Hospital Acquired and Ventilator Associated Pneumonia : Impact of the New French Guidelines on Patients Care and Outcomes.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,850
- 试验地点
- 1
- 主要终点
- Unit length of stay
研究概览
简要总结
hospital-acquired pneumonia are a common disease in intensive care unit. The prevention, the diagnosis and the treatment of hospital acquired pneumonia are a frequent challenge. Nevertheless it seems that there are great differences in standard of care between hospitals. The investigators hypothesized that medical education and implementation of evidence-base guidelines can reduce the duration of mechanical ventilation in patients presenting of hospital acquired pneumonia
详细描述
The before period (phase 1) will consist of all consecutive patients admitted to the participating ICUs before the national guidelines publication concerning healthcare associated pneumonia.
The second period (phase 2) will consist of all consecutive patients admitted to the participating ICUs after the publication of the national guidelines publication concerning healthcare associated pneumonia.
Afterward, an interphase will occur during which all physicians, residents, physiotherapists and nurses will receive a formal training for the processes and procedures related to the new guidelines published in september 2017.
In the intervention group, on top of the standard training, the centers receive an analysis of the evolution of the practices of their center and the future of their patients between phases 1 and 2, as well as these same values for the data set. The centers are then called to conduct a meeting to determine their priority improvement points based on this audit.
The third and final period (phase 3) will consist of all consecutive patients admitted to the participating ICUs after the formal training.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years ; IGS-II score > 15 ; Hospital stay >= 3 days
排除标准
- •Community-acquired pneumonia, pregnant women, refusal to participate
结局指标
主要结局
Unit length of stay
时间窗: 28 days
Duration of ICU hospitalization Safety Issue: NA
次要结局
- Intensive Care Unit free-days at day 28(28 days)
- Hospital-acquired pneumonia(28 days)
- Composite measure of compliance to guidelines(28 days)
- Empirical treatment failure(28 days)