Mrs. Michelle Chalker1, Professor Brett Mitchell1,2,3,4,5, Dr Kate Browne1, Professor Philip Russo1,6
1Avondale University, Cooranbong, Australia, 2Monash University, Clayton, Australia, 3University of Newcastle, Callaghan, Australia, 4Hunter Medical Research Institute, New Lambton Heights, Australia, 5Central Coast Local Health District, Gosford, Australia, 6Calibri Health, Malvern, Australia
Biography:
Michelle Chalker is a nursing lecturer and PhD candidate at Avondale University working with Prof Brett Mitchell. Michelle is a RN with clinical and IPC experience before moving into nursing education. Michelle's research focuses on the impact of non-ventilator healthcare-associated pneumonia (NV-HAP) on length of stay and mortality in Australia.
Abstract:
Introduction
Healthcare-associated pneumonia (HAP) is a common healthcare-associated infection. There are two subsets of HAP, ventilator-associated pneumonia (VAP) and non-ventilator-associated pneumonia (NV-HAP). NV-HAP significantly impacts patients hospital length of stay and mortality. The purpose of this systematic review is to review the evidence on the impact of NV-HAP on additional length of stay and mortality in adults admitted to an acute care hospital.
Methods
A systematic search using the databases MEDLINE and CINAHL was conducted to identify peer-reviewed articles published between January 2004 and April 2024. Studies were uploaded to Covidence and screened against the inclusion and exclusion criteria. Data extraction was undertaken using a pre-specified database. An assessment of the study quality and risk of bias of included articles was conducted using the ROBINS-I tool.
Results
5624 articles were initially identified, with 48 articles included in the review following the screening and full text review. Nine articles were from the U.S., which was the largest number of papers from a single country. Thirteen countries including Australia have 1 article included in this systematic review. Thirty of the included articles reported length of stay outcomes whereas 45 of the included articles reported mortality outcomes. The impact of NV-HAP on adult patients admitted to an acute care hospital length of stay and mortality will be analysed and presented.
Conclusion
This systematic review highlights the impact of NV-HAP on length of stay and mortality in adults admitted to an acute care hospital. It will inform a larger planned program of research.