% of the patients discharged from hospital. Conclusion: VAP and their interfaces still impact on the clinical evolution of the subjects mainly on the time factor of MV and ICU stay. The highest incidence of death in the ICU occurs in the first weeks. |
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Fisioterapia em Movimento |
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Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort studyIntroduction: Ventilator-Associated Pneumonia (VAP) is a common complication found in the Intensive Care Unit (ICU) and is associated with increased mortality, length of hospital stay and mechanical ventilation (MV) time. Objective: To determine the incidence of VAP and its impact on the clinical course of the subject undergoing invasive MV in the ICU. Methods: This is a cohort study of hospitalized subjects in the general adult ICU of the State Hospital of Bauru / SP. The clinical information for the period of 19 months were collected. Stratification for the groups was based on the presence or absence of VAP, free_VAP and VAP, respectively. The Hotelling T² with 95% confidence, chi-square and the Mann-Whitney tests were executed using the "R" software and the results showed as mean ± standard deviation and absolute and relative distribution (p < 0.05). Results: The sample was of 322 subjects; the VAP group consisted of 73 (22.67%), 54.79% male, age: 62.31±16.96 years and the APACHE II: 29.98 ± 8.64. The VAP group had longer time of the MV and of the ICU compared to free VAP group; even in this group, the highest incidence of death in the ICU occurred between the 16th and 20th day of hospitalization. The free VAP group was older and 50% of the patients discharged from hospital. Conclusion: VAP and their interfaces still impact on the clinical evolution of the subjects mainly on the time factor of MV and ICU stay. The highest incidence of death in the ICU occurs in the first weeks.Editora PUCPRESS2018-05-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2414010.1590/1980-5918.031.AO15Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 31 (2018): n. cont.; 1 - 8Fisioterapia em Movimento; v. 31 (2018): n. cont.; 1 - 81980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/24140/22853Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessViana, Ariane AparecidaMaciel Cavalcanti Rosa, DéborahPepe Ambrozi, Alexandre RicardoCroce Megna Andrade, RenataJamami, MaurícioMartinelli, Bruno2022-03-07T19:02:19Zoai:ojs.periodicos.pucpr.br:article/24140Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:02:19Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
title |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
spellingShingle |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study Viana, Ariane Aparecida |
title_short |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
title_full |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
title_fullStr |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
title_full_unstemmed |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
title_sort |
Clinical outcomes related to the incidence of ventilatorassociated pneumonia in adults – a cohort study |
author |
Viana, Ariane Aparecida |
author_facet |
Viana, Ariane Aparecida Maciel Cavalcanti Rosa, Déborah Pepe Ambrozi, Alexandre Ricardo Croce Megna Andrade, Renata Jamami, Maurício Martinelli, Bruno |
author_role |
author |
author2 |
Maciel Cavalcanti Rosa, Déborah Pepe Ambrozi, Alexandre Ricardo Croce Megna Andrade, Renata Jamami, Maurício Martinelli, Bruno |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Viana, Ariane Aparecida Maciel Cavalcanti Rosa, Déborah Pepe Ambrozi, Alexandre Ricardo Croce Megna Andrade, Renata Jamami, Maurício Martinelli, Bruno |
description |
Introduction: Ventilator-Associated Pneumonia (VAP) is a common complication found in the Intensive Care Unit (ICU) and is associated with increased mortality, length of hospital stay and mechanical ventilation (MV) time. Objective: To determine the incidence of VAP and its impact on the clinical course of the subject undergoing invasive MV in the ICU. Methods: This is a cohort study of hospitalized subjects in the general adult ICU of the State Hospital of Bauru / SP. The clinical information for the period of 19 months were collected. Stratification for the groups was based on the presence or absence of VAP, free_VAP and VAP, respectively. The Hotelling T² with 95% confidence, chi-square and the Mann-Whitney tests were executed using the "R" software and the results showed as mean ± standard deviation and absolute and relative distribution (p < 0.05). Results: The sample was of 322 subjects; the VAP group consisted of 73 (22.67%), 54.79% male, age: 62.31±16.96 years and the APACHE II: 29.98 ± 8.64. The VAP group had longer time of the MV and of the ICU compared to free VAP group; even in this group, the highest incidence of death in the ICU occurred between the 16th and 20th day of hospitalization. The free VAP group was older and 50% of the patients discharged from hospital. Conclusion: VAP and their interfaces still impact on the clinical evolution of the subjects mainly on the time factor of MV and ICU stay. The highest incidence of death in the ICU occurs in the first weeks. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/24140 10.1590/1980-5918.031.AO15 |
url |
https://periodicos.pucpr.br/fisio/article/view/24140 |
identifier_str_mv |
10.1590/1980-5918.031.AO15 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/24140/22853 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 31 (2018): n. cont.; 1 - 8 Fisioterapia em Movimento; v. 31 (2018): n. cont.; 1 - 8 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138748545368064 |