Effect of ICU quality control indicators on VAP incidence rate and mortality: a retrospective study of 1267 hospitals in China
Xin Ding,
Xudong Ma,
Sifa Gao,
Longxiang Su,
Guangliang Shan,
Yaoda Hu,
Jieqing Chen,
Dandan Ma,
Feng Zhang,
Wen Zhu,
Guoqiang Sun,
Xiaoyang Meng,
Lian Ma,
Xiang Zhou,
Dawei Liu,
Bin Du,
China National Critical Care Quality Control Center Group
Affiliations
Xin Ding
Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Xudong Ma
Department of Medical Administration, National Health Commission of the People’s Republic of China
Sifa Gao
Department of Medical Administration, National Health Commission of the People’s Republic of China
Longxiang Su
Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Guangliang Shan
Department of Epidemiology and Biostatistics, Institute of Basic Medicine Sciences, Chinese Academy of Medical Sciences (CAMS) & School of Basic Medicine, Peking Union Medical College
Yaoda Hu
Department of Epidemiology and Biostatistics, Institute of Basic Medicine Sciences, Chinese Academy of Medical Sciences (CAMS) & School of Basic Medicine, Peking Union Medical College
Jieqing Chen
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Dandan Ma
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Feng Zhang
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Wen Zhu
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Guoqiang Sun
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Xiaoyang Meng
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Lian Ma
Information Center Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Xiang Zhou
Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Dawei Liu
Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
Bin Du
Department of Medical ICU, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
China National Critical Care Quality Control Center Group
Key message Eight ICU QC indicators including 5 structural factors (patient-to-bed ratio, physician-to-bed ratio, nurse-to-bed ratio, patient-to-physician ratio, patient-to-nurse ratio) and 3 process factors (unplanned endotracheal extubation rate, reintubation rate within 48 h, and microbiology detection rate before antibiotic use) were associated with VAP incidence rate. Only 2 process factors including unplanned endotracheal extubation rate and reintubation rate within 48 h were associated with high VAP mortality, while all the 5 structural factors were not. The process factors rather than the structural factors need to be further improved for the QC of VAP in ICU.
