Respiratory failure & ventilation

Ventilator-associated events in adults: A secondary analysis assessing the impact of monitoring ventilator settings on outcomes

Anaesth Crit Care Pain MedPublished Secondary analysis of a prospective multicentre international cohort study

Authors' conclusion

The modification of ventilator settings (consistent with ventilator-associated events) was associated with worse outcomes among adults with prolonged mechanical ventilation.

Study context

Population
Adults on mechanical ventilation2,706 ventilator-days
Participants
261 adults
Comparison
Ventilator-associated events (VAE) tier vs modified tiers with shorter follow-up (VAE24), lower oxygenation requirements (light-VAE) or both (light VAE24)

Primary result

As reported in the abstract

VAE incidence (per 1,000 ventilator-days)

Further findings

Intensive care unit (ICU) mortality with a VAE tier

Trend to increase in ICU mortality with a VAE tier
from 32% to 44%

Duration of mechanical ventilation (MV), ICU LOS and hospital LOS with a VAE tier

Extra days of ventilation (21 vs. 8)
13
Extra ICU days (23 vs. 12)
11
Extra hospitalization days (31 vs. 14)
7
VAE tier outperformed the modified tiers

Cohort duration of MV and ICU LOS

Duration of MV, median (IQR), days
9 (5-21)
ICU LOS, median (IQR), days
14 (8-26)

Original publication

Ventilator-associated events in adults: A secondary analysis assessing the impact of monitoring ventilator settings on outcomes. Anaesth Crit Care Pain Med. Published 1 March 2024. doi:10.1016/j.accpm.2024.101363

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