Table 1.

Characteristics of studies and groups in the evidence base

Groups of interventional studies of VAP prevention
 Observational studiesnon-antibioticSDD, non-concurrentSDD, concurrent
Study characteristics
 Sourcesa,b,cSupplementary Data1–5,21Supplementary Data5,11–13Supplementary Data9Supplementary Data9
 Number of studies4823320
 Bronchoscopic samplingd231036
 Publication year (range)e1987–20071987–20081989–20011989–2007
Group characteristics
 Number of patients per group, median (IQR)f,g255 (103–518)78 (51–183)84 (61–124)57 (36–94)
 Days of ventilation, median (IQR)f,h11 (7.9–13.0)11.3 (6.6–14.9)8.2 (7.3–9.0)10.5 (8.5–14.0)
 Percentage of trauma patients, median (IQR)f,i9 (3–29)12 (10–36)18 (2–23)38 (20–67)
 Number of VAP isolates per group, median (IQR)f,g66 (37–99)25 (13–47)24 (11–79)31 (19–38)
 VAP incidence per 100 patients
  cohort, mean (95% CI)24% (20%–29%)j,k,lNANANA
  control, mean (95% CI)NA22% (11%–33%)m16% (9%–24%)39% (29%–49%)j,m
  intervention, mean (95% CI)NA18% (10%–27%)kNA14% (10%–18%)l
Groups of interventional studies of VAP prevention
 Observational studiesnon-antibioticSDD, non-concurrentSDD, concurrent
Study characteristics
 Sourcesa,b,cSupplementary Data1–5,21Supplementary Data5,11–13Supplementary Data9Supplementary Data9
 Number of studies4823320
 Bronchoscopic samplingd231036
 Publication year (range)e1987–20071987–20081989–20011989–2007
Group characteristics
 Number of patients per group, median (IQR)f,g255 (103–518)78 (51–183)84 (61–124)57 (36–94)
 Days of ventilation, median (IQR)f,h11 (7.9–13.0)11.3 (6.6–14.9)8.2 (7.3–9.0)10.5 (8.5–14.0)
 Percentage of trauma patients, median (IQR)f,i9 (3–29)12 (10–36)18 (2–23)38 (20–67)
 Number of VAP isolates per group, median (IQR)f,g66 (37–99)25 (13–47)24 (11–79)31 (19–38)
 VAP incidence per 100 patients
  cohort, mean (95% CI)24% (20%–29%)j,k,lNANANA
  control, mean (95% CI)NA22% (11%–33%)m16% (9%–24%)39% (29%–49%)j,m
  intervention, mean (95% CI)NA18% (10%–27%)kNA14% (10%–18%)l

aThe following systematic reviews were the sources for these studies: George1 (Table 1), Cook and Kollef2 (Table 1), Chastre and Fagon3 (Table 1), Bergmans and Bonten4 (Table 22.5), Safdar et al.5 (Table 1) and Melsen et al.21 (Figure 3).

bThe following systematic reviews were the source for these studies: Messori et al.11 (Table 5–7), Subirana et al.12 (Analysis 1.5 and 2.5), Siempos et al.13 (Figure 2) and Safdar et al.5 (Table 2).

cLiberati et al.9 (Analysis 1.5 and 2.5) was the source for these studies.

dBronchoscopic versus tracheal sampling for VAP diagnosis.

eData are earliest to most recent year of publication.

fData are median and interquartile range (IQR).

gP = 0.0001, χ2 = 26.3; degrees of freedom = 3, Kruskal–Wallis test.

hP = 0.99, χ2 = 0.13; degrees of freedom = 3, Kruskal–Wallis test.

iP = 0.03, χ2 = 8.7; degrees of freedom = 3, Kruskal–Wallis test.

jComparison of VAP incidence of concurrent control groups of SDD versus benchmark groups, P = 0.005, two-sample t-test.

kComparison of VAP incidence of intervention groups of non-antibiotic versus benchmark groups, P = 0.17, two-sample t-test.

lComparison of VAP incidence of intervention groups of concurrent SDD studies versus benchmark groups, P = 0.004, two-sample t-test.

mComparison of VAP incidence of concurrent control groups of concurrent SDD versus control groups of non-antibiotic studies, P = 0.03, two-sample t-test.

