Subglottic secretion drainage for preventing ventilator-associated pneumonia: an overview of systematic reviews and an updated meta-analysis.
Journal
European respiratory review : an official journal of the European Respiratory Society
ISSN: 1600-0617
Titre abrégé: Eur Respir Rev
Pays: England
ID NLM: 9111391
Informations de publication
Date de publication:
31 Mar 2020
31 Mar 2020
Historique:
received:
15
08
2019
accepted:
21
10
2019
entrez:
14
2
2020
pubmed:
14
2
2020
medline:
13
1
2021
Statut:
epublish
Résumé
Although several guidelines recommend subglottic secretion drainage as a strategy for prevention of ventilator-associated pneumonia (VAP), its use is not widespread. With the aim to assess the effectiveness of subglottic secretion drainage for preventing VAP and to improve other outcomes such as mortality, duration of mechanical ventilation and length of stay in the intensive care unit (ICU) or hospital, an electronic search of the Cochrane Library, MEDLINE, Web of Science and Embase was undertaken. Nine systematic reviews with meta-analysis (in the overview of reviews) and 20 randomised controlled trials (in the updated meta-analysis) were included.In the overview of reviews, all systematic reviews with meta-analysis included found a positive effect of subglottic secretion drainage in the reduction of incidence of VAP. In the updated meta-analysis, subglottic secretion drainage significantly reduced VAP incidence (risk ratio (RR) 0.56, 95% CI 0.48-0.63; I
Identifiants
pubmed: 32051169
pii: 29/155/190107
doi: 10.1183/16000617.0107-2019
pmc: PMC9488747
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Langues
eng
Sous-ensembles de citation
IM
Commentaires et corrections
Type : ErratumIn
Type : ErratumIn
Informations de copyright
Copyright ©ERS 2020.
Déclaration de conflit d'intérêts
Conflict of interest: D.P Pozuelo-Carracosa has nothing to disclose. Conflict of interest: A. Herráiz-Adillo has nothing to disclose. Conflict of interest: C. Alvarez-Bueno has nothing to disclose. Conflict of interest: J.M. Añón has nothing to disclose. Conflict of interest: V. Martínez-Vizcaíno has nothing to disclose. Conflict of interest: I. Cavero-Redondo has nothing to disclose.
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