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Table 3 Description of the participants, VAP incidence, and mortality in the selected clinical assays

From: Effectiveness of heat and moisture exchangers in preventing ventilator-associated pneumonia in critically ill patients: a meta-analysis

Paper

Sample size

VAP incidence (% or per 1000 mechanically ventilated patients/day)

p value

Mortality (%)

p value

 

HME group

HH group

HME group

HH group

 

HME group

HH group

 

Martin et al., 1990 [23]

31 patients under MV

42 patients under MV

7%

19%

>0.05

22

26

>0.05

Roustan et al., 1992 [26]

55 patients under MV

61 patients under MV

9.1%

14.8%

>0.05

24.6

18.2

>0.05

Dreyfuss et al., 1995 [22]

61 patients under MV

70 patients under MV

9.8% (6 cases)

11.4% (8 cases)

>0.05

28

17

>0.05

 

Confidence interval: 3.7-20.2%

Confidence interval: 5.1-21.3%

 

Boots et al., 1997 [21]

75 patients under MV

41 patients under MV

19%

17%

>0.05

17.3

9.7

>0.05

Kirton et al., 1997 [24]

140 patients under MV

140 patients under MV

Early: 35 VAP cases per one thousand ventilated patients per day

Early: 31 VAP cases per one thousand ventilated patients per day

Early: p = >0.05

Data not shown

 

Late: < 0.05

 

Late: 12 VAP cases per one thousand ventilated patients per day

Late: 26 VAP cases per one thousand ventilated patients per day

 

Kollef et al., 1998 [25]

163 patients under MV

147 patients under MV

20 VAP cases per one thousand ventilated patients per day

27.6 VAP cases per one thousand ventilated patients per day

Relative Risk: 0.90

24.5

26.5

>0.05

CI: 0.46-1.78

p >0.05

Memish et al., 2001 [20]

123 patients under MV

120 patients under MV

13.3 VAP cases per one thousand ventilated patients per day.

15.7 VAP cases per one thousand ventilated patients per day.

p >0.05

28.8

25

> 0.05

Lacherade et al., 2005 [14]

186 patients under MV

184 patients under MV

27.4 VAP cases per one thousand ventilated patients per day

25.3 VAP cases per one thousand ventilated patients per day

0.76

32.4

34.2

> 0.05

Odds Ratio (0.58–1.57)

p > 0,05

Boots et al., 2006 [15]

190 patients

2 HH groups

13%

- Group with heating upon inspiration: 10%

0.61

15

- Group with heating upon inspiration: 14

> 0.05

- Group with heating upon inspiration: 94

- Group with heating upon inspiration and expiration: 97

- Group with heating upon inspiration and expiration: 10%

- Group with heating upon inspiration and expiration: 22

Lorente et al., 2006 [19]

53 patients under MV

51 patients under MV

21 episodes (39%)

8 episodes (15%)

Hazard Ratio 16.2 (4.54-58.04)

Data not shown

p < 0.05

  1. HME: Heat and moisture exchangers; HH: Heated Humidifiers; MV: Mechanical Ventilation; VAP: Ventilator-Associated Pneumonia.