publication . Article . 2011

Analysis of overall level of evidence behind the Institute of Healthcare Improvement ventilator-associated pneumonia guidelines

Iqbal M; Lee S; Singarajah CU; Robbins RA; Pattee JJ; Padrnos L; Bui T; Whitmore EJ;
Open Access English
  • Published: 01 Aug 2011 Journal: Southwest Journal of Pulmonary and Critical Care (issn: 2160-6773, Copyright policy)
  • Publisher: Arizona Thoracic Society
Abstract
Background Clinical practice guidelines are developed to assist in patient care but the evidence basis for many guidelines has recently been called into question. Methods We conducted a literature review using PubMed and analyzed the overall quality of evidence and made strength of recommendation behind 6 Institute of Health Care (IHI) guidelines for prevention of ventilator associated pneumonia (VAP). Quality of evidence was assessed by the American Thoracic Society levels of evidence (levels I through III) with addition of level IV when evidence existed that the guideline increased VAP. We also examined our own intensive care units (ICUs) for evidence of a cor...
Subjects
free text keywords: Institute of Healthcare Improvement, deep venous thrombosis prophylaxis, guidelines, head of bed elevation, readiness to extubate, readiness to wean, sedation vacation, stress ulcer diesase prophylaxis, ventilator-associated pneumonia, General works, R5-130.5, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
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