Descriptive Epidemiology and Outcomes of Nonventilated Hospital-Acquired, Ventilated Hospital-Acquired, and Ventilator-Associated Bacterial Pneumonia in the United States, 2012-2019. (Record no. 6752)

MARC details
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fixed length control field 05586nam a22006377a 4500
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fixed length control field 211101s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0090-3493
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34534129
245 ## - TITLE STATEMENT
Title Descriptive Epidemiology and Outcomes of Nonventilated Hospital-Acquired, Ventilated Hospital-Acquired, and Ventilator-Associated Bacterial Pneumonia in the United States, 2012-2019.
251 ## - Source
Source Critical Care Medicine. 50(3):460-468, 2022 03 01.
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Abbreviated source Crit Care Med. 50(3):460-468, 2022 03 01.
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Former abbreviated source Crit Care Med. 2021 Sep 16
253 ## - Journal Name
Journal name Critical care medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
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Manufacturer FY2022
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-11-01
268 ## - Previous citation
-- Critical Care Medicine. 2021 Sep 16
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Abstract CONCLUSIONS: Both hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia remain associated with significant mortality and cost in the United States. Our analyses confirm that of all three conditions, ventilated hospital-acquired bacterial pneumonia carries the highest risk of death. In contrast, ventilator-associated bacterial pneumonia remains most costly. Nonventilated hospital-acquired bacterial pneumonia survivors were most likely to require a readmission within 30 days of discharge. Copyright (c) by 2021 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
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Abstract DESIGN: Retrospective cohort.
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Abstract INTERVENTIONS: None.
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Abstract MEASUREMENTS AND MAIN RESULTS: Among 17,819 patients who met enrollment criteria, 26.5% had nonventilated hospital-acquired bacterial pneumonia, 25.6% vHAPB, and 47.9% ventilator-associated bacterial pneumonia. Ventilator-associated bacterial pneumonia predominated in the Northeastern United States and in large urban teaching hospitals. Patients with nonventilated hospital-acquired bacterial pneumonia were oldest (mean 66.7 +/- 15.1 yr) and most likely White (76.9%), whereas those with ventilator-associated bacterial pneumonia were youngest (59.7 +/- 16.6 yr) and least likely White (70.3%). Ventilated hospital-acquired bacterial pneumonia was associated with the highest comorbidity burden (mean Charlson score 4.1 +/- 2.8) and ventilator-associated bacterial pneumonia with the lowest (3.2 +/- 2.5). Similarly, hospital mortality was highest among patients with ventilated hospital-acquired bacterial pneumonia (29.2%) and lowest in nonventilated hospital-acquired bacterial pneumonia (11.7%), with ventilator-associated bacterial pneumonia in-between (21.3%). Among survivors, 24.5% of nonventilated hospital-acquired bacterial pneumonia required a rehospitalization within 30 days of discharge, compared with 22.5% among ventilated hospital-acquired bacterial pneumonia and 18.8% ventilator-associated bacterial pneumonia. Unadjusted hospital length of stay after infection onset was longest among ventilator-associated bacterial pneumonia and shortest among nonventilated hospital-acquired bacterial pneumonia patients. Median total hospital costs mirrored length of stay: ventilator-associated bacterial pneumonia
-- 7,657, ventilated hospital-acquired bacterial pneumonia
Linkage 2,464, and nonventilated hospital-acquired bacterial pneumonia
Materials specified 9,911.
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Abstract OBJECTIVES: Multiple randomized controlled trials exploring the outcomes of patients with ventilator-associated bacterial pneumonia and hospital-acquired bacterial pneumonia have noted that hospital-acquired bacterial pneumonia patients who require subsequent ventilated hospital-acquired bacterial pneumonia suffered higher mortality than either those who did not (nonventilated hospital-acquired bacterial pneumonia) or had ventilator-associated bacterial pneumonia. We examined the epidemiology and outcomes of all three conditions in a large U.S. database.
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Abstract PATIENTS: Patients with hospital-acquired bacterial pneumonia or ventilator-associated bacterial pneumonia identified based on a slightly modified previously published International Classification of Diseases, 9th Edition/International Classification of Diseases, 10th Edition-Clinical Modification algorithm.
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Abstract SETTING: Two hundred fifty-three acute-care hospitals, United States, contributing data (including microbiology) to Premier database, 2012-2019.
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Language note English
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Topical term or geographic name entry element *Cross Infection/ep [Epidemiology]
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Topical term or geographic name entry element *Healthcare-Associated Pneumonia/ep [Epidemiology]
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Topical term or geographic name entry element *Pneumonia, Bacterial/ep [Epidemiology]
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Topical term or geographic name entry element *Pneumonia, Ventilator-Associated/ep [Epidemiology]
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Topical term or geographic name entry element *Severity of Illness Index
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Topical term or geographic name entry element Adult
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Topical term or geographic name entry element Cost of Illness
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cross Infection/ec [Economics]
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Topical term or geographic name entry element Female
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Topical term or geographic name entry element Healthcare-Associated Pneumonia/ec [Economics]
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Topical term or geographic name entry element Hospital Mortality
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Outcome Assessment, Health Care
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pneumonia, Bacterial/ec [Economics]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pneumonia, Ventilator-Associated/ec [Economics]
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Topical term or geographic name entry element Retrospective Studies
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Topical term or geographic name entry element Time Factors
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Topical term or geographic name entry element United States
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Topical term or geographic name entry element Young Adult
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Institution MedStar Washington Hospital Center
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Department Medicine/Pulmonary-Critical Care
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Medline publication type Journal Article
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Local Authors Shorr, Andrew F
790 ## - Authors
All authors Nathanson BH, Puzniak LA, Shorr AF, Zilberberg MD
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DOI <a href="https://dx.doi.org/10.1097/CCM.0000000000005298">https://dx.doi.org/10.1097/CCM.0000000000005298</a>
Public note https://dx.doi.org/10.1097/CCM.0000000000005298
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
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          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34534129 34534129 11/01/2021 11/01/2021 Journal Article

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