Over a quarter million patients in the United States receive mechanical ventilation each year, putting them at risk for acute lung injury, including mortality related to pneumonia and acute respiratory distress syndrome, and other lung injuries. Of patients on mechanical ventilation, the elderly, aged 85 years and older, are at a higher risk for lung injury. Poor outcomes after mechanical ventilation include: extended time on mechanical ventilation, longer stays in the intensive care unit and hospital, increased health care costs and increased risk of disability and death.
To establish more objective surveillance criteria, the Centers for Disease Control and Prevention (CDC) transitioned from VAP to VAE surveillance in adult inpatient settings in 2013. VAE surveillance detects a broader range of conditions and events are classified into three hierarchical tiers: ventilator-associated conditions (VAC), infection-related ventilator-associated complication and possible/probable VAP. Research to date leads us to believe that most VACs, the broadest of the three tiers, are due to pneumonia, acute respiratory distress syndrome, atelectasis and pulmonary edema and may be preventable.
Goal: By September 27, 2018, a 20 percent reduction in Ventilator-Associated Events.