Ventilator-associated events in children: a review of literature

Background: The complexity and variation in ventilator associated pneumonia (VAP) definitions in paediatrics may pose threats to the reliable identification of VAP. The revision of the surveillance definition to ventilator-associated event (VAE) has been mandated in adult populations, to overcome t...

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Main Authors:	Mohd Ali, Noor Azizah, Jauncey-Cooke, Jacqueline, Bogossian, Fiona
Format:	Article
Language:	English English English
Published:	Elsevier Ireland Ltd 2019
Subjects:	RT Nursing
Online Access:	http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/1/69150_Ventilator-associated%20events%20in%20children.pdf http://irep.iium.edu.my/69150/2/69150_Ventilator-associated%20events%20in%20children_SCOPUS.pdf http://irep.iium.edu.my/69150/3/69150_Ventilator-associated%20events%20in%20children_WOS.pdf

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spelling	iium-691502019-07-15T01:39:54Z http://irep.iium.edu.my/69150/ Ventilator-associated events in children: a review of literature Mohd Ali, Noor Azizah Jauncey-Cooke, Jacqueline Bogossian, Fiona RT Nursing Background: The complexity and variation in ventilator associated pneumonia (VAP) definitions in paediatrics may pose threats to the reliable identification of VAP. The revision of the surveillance definition to ventilator-associated event (VAE) has been mandated in adult populations, to overcome these issues. However, the evidence for application of the definition is unknown in children. Objectives: To review the evidence on the application of the new VAE surveillance definition in paediatric population and examine the potential challenges in clinical practice. Review methods: A systematic approach was used to locate and synthesise the relevant paediatric literature. Studies were appraised according to epidemiological appraisal instrument (EAI) and the grades of evidence in the National Health Medical Research Council (NHMRC) guidelines. Results: Seven studies met the inclusion criteria. Quality of study methods was above 50% on the EAI. The overall grade of evidence was assessed as C (satisfactory). The incidence of VAE in children ranged from 1.1 to 20.9 per 1000 ventilator days as a result of variations in surveillance criteria across included studies. There is little agreement between the new VAE and PNU/VAP surveillance definition in the identification of VAP. Challenges in the application of VAE surveillance were related to; the difference in modes of ventilation used in children versus adults, inconclusive criteria tailored to paediatric samples and a lack of data that support for automatic data extraction applied in paediatric studies. Conclusion: This review demonstrated promising evidence using the new VAE surveillance definition to define the VAE in children, but the level of the evidence is low. Before the possibility of real implementation in clinical settings, challenges related to VAE paediatric specific criteria’ and the value of automated data collection need to be considered. Elsevier Ireland Ltd 2019-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/69150/1/69150_Ventilator-associated%20events%20in%20children.pdf application/pdf en http://irep.iium.edu.my/69150/2/69150_Ventilator-associated%20events%20in%20children_SCOPUS.pdf application/pdf en http://irep.iium.edu.my/69150/3/69150_Ventilator-associated%20events%20in%20children_WOS.pdf Mohd Ali, Noor Azizah and Jauncey-Cooke, Jacqueline and Bogossian, Fiona (2019) Ventilator-associated events in children: a review of literature. Australian Critical Care, 32 (1). pp. 55-62. ISSN 1036-7314 https://www.sciencedirect.com/science/article/pii/S1036731417303946?via%3Dihub https://doi.org/10.1016/j.aucc.2018.11.063
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RT Nursing
spellingShingle	RT Nursing Mohd Ali, Noor Azizah Jauncey-Cooke, Jacqueline Bogossian, Fiona Ventilator-associated events in children: a review of literature
description	Background: The complexity and variation in ventilator associated pneumonia (VAP) definitions in paediatrics may pose threats to the reliable identification of VAP. The revision of the surveillance definition to ventilator-associated event (VAE) has been mandated in adult populations, to overcome these issues. However, the evidence for application of the definition is unknown in children. Objectives: To review the evidence on the application of the new VAE surveillance definition in paediatric population and examine the potential challenges in clinical practice. Review methods: A systematic approach was used to locate and synthesise the relevant paediatric literature. Studies were appraised according to epidemiological appraisal instrument (EAI) and the grades of evidence in the National Health Medical Research Council (NHMRC) guidelines. Results: Seven studies met the inclusion criteria. Quality of study methods was above 50% on the EAI. The overall grade of evidence was assessed as C (satisfactory). The incidence of VAE in children ranged from 1.1 to 20.9 per 1000 ventilator days as a result of variations in surveillance criteria across included studies. There is little agreement between the new VAE and PNU/VAP surveillance definition in the identification of VAP. Challenges in the application of VAE surveillance were related to; the difference in modes of ventilation used in children versus adults, inconclusive criteria tailored to paediatric samples and a lack of data that support for automatic data extraction applied in paediatric studies. Conclusion: This review demonstrated promising evidence using the new VAE surveillance definition to define the VAE in children, but the level of the evidence is low. Before the possibility of real implementation in clinical settings, challenges related to VAE paediatric specific criteria’ and the value of automated data collection need to be considered.
format	Article
author	Mohd Ali, Noor Azizah Jauncey-Cooke, Jacqueline Bogossian, Fiona
author_facet	Mohd Ali, Noor Azizah Jauncey-Cooke, Jacqueline Bogossian, Fiona
author_sort	Mohd Ali, Noor Azizah
title	Ventilator-associated events in children: a review of literature
title_short	Ventilator-associated events in children: a review of literature
title_full	Ventilator-associated events in children: a review of literature
title_fullStr	Ventilator-associated events in children: a review of literature
title_full_unstemmed	Ventilator-associated events in children: a review of literature
title_sort	ventilator-associated events in children: a review of literature
publisher	Elsevier Ireland Ltd
publishDate	2019
url	http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/ http://irep.iium.edu.my/69150/1/69150_Ventilator-associated%20events%20in%20children.pdf http://irep.iium.edu.my/69150/2/69150_Ventilator-associated%20events%20in%20children_SCOPUS.pdf http://irep.iium.edu.my/69150/3/69150_Ventilator-associated%20events%20in%20children_WOS.pdf
first_indexed	2023-09-18T21:38:10Z
last_indexed	2023-09-18T21:38:10Z
_version_	1777412960450248704

Ventilator-associated events in children: a review of literature

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