Detailed Information

Cited 3 time in webofscience Cited 3 time in scopus
Metadata Downloads

Effect of Perioperative Subglottic Secretion Drainage on Ventilator-Associated Pneumonia After Cardiac Surgery: A Retrospective, Before-and-After Study

Authors
Nam, K.[Nam, K.]Park, J.-B.[Park, J.-B.]Park, W.B.[Park, W.B.]Kim, N.J.[Kim, N.J.]Cho, Y.[Cho, Y.]Jang, H.S.[Jang, H.S.]Hwang, H.Y.[Hwang, H.Y.]Kim, S.H.[Kim, S.H.]Lee, Y.[Lee, Y.]Lee, S.[Lee, S.]Bae, J.[Bae, J.]Cho, Y.J.[Cho, Y.J.]Kim, E.J.[Kim, E.J.]Kim, M.[Kim, M.]Jeon, Y.[Jeon, Y.]
Issue Date
Aug-2021
Publisher
W.B. Saunders
Keywords
cardiac surgery; subglottic suctioning; ventilator-associated pneumonia
Citation
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, v.35, no.8, pp.2377 - 2384
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
Volume
35
Number
8
Start Page
2377
End Page
2384
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/25323
DOI
10.1053/j.jvca.2020.09.126
ISSN
1053-0770
Abstract
Objectives: Although postoperative subglottic secretion drainage prevents ventilator-associated pneumonia (VAP) after cardiac surgery, its role during the perioperative period is unclear. For the present study, the effect of subglottic secretion drainage during and after cardiac surgery on postoperative VAP was investigated. Design: Retrospective, single-center, before-and-after study. Setting: Perioperative care of cardiac surgical patients in a tertiary university hospital. Participants: Adult patients who underwent cardiac surgery from January 2013–December 2018. Interventions: Conventional and subglottic suctioning endotracheal tubes were used in the control and intervention groups before and after a change in institutional policy, respectively. In the intervention group, subglottic secretion drainage was performed continuously during surgery and intermittently after surgery. Measurements and Main Results: The risk of postoperative VAP, identified by the National Healthcare Safety Network surveillance definition algorithm, was compared by weighted logistic regression. Logistic regression analyses, with propensity score matching and inverse probability weighting, also were performed. A total of 2,576 patients were analyzed (control [n = 2108]; intervention [n = 468]). Postoperative VAP occurred less frequently in the intervention group (1/468 [0.2%]) compared with the control group (30/2,108 [1.4%]). In the multivariate weighted logistic regression analysis, the risk of VAP after cardiac surgery was significantly lower in the intervention group than in the control group (odds ratio 0.29; 95% confidence interval 0.14-0.58). Similar results were obtained in multivariate analyses after propensity score matching (odds ratio 0.04; 95% confidence interval 0.01-0.14) and inverse probability weighting (odds ratio 0.16; 95% confidence interval 0.05-0.42). Conclusions: Routine perioperative subglottic secretion drainage using subglottic suctioning endotracheal tubes in patients undergoing cardiac surgery was associated with a reduction in the risk of VAP after surgery. © 2020
Files in This Item
There are no files associated with this item.
Appears in
Collections
ETC > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE