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

AI Article Synopsis

  • The study aimed to analyze the characteristics and outcomes of patients with Ventilator-Associated Pneumonia (VAP) in a private home care setting and compare these rates to national averages.
  • Patients on intermittent ventilation or without support were excluded, with data collected over a year showing a mechanical ventilation usage rate of 15.9% and low incidence rates of pneumonia (2.2 cases per 1000 ventilation-days for kids, 1.7 for adults), which were less than national figures.
  • Among the 73 patients with 101 pneumonia episodes, most were male adults with neurological issues, and treatment occurred mainly at home, resulting in only one reported death, indicating low incidence and mortality in this setting.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290723PMC
http://dx.doi.org/10.1590/0034-7167-2023-0146DOI Listing

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