A care bundle approach for prevention of ventilator-associated pneumonia
A care bundle approach for prevention of ventilator-associated pneumonia
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DOI：
10.1111/j.1469-0691.2012.03808.x
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发表时间：
2013-04-01
影响因子：
14.2
通讯作者：
Diaz, E.
中科院分区：
文献类型：
--
作者：
Rello, J.;Afonso, E.;Diaz, E.
实施呼吸机相关性肺炎（VAP）预防护理包及其对患者结局的影响需要长期随访验证。在五个西班牙成人重症监护病房进行了一项合作性多中心队列研究。在3个月的基线期后实施基于5项措施的护理捆绑方法，并前瞻性记录16个月的依从性、VAP发生率、重症监护病房住院时间（ICU LOS）和机械通气时间。基线期有149名患者，干预后有885名患者。干预后所有措施的依从性
Implementation of care bundles for prevention of ventilator-associated pneumonia (VAP) and its impact on patient outcomes requires validation with long-term follow-up. A collaborative multi-centre cohort study was conducted in five Spanish adult intensive-care units. A care bundle approach based on five measures was implemented after a 3-month baseline period, and compliance, VAP rates, intensive-care unit length of stay (ICU LOS) and duration of mechanical ventilation were prospectively recorded for 16months. There were 149 patients in the baseline period and 885 after the intervention. Compliance with all measures after intervention was