Evidence map›Paper›PMID 34035449›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2021

Preventive bundle approach decreases the incidence of ventilator-associated pneumonia in newborn infants.

Alejandro Pinilla-González, Álvaro Solaz-García, Anna Parra-Llorca, Inmaculada Lara-Cantón, Ana Gimeno, Isabel Izquierdo, Máximo Vento, María Cernada

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07240038 (Evaluation of an Evidence Based, Bundled Intervention to Reduce Incidence of Ventilator-associated Pneumonia in Neonatal Units), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07240038 recruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of an Evidence Based, Bundled Intervention to Reduce Incidence of Ventilator-associated Pneumonia in Neonatal Units (INBERNAV-Neo)

Typeobservational_patient_registrySponsorBiobizkaia Health Research InstituteRan2024 to 2026Enrolled1,500ConditionsPneumonia Ventilator Associated, Pneumonia Neonatal, Healthcare-associated InfectionsArmsMultimodal intervention to reduce the incidence of ventilator-associated pneumonia by training the health care team in specific and general evidence-based good clinical practices., Technique with a blind-protected catheter
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The spectrum of pneumonia among intubated neonates in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  5. Article
  6. Review
  7. Risk factors for neonatal VAP: A retrospective cohort study.Experimental biology and medicine (Maywood, N.J.) · 2023
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Alejandro Pinilla-GonzálezNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-3358-245X
Álvaro Solaz-GarcíaNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
Anna Parra-LlorcaNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
Inmaculada Lara-CantónNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-4981-9696
Ana GimenoNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
Isabel IzquierdoNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
Máximo VentoNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain. maximo.vento@uv.es.ORCID http://orcid.org/0000-0003-0061-4742
María CernadaNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain. mariacernada@gmail.com.ORCID http://orcid.org/0000-0001-8861-6384
Hospital Universitari i Politècnic La Fe · ESLeitat Technological Center · ES

Funding

Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) CM18/00165
6 · The paper itself

Abstract

objectiveWe hypothesized that the implementation of evidence-based interventions shaping a bundle approach could significantly reduce the incidence of ventilator-associated pneumonia (VAP) in the neonatal intensive care unit. STUDY

designWe conducted a prospective observational cohort study including neonates undergoing mechanical ventilation >48 h. VAP rate and endotracheal intubation ratio were compared before (pre-period) and after (post-period) applying VAP prevention bundle strategies.

resultOne hundred seventy-four neonates were included in pre-period (30 months) and 106 in post-period (17 months). Demographic characteristics were comparable and device use ratios were similar. Twenty-eight VAP episodes were diagnosed, 25 in the first period and 3 after the implementation of prevention bundle. This represents a reduction in the incidence rate from 11.79 to 1.93 episodes/1000 ventilator days (p < 0.01).

conclusionThe implementation of an educational evidence-based program using a bundle approach to prevent VAP has shown a statistically significant reduction in its incidence density.

Indexed as

Pneumonia, Ventilator-AssociatedHumansIncidenceInfantInfant, NewbornProspective Studies

Identifiers

PMID34035449
PMCPMC8147910
OpenAlexW3164986998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.