# Profile of patients in private home care who developed ventilator-associated pneumonia

## TL;DR

The study found that patients in private home care who developed ventilator-associated pneumonia had low incidence and mortality rates compared to national data.

## Contribution

The study provides insights into VAP profiles and outcomes in a private home care setting, highlighting lower rates than national averages.

## Key findings

- The incidence of VAP in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days.
- Most patients with VAP were male, adults, and had neurological diseases.
- Treatment predominantly occurred at home, with only one death reported.

## Abstract

to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.

this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.

the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.

patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.

analisar o perfil e o desfecho clínico de pacientes que desenvolveram Pneumonia Associada à Ventilação em Assistência Domiciliar privada e comparar a incidência com dados nacionais.

estudo retrospectivo, com coleta entre julho de 2021 e junho de 2022 em prontuários de pacientes de uma instituição privada, sendo excluídos a ventilação intermitente e a ausência de suporte ventilatório.

a taxa de utilização de ventilação mecânica foi de 15,9%. A densidade de pneumonia na pediatria foi de 2,2 casos por 1000 ventilações-dia e em adultos de 1,7 casos por 1000 ventilações-dia, dados inferiores aos reportados pela Agência Nacional de Vigilância Sanitária. Ocorreram 101 episódios de pneumonia em 73 pacientes, em sua maioria do sexo masculino (65,8%), adultos (53,4%) e com doenças neurológicas (57,5%). O regime de tratamento prevaleceu no domicílio (80,2%) e ocorreu um óbito.

os pacientes em Assistência Domiciliar apresentaram baixa incidência e mortalidade por pneumonia associada à ventilação mecânica.