Table 1.

Characteristics of studies and groups in the evidence base

Groups of interventional studies of VAP prevention
 Observational studiesnon-antibioticSDD, non-concurrentSDD, concurrent
Study characteristics
 Sourcesa,b,cSupplementary Data1–5,21Supplementary Data5,11–13Supplementary Data9Supplementary Data9
 Number of studies4823320
 Bronchoscopic samplingd231036
 Publication year (range)e1987–20071987–20081989–20011989–2007
Group characteristics
 Number of patients per group, median (IQR)f,g255 (103–518)78 (51–183)84 (61–124)57 (36–94)
 Days of ventilation, median (IQR)f,h11 (7.9–13.0)11.3 (6.6–14.9)8.2 (7.3–9.0)10.5 (8.5–14.0)
 Percentage of trauma patients, median (IQR)f,i9 (3–29)12 (10–36)18 (2–23)38 (20–67)
 Number of VAP isolates per group, median (IQR)f,g66 (37–99)25 (13–47)24 (11–79)31 (19–38)
 VAP incidence per 100 patients
  cohort, mean (95% CI)24% (20%–29%)j,k,lNANANA
  control, mean (95% CI)NA22% (11%–33%)m16% (9%–24%)39% (29%–49%)j,m
  intervention, mean (95% CI)NA18% (10%–27%)kNA14% (10%–18%)l
Groups of interventional studies of VAP prevention
 Observational studiesnon-antibioticSDD, non-concurrentSDD, concurrent
Study characteristics
 Sourcesa,b,cSupplementary Data1–5,21Supplementary Data5,11–13Supplementary Data9Supplementary Data9
 Number of studies4823320
 Bronchoscopic samplingd231036
 Publication year (range)e1987–20071987–20081989–20011989–2007
Group characteristics
 Number of patients per group, median (IQR)f,g255 (103–518)78 (51–183)84 (61–124)57 (36–94)
 Days of ventilation, median (IQR)f,h11 (7.9–13.0)11.3 (6.6–14.9)8.2 (7.3–9.0)10.5 (8.5–14.0)
 Percentage of trauma patients, median (IQR)f,i9 (3–29)12 (10–36)18 (2–23)38 (20–67)
 Number of VAP isolates per group, median (IQR)f,g66 (37–99)25 (13–47)24 (11–79)31 (19–38)
 VAP incidence per 100 patients
  cohort, mean (95% CI)24% (20%–29%)j,k,lNANANA
  control, mean (95% CI)NA22% (11%–33%)m16% (9%–24%)39% (29%–49%)j,m
  intervention, mean (95% CI)NA18% (10%–27%)kNA14% (10%–18%)l

aThe following systematic reviews were the sources for these studies: George1 (Table 1), Cook and Kollef2 (Table 1), Chastre and Fagon3 (Table 1), Bergmans and Bonten4 (Table 22.5), Safdar et al.5 (Table 1) and Melsen et al.21 (Figure 3).

bThe following systematic reviews were the source for these studies: Messori et al.11 (Table 5–7), Subirana et al.12 (Analysis 1.5 and 2.5), Siempos et al.13 (Figure 2) and Safdar et al.5 (Table 2).

cLiberati et al.9 (Analysis 1.5 and 2.5) was the source for these studies.

dBronchoscopic versus tracheal sampling for VAP diagnosis.

eData are earliest to most recent year of publication.

fData are median and interquartile range (IQR).

gP = 0.0001, χ2 = 26.3; degrees of freedom = 3, Kruskal–Wallis test.

hP = 0.99, χ2 = 0.13; degrees of freedom = 3, Kruskal–Wallis test.

iP = 0.03, χ2 = 8.7; degrees of freedom = 3, Kruskal–Wallis test.

jComparison of VAP incidence of concurrent control groups of SDD versus benchmark groups, P = 0.005, two-sample t-test.

kComparison of VAP incidence of intervention groups of non-antibiotic versus benchmark groups, P = 0.17, two-sample t-test.

lComparison of VAP incidence of intervention groups of concurrent SDD studies versus benchmark groups, P = 0.004, two-sample t-test.

mComparison of VAP incidence of concurrent control groups of concurrent SDD versus control groups of non-antibiotic studies, P = 0.03, two-sample t-test.

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