Bold Voices - March 2013 - (Page 25)

AT THE BEDSIDE Simple Measures Reduce Pneumonia A n international The study finds that study shows that between baseline and the adding low-cost end of the intervention interventions to surveillance period, the rate of VAP significantly reduces the decreased from 22.0 to rates of ventilator-associated 17.2 infections per 1,000 pneumonia (VAP) in adult mechanical-ventilation intensive care units (AICUs) days. Adjusted analyses in developing countries, show that between the reports. start and end of the Victor Rosenthal, second phase, the VAP rate of the International decreased by 55.8 percent, Nosocomial Infection the article adds. Control Consortium During the intervention (INICC), Buenos Aires, period, the average length Argentina, and colleagues of stay decreased to 6.4 Average length of stay and used data from 55,507 AICU days compared with 6.9 days patients in hospitals involved in the baseline period. Use of antibiotic use declined in in the INICC surveillance antibiotics also declined, being treatment of VAP. program in 14 developing required by 59.1 percent of countries, according to the patients in the intervention study, “Effectiveness of a Multidimensional Approach for period compared to 63.8 percent in the baseline period. Prevention of Ventilator-Associated Pneumonia in Adult “VAP control may not be sufficient or feasible if a single Intensive Care Units From 14 Developing Countries of measure is implemented, but it requires a culture change Four Continents,” in Critical Care Medicine. involving the entire ICU team,” the article adds. “Similarly, During the baseline phase, the surveillance program a reduction in VAP rates cannot be expected to derive from lasted for three months. During the second phase, a mean surveillance itself, unless the collection of data is used for of 35.2 months, additional measures were introduced, such improvement of patient-care practices, such as performance as hand hygiene protocol, minimizing duration of ventila- feedback.” tion and antiseptic oral care, combined with performance Access the AACN Practice Alert for VAP by selecting the feedback, notes the article on VAP link at More Than One in Three Risk-Free Individuals Will Develop Cardiovascular Disease A Northwestern University, Evanston, Ill., study finds one-third of all individuals and three in five men living without heart disease at age 45 will develop the condition at some point in their lifetime. “Lifetime Risk and Years Free of Total Cardiovascular Disease (CVD)” also concludes that lifetime risk estimates are higher for men across all index ages. Researchers further determine that maintenance of risk factors, such as high blood pressure, high cholesterol, diabetes and smoking, in middle age can substantially reduce morbidity. Published in JAMA: The Journal of the American Medical Controlling risk factors in middle age Association, the analysis centers on five U.S. heart health surveys involving more than 120,000 people from 1964 to can substantially lower morbidity. 2008. Risk of developing total CVD was assessed for people at ages 45, 55, 65 and 75 with various combinations of risk factors. At 45, the overall lifetime risk of total CVD is 60.3 percent for men and 55.6 percent for women, the study finds. “The lifetime risk increases with age and cardiovascular disease risk factors,” The Daily Briefing notes. “Overall, the study found that more than one-third of 45-year-old individuals with no risk factors will develop heart disease.” AACN BOLD VOICES MARCH 2013 25

Table of Contents for the Digital Edition of Bold Voices - March 2013

Front/Digital Edition Viewing Guide
Another Angle
Design an NTI Just for You
New Guidelines Set Practice Framework for Tele-ICU NursingPractice
New Methods Increase Speed of Sepsis Diagnosis
High Blood Pressure Can Injure the Brain of Young Adults
Recurrent Hypoglycemia May Not Impair Long-Term Development of Preterm Infants
Superstorm Sandy Hospital Evacuation Decisions Questioned
New STEMI Guidelines Focus on Symptom Recognition, Ease of Use
Early Communication About Resuscitation Improves EOL Quality
Vote Now for AACN Board, Nominating Committee Members
Simple Measures Reduce Pneumonia
Fresh Blood in the ICU
Meeting Veterans’ Healthcare Needs
In Our Journals
Checklists May Reduce Venous Thromboembolism
Certification Capsules
Chapter Leadership Workshop @NTI 2013
Wear Your NTI Pride on May 20
Dare To

Bold Voices - March 2013