{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:10:55Z","timestamp":1782310255465,"version":"3.54.5"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T00:00:00Z","timestamp":1447113600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>The Centers for Disease Control and Prevention have recently introduced new ventilator-associated pneumonia (VAP) surveillance on the basis of the infection-related ventilator-associated complication (IVAC) definition. We aim to evaluate the accuracy of this new IVAC algorithm for detecting VAP according to the 2008 Centers for Disease Control and Prevention\/National Healthcare Safety Network (NHSN) definition as the reference diagnosis (VAP-NHSN) in high-risk trauma patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This retrospective single-center study included all trauma subjects who were admitted to the ICU, required mechanical ventilation for &gt;48 h, and received a blood transfusion. The new IVAC surveillance and the criteria for VAP-NHSN diagnosis were applied. The accuracy of the new IVAC surveillance for detecting VAP-NHSN was determined, and the clinical outcomes were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The sensitivity, specificity, and positive and negative predictive values of IVAC for VAP-NSHN identification were 28.12%, 91.45, 58.06%, and 75.14%, respectively. Subjects with IVAC, VAP-NHSN, or both had higher morbidity when compared with those without IVAC and VAP-NHSN. Subjects with IVAC only had lower morbidity compared with those with VAP-NHSN only or those with both IVAC and VAP-NHSN. There was no significant difference in clinical outcomes between subjects with VAP-NHSN only and those with both IVAC and VAP-NHSN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>IVAC criteria had a low accuracy for identifying VAP-NHSN in subjects with high-risk trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.04280","type":"journal-article","created":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T20:48:30Z","timestamp":1447188510000},"page":"269-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Evaluation of the Infection-Related Ventilator-Associated Events Algorithm for Ventilator-Associated Pneumonia Surveillance in a Trauma Population"],"prefix":"10.1177","volume":"61","author":[{"given":"Annop","family":"Piriyapatsom","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Pirrone","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care, and Pain Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"De Pascale","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care, and Pain Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Corona De Lapuerta","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care, and Pain Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward A","family":"Bittner","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care, and Pain Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich H","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of California, San Diego, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"De Moya","sequence":"additional","affiliation":[{"name":"Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard University, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Berra","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care, and Pain Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.6.2115"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(13)70081-1"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2009.10.003"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182a262db"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-0544"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis926"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201307-1376OC"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0018062"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000396"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-0853"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000338"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000083"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181f9fb51"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31824d10fa"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.105.1.224"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000206471.44161.A0"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000171459.21450.DC"},{"issue":"4","key":"e_1_3_2_20_2","first-page":"794","article-title":"Transfusions in the less severely injured: does age of transfused blood affect outcomes?","volume":"65","author":"Weinberg JA","year":"2008","unstructured":"Weinberg JA, , McGwin GJr, , Marques MB, , Cherry SA3rd, , Reiff DA, , Kerby JD, , Rue LW3rd. Transfusions in the less severely injured: does age of transfused blood affect outcomes?. J Trauma, 2008; 65(4):794\u2013798.","journal-title":"J Trauma"},{"issue":"1","key":"e_1_3_2_21_2","first-page":"97","article-title":"Transfusion and pneumonia in the trauma intensive care unit: an examination of the temporal relationship","volume":"67","author":"Vandromme MJ","year":"2009","unstructured":"Vandromme MJ, , McGwin GJr, , Marques MB, , Kerby JD, , Rue LW3rd, , Weinberg JA. Transfusion and pneumonia in the trauma intensive care unit: an examination of the temporal relationship. 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