The impact of ventilator-associated pneumonia among prehospital intubated patients.
| atmire.migration.oldid | 214 | |
| dc.contributor.advisor | Henderson, Elizabeth | |
| dc.contributor.author | Linton, Kathryn | |
| dc.date.accessioned | 2012-08-16T20:04:59Z | |
| dc.date.available | 2012-11-13T08:01:18Z | |
| dc.date.issued | 2012-08-16 | |
| dc.date.submitted | 2012 | en |
| dc.description.abstract | The objective of this study was to determine if all-cause mortality and hospital length of stay among patients who develop ventilator-associated pneumonia (VAP) differs for patients intubated in the Prehospital setting compared to those intubated in the Emergency Department. A retrospective cohort design was employed and secondary data was retrieved from the local VAP Surveillance database and manual chart reviews. Intubated patients entered the cohort upon VAP diagnosis and exited upon death or hospital discharge. This study used data from three large inner-city adult hospitals within Calgary, Alberta Canada. The sample (n=193) consisted of all adult (>18 years old) patients that developed VAP in an Intensive Care Unit who were intubated either in the Prehospital or Emergency Department setting during the study period (January 01, 2005 and December 31, 2009). Patients in this study intubated in the Prehospital setting were very similar to patients intubated in the Emergency Department with regards to basic demographic and admission characteristics. This study provides several novel results about the association between endotracheal intubation (ETI) location and morbidity and mortality among patients who acquire VAP in the ICU. Patients who suffer severe illness or injury (APACHE II score >25) are more likely to die if they are intubated in the Prehospital setting compared to the Emergency Department (p=<0.001). Furthermore, Prehospital ETI patients who die, do so sooner than Emergency Department ETI patients; whereas Prehospital ETI patients who survive, have longer hospitalizations than their Emergency Department counterparts (p=<0.001). Perhaps preventing ETI in the Prehospital setting or postponing ETI until Emergency Department would result in decreased hospital mortality. Further research is required before this information should be used in a clinical setting. | en_US |
| dc.identifier.citation | Linton, K. (2012). The impact of ventilator-associated pneumonia among prehospital intubated patients. (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/28196 | en_US |
| dc.identifier.doi | http://dx.doi.org/10.11575/PRISM/28196 | |
| dc.identifier.uri | http://hdl.handle.net/11023/150 | |
| dc.language.iso | eng | |
| dc.publisher.faculty | Graduate Studies | |
| dc.publisher.institution | University of Calgary | en |
| dc.publisher.place | Calgary | en |
| dc.rights | University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission. | |
| dc.subject | Medical | |
| dc.subject | Epidemiology | |
| dc.subject | Medicine and Surgery | |
| dc.subject.classification | Ventilator-Associated Pneumonia | en_US |
| dc.subject.classification | Intubation | en_US |
| dc.subject.classification | Emergency Department | en_US |
| dc.subject.classification | Prehospital | en_US |
| dc.subject.classification | Mortality | en_US |
| dc.title | The impact of ventilator-associated pneumonia among prehospital intubated patients. | |
| dc.type | master thesis | |
| thesis.degree.discipline | Community Health Sciences | |
| thesis.degree.grantor | University of Calgary | |
| thesis.degree.name | Master of Science (MSc) | |
| ucalgary.item.requestcopy | true |