Evidence map›Paper›PMID 40322226›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025

Incidence, Risk Factors, Microbiology and Outcomes of VAP at an NCU in India: A Prospective Observational Study.

Kapil Zirpe, Upendra Kapse, Akansha Sharma, Atul P Kulkarni, Sushma Gurav, Anand Tiwari, Chaitanya Bhujbal, Abhijeet Deshmukh, Prasad Suryawanshi, Prajakta Pote and 6 more

Abstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Ventilator-associated Pneumonia: A Persistent Menace in the ICU.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
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

16 authors.

Kapil ZirpeDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-8140-727X
Upendra KapseDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-5279-4485
Akansha SharmaDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-6660-1162
Atul P KulkarniDepartment of Critical Care Medicine, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0002-5172-7619
Sushma GuravDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-6875-2071
Anand TiwariDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-9791-8365
Chaitanya BhujbalDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0009-0007-0778-8186
Abhijeet DeshmukhDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-5602-291X
Prasad SuryawanshiDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-7306-8434
Prajakta PoteDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-3620-3390
Abhaya BhoyarDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-0460-3162
Kaustubh ZirpeDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-6291-0670
Rupali SuryawanshiDepartment of Microbiology, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-7954-7225
Rahul SharmaDepartment of Neurosurgery, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-1614-4952
Piyush DhawadDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-7237-3963
Hrishikesh VaidyaDepartment of Neurotrauma, Ruby Hall Clinic, Grant Medical Foundation, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-8015-0898

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ventilator-associated pneumonia (VAP) remains a major challenge while managing ventilated critically ill patients in neurocritical care units (NCUs). Materials and methods: This was a prospective, single-center, observational study. All adult patients admitted to our NCU requiring mechanical ventilation (MV) for >48 hours were screened for VAP as per clinical pulmonary infectious score (CPIS) criteria. The primary outcome was the incidence of VAP in the ICU. Secondary outcomes were risk factors, microbiology, percentage of MDR/XDR organisms, mortality, and length of stay (LOS) of VAP. Results: A total of 24.94% (114 of 457) patients developed VAP. The incidence of VAP was 39.43/1000 ventilator days. Multivariate analysis of the risk factors identified, male gender, low Glasgow coma scale (GCS) of 3-8, prolonged ventilation, and diabetes mellitus as significant risk factors for the development of VAP ( Conclusion: Ventilator-associated pneumonia has a high incidence of 39.43 per 1,000 ventilator days in the Indian neurocritical care setting. How to cite this article: Zirpe K, Kapse U, Sharma A, Kulkarni AP, Gurav S, Tiwari A,

Indexed as

IncidenceMicrobiologyNeurocritical careOutcomesRisk factorsVentilator-associated pneumonia

Identifiers

PMID40322226
PMCPMC12045059

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Registered trials

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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.