Table 2. PROS and CONS of VAE and VARI definitions.
PRO/CON | VAE | VARI | References |
---|---|---|---|
Clinical correlation | +++ | ++ | (14-17) |
Physician-friendly concept | − | +++ | (12,18,19) |
Objectiveness (kappa index) | +++ | + | (15,17,18,20,21) |
Sensibility | − | +++ | (11,12,22-24) |
External comparability | +++ | + | (15,25) |
Diagnosis of VAT | − | +++ | (8,10-12,22) |
Diagnosis of VAP | − | +++ | (8,10-13,17,22,23) |
Non-infective events | +++ | − | (8,10-13,15) |
Impact on outcomes | +++ | ++ | (2,8,12,21,24,26,27) |
Surveillance | +++ | ++ | (25,28-30) |
Quality indicator | +++ | + | (11,21,25,30,31) |
Histological findings | NA | + | (9,14,16) |
VAE, ventilator-associated event; VARI, ventilator-associated respiratory infection. +++, good; ++, fair; +, poor; −, none.