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end of COVID
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Multicenter observational retrospective cohort study aiming at comparing the incidence of ventilator-associated lower respiratory tract infections between COVID-19 patients from the first and the second wave of the pandemic.
CoVAPid2 is a multicenter retrospective observational cohort study aiming at comparing the incidence of ventilator-associated lower respiratory tract infections between COVID-19 patients from the first and the second wave of the pandemic. Patients with confirmed SARS-CoV-2 community-acquired pneumonia and receiving invasive mechanical ventilation for more than 48h in the participating ICUs from the start of COVID pandemic are eligible for this study. Consecutive patients will be included from the beginning of the first wave (starting on 01-01-2020, data already collected in the CoVAPid1 study) and the second wave (starting on 10-01-2020). 10-20 patients per wave will be included in each center. VAT and VAP are defined using clinical, radiological and quantitative microbiological criteria.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SARS-CoV-2 first wave | Patients with confirmed SARS-CoV-2 infection and receiving invasive mechanical ventilation for more than 48h, in the first wave of the pandemic, starting on 01-01-2020 | ||
| SARS-CoV-2 second wave | Patients with confirmed SARS-CoV-2 infection and receiving invasive mechanical ventilation for more than 48h, in the second wave of the pandemic, starting on 10-01-2020 |
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| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of ventilator-associated lower respiratory tract infection (ventilator-associated pneumonia and ventilator associated tracheobronchitis) | from day 3 of mechanical ventilation to extubation or day 28 post-intubation |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of ventilator-associated tracheobronchitis | from day 3 of mechanical ventilation to extubation or day 28 post-intubation | |
| Cumulative incidence of ventilator-associated pneumonia | from day 3 of mechanical ventilation to extubation or day 28 post-intubation |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with confirmed SARS-CoV-2 community-acquired pneumonia and receiving invasive mechanical ventilation for more than 48h in the participating ICUs from the start of COVID pandemic are eligible for this study.
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| Name | Affiliation | Role |
|---|---|---|
| Saad NSEIR, MD,PhD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hop Salengro - Hopital B Chr Lille | Lille | 59037 | France |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D053717 | Pneumonia, Ventilator-Associated |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| Prevalence of early bacterial coinfection | from day 0 to day 2 of mechanical ventilation |
| Cumulative incidence of COVID-associated pulmonary aspergillosis | from day 3 of mechanical ventilation to extubation or day 28 post-intubation |
| ICU mortality | at day 28 |
| Mortality | at day 28 |
| Duration of mechanical ventilation (number of days under mechanical ventilation) | from the start of mechanical ventilation to extubation or day 28 after intubation |
| Duration of ICU stay (number of days in the ICU) | from the ICU admission to discharge or day 28 after admission |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000077299 | Healthcare-Associated Pneumonia |
| D003428 | Cross Infection |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |