Comparison Study between Using Disposable and Non-Disposable Ventilator Circuits on Ventilator- Associated Pneumonia and Health Care Costs at a Respiratory Care Unit, Siriraj Hospital
Issued Date
2023-01-01
Resource Type
eISSN
22288082
Scopus ID
2-s2.0-85151843716
Journal Title
Siriraj Medical Journal
Volume
75
Issue
3
Start Page
191
End Page
199
Rights Holder(s)
SCOPUS
Bibliographic Citation
Siriraj Medical Journal Vol.75 No.3 (2023) , 191-199
Suggested Citation
Songmuang J., Akatat P., Wattanagulanurak S., Rittayamai N., Sripalakit S. Comparison Study between Using Disposable and Non-Disposable Ventilator Circuits on Ventilator- Associated Pneumonia and Health Care Costs at a Respiratory Care Unit, Siriraj Hospital. Siriraj Medical Journal Vol.75 No.3 (2023) , 191-199. 199. doi:10.33192/smj.v75i3.260866 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/82523
Title
Comparison Study between Using Disposable and Non-Disposable Ventilator Circuits on Ventilator- Associated Pneumonia and Health Care Costs at a Respiratory Care Unit, Siriraj Hospital
Author's Affiliation
Other Contributor(s)
Abstract
Objective: This research aimed to compare the incidence of ventilator-associated pneumonia (VAP) and ventilator circuit costs among patients using disposable ventilator circuits and patients using non-disposable ventilator circuits. Materials and Methods: Observational research was performed consisting of the following: A retrospective chart review of a group of patients who used non-disposable circuits (n=193) and a prospective cohort study of a group of patients using disposable circuits (n=166). The sample was purposively selected based on the following inclusion criteria: patients aged 18 years old and over who were admitted to the Respiratory Care Unit, Siriraj Hospital and ventilated >48 h. Results: VAP incidence in the group non-disposable circuits was 10.41/1,000 ventilator days (n=27, 13.8%) and 10.82 /1,000 ventilator days (n=24, 14.4%) in the group disposable circuits (p=0.871). According to the data analysis using the U-control chart, no statistically significant differences were found. The unit cost of the non-disposable circuit was lower than that of the disposable circuit (THB 295.94), while the work unit personnel satisfaction toward working with disposable circuits was at a good level (Mean=3.83) and medium level (Mean=3.12) in non-disposable circuits (p=0.002). Conclusion: The type of ventilator circuits had no effects on VAP rate. The unit cost of non-disposable circuits was lower than that of disposable circuits, while the work unit personnel had a higher satisfaction working with disposable circuits than non-disposable circuits.