Retrospective Application of New Pediatric Ventilator-Associated Event
Criteria in a Tertiary Pediatric İntensive Care Unit
Abstract
Background:. In January 2020 a modification is applied for pediatric
ventilator associated events (Ped-VAE) surveillance by Center for
Disease Control and Prevention. İn this study we investigate the
potential impact of this newly criteria and determine whether the adult
ventilator-associated conditions (VAC), infection-related
ventilator-associated complications (İVAC) and possible
ventilator-associated pneumonia (PVAP) criteria could be applied
pediatric patients with ped-VAE Methods:. We analyzed data between
January 2014 and December 2019 using the new ped-VAE criteria. We
compared two different criteria for identifying VAE: the 2013 adult VAE
criteria, and the newly ped-VAE criteria. Result: The data of 91 VAE
patients were evaluated, 42.8 % were not categorized as ped-VAE and
57.2% patients were compatible with the ped-VAE , 19.2% were
categorized as adult VAC, 21.1% were categorized as IVAC, and 59.6%
patients were categorized as PVAP. There was no significant difference
between mortality and the diagnostic ventilator surveillance types.
Conclusions: Pediatric ventilator-associated event algorithm is a better
tool for children than the VAE algorithm defined for adults and the new
pediatric criteria are more effective in detecting ventilator assosiated
complications in children. We think further studies will be needed for
evaluate ped VAE criteria.