Unique ID issued by UMIN | UMIN000033292 |
---|---|
Receipt number | R000037926 |
Scientific Title | Mechanical In-Exsufflation for the prevention of ventilator-associated pneumonia in ICU : A Retrospective cohort study |
Date of disclosure of the study information | 2018/07/15 |
Last modified on | 2019/07/09 06:07:27 |
Mechanical In-Exsufflation for the prevention of ventilator-associated pneumonia in ICU : A Retrospective cohort study
Mechanical In-Exsufflation for the prevention of ventilator-associated pneumonia in ICU
Mechanical In-Exsufflation for the prevention of ventilator-associated pneumonia in ICU : A Retrospective cohort study
Mechanical In-Exsufflation for the prevention of ventilator-associated pneumonia in ICU
Japan |
critically ill patients
Intensive care medicine | Rehabilitation medicine |
Others
NO
The purpose of this study was to assess the efficacy of MI-E in preventing VAP for critically ill patients in ICU field.
Efficacy
The primary outcome of our study is incidence of VAP, defined as pneumonia developing in a person who has been on mechanical ventilation (MV) for at least 48 hours and in term of MV.
Infection-related Ventilator-Associated Complication (IVAC), the duration of MV, length of stay in ICU, mortality, the number of VAP/MV duration, Max clinical pulmonary infection score, bronchoscopy, bronchoscopy/MV duration,the event of bronchial obstruction (the event was oxyhemoglobin saturations of < 90%), the event of bronchial obstruction/duration of MV. antibiotic use day (with suspected VAP), antibiotic use day/duration of MV
Observational
7 | years-old | <= |
Not applicable |
Male and Female
Patients was recived mechanical ventilation for at least 48 h and rehabilitation in general ICU between January 2014 and September 2017.
1) Aspiration or community-acquired pneumonia, provision of mechanical ventilation for < 48 h
2) Pneumothorax and pneumomediastinum, chronic obstructive pulmonary disease with bulla
3) Severe cardiovascular failure
4) Active alveolar hemorrhage
5) The patients had sustained any injury or developed any complication
6) Patients younger than 7 years
7) Patients were received rehabilitation less than 5 days
800
1st name | Astushi |
Middle name | |
Last name | Murata |
Chiba University Hospital
Division of Rehabilitation Medicine
260-8677
1-8-1 Inohana Chuo-ku, Chiba city
043-222-7171
atsushi_murata@faculty.chiba-u.jp
1st name | Ryota |
Middle name | |
Last name | Kuroiwa |
Chiba University Hospital
Division of Rehabilitation Medicine
260-8677
1-8-1 Inohana Chuo-ku, Chiba city
043-222-7171
pseudoarthrosis7@chiba-u.jp
Chiba University Hospital
No funding source
Other
Independent Ethics Committee of Graduate School of Medicine and School of Medicine, Chiba University
1-8-1 Inohana Chuo-ku, Chiba city
043-226-2501
igaku-kouhou@chiba-u.jp
NO
2018 | Year | 07 | Month | 15 | Day |
Unpublished
689
Completed
2018 | Year | 05 | Month | 07 | Day |
2018 | Year | 06 | Month | 19 | Day |
2018 | Year | 06 | Month | 20 | Day |
2019 | Year | 04 | Month | 18 | Day |
2019 | Year | 04 | Month | 18 | Day |
2019 | Year | 04 | Month | 18 | Day |
Outcome measured
The following clinical information is obtained.
1) Infection-related Ventilator-Associated Complication (IVAC)
2) Possible VAP (PVAP)
3) Max CPIS
4) bronchoscopy
5) bronchoscopy/MV duration
6) the event of bronchial obstruction (the event was oxyhemoglobin saturations of < 90%)
7) the event of bronchial obstruction/duration of MV
8) antibiotic use day (with suspected VAP)
9) antibiotic use day/duration of MV
10) the duration of MV
11) length of stay in ICU
12) mortality
13) the number of VAP/MV duration
14) adverse effect of MI-E
15) APACHE II (acute physiology and chronic health evaluation)
16) SOFA (sequential organ failure assessment)
17) GCS (glasgow coma scale)
18) PaO2/FiO2 ratio
Other data recorded included demographic information, age, BMI, the kind of diagnosis
2018 | Year | 07 | Month | 05 | Day |
2019 | Year | 07 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037926