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Table 3 The results of pooled estimates of VAE criteria for the detection of VAP

From: Does ventilator-associated event surveillance detect ventilator-associated pneumonia in intensive care units? A systematic review and meta-analysis

 

Studies (n)

Patients (n)

Estimates (%)

95 % Confidence interval (%)

Heterogeneity

Publication biase

Effect model

I 2 (%)

P

t value (Egger’s test)

P

Sensitivity

 VAC

11

1633a

41.8

17.7, 65.9

99.2

<0.01

−3.53

<0.01

Random

 IVAC

6

1323a

36.3

14.4, 58.3

98.4

<0.01

−1.74

0.16

Random

 Possible VAP

2

248a

14.4

10.1, 18.8

70.6

0.07

NA

NA

Fixed

 Probable VAP

2

248a

1.6

0.1, 3.2

51.9

0.15

NA

NA

Fixed

Specificity

 VAC

9

23112b

84.5

76.6, 92.4

99.8

<0.01

−1.50

0.18

Random

 IVAC

6

14459b

94.0

91.4, 96.7

97.7

<0.01

−0.99

0.38

Random

 Possible VAP

1

8325b

97.3

96.9, 97.6

NA

NA

NA

NA

NA

 Probable VAP

1

8325b

99.3

99.1, 99.5

NA

NA

NA

NA

NA

Positive predictive value

 VAC

9

3572c

23.2

12.6, 33.9

99.1

<0.01

1.25

0.25

Random

 IVