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Impact of ventilator-associated pneumonia on resource utilization and patient outcome

Maricot, Patrice
Published in Infection Control and Hospital Epidemiology. 2004, vol. 25, no. 12, p. 1090-1096
Abstract OBJECTIVE: To assess the effect of ventilator-associated pneumonia on resource utilization, morbidity, and mortality. DESIGN: Retrospective matched cohort study based on prospectively collected data. SETTING: Medical intensive care unit of a university teaching hospital. PATIENTS: Case-patients were all patients receiving mechanical ventilation for 48 hours or more who experienced an episode of ventilator-associated pneumonia. Control-patients were matched for number of discharge diagnoses, duration of mechanical support before the onset of pneumonia among case-patients, age, admission diagnosis, gender, and study period. RESULTS: One hundred six cases of ventilator-associated pneumonia were identified in 452 patients receiving mechanical ventilation. The matching procedure selected 97 pairs. Length of stay in the intensive care unit and duration of mechanical ventilation were greater among case-patients by a mean of 7.2 days (P<.001) and 5.1 days (P<.001), respectively. Median costs were
Keywords AgedCohort StudiesCross Infection/ economics/mortalityFemaleHealth Care Costs/ statistics & numerical dataHealth Services/ utilizationHospital MortalityHospitals, UniversityHumansIntensive Care Units/economicsLength of StayMaleMiddle AgedPneumonia/ economics/ etiology/therapyRespiration, Artificial/ adverse effectsRetrospective StudiesTreatment Outcome
PMID: 15636298
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Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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HUGONNET, Stéphane et al. Impact of ventilator-associated pneumonia on resource utilization and patient outcome. In: Infection Control and Hospital Epidemiology, 2004, vol. 25, n° 12, p. 1090-1096. doi: 10.1086/502349 https://archive-ouverte.unige.ch/unige:7336

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Deposited on : 2010-06-21

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