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Retrospective Application of New Pediatric Ventilator-Associated Event Criteria in a Tertiary Pediatric İntensive Care Unit
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  • Aybüke Akaslan Kara,
  • Ekin Soydan,
  • Elif Kıymet,
  • Elif Böncüoğlu,
  • Nevbahar Demiray,
  • Yeliz Oruç ,
  • İlknur Çağlar,
  • Nuri Bayram,
  • Hasan Agın,
  • ilker Devrim
Aybüke Akaslan Kara
Dr. Behçet Uz Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi
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Ekin Soydan
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Elif Kıymet
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Elif Böncüoğlu
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Nevbahar Demiray
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Yeliz Oruç
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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İlknur Çağlar
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Nuri Bayram
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Hasan Agın
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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ilker Devrim
Dr Behcet Uz Child Disease and Surgery Training and Research Hospital
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Abstract

Background:. In January 2020 a modification is applied for pediatric ventilator associated events (Ped-VAE) surveillance by Center for Disease Control and Prevention. İn this study we investigate the potential impact of this newly criteria and determine whether the adult ventilator-associated conditions (VAC), infection-related ventilator-associated complications (İVAC) and possible ventilator-associated pneumonia (PVAP) criteria could be applied pediatric patients with ped-VAE Methods:. We analyzed data between January 2014 and December 2019 using the new ped-VAE criteria. We compared two different criteria for identifying VAE: the 2013 adult VAE criteria, and the newly ped-VAE criteria. Result: The data of 91 VAE patients were evaluated, 42.8 % were not categorized as ped-VAE and 57.2% patients were compatible with the ped-VAE , 19.2% were categorized as adult VAC, 21.1% were categorized as IVAC, and 59.6% patients were categorized as PVAP. There was no significant difference between mortality and the diagnostic ventilator surveillance types. Conclusions: Pediatric ventilator-associated event algorithm is a better tool for children than the VAE algorithm defined for adults and the new pediatric criteria are more effective in detecting ventilator assosiated complications in children. We think further studies will be needed for evaluate ped VAE criteria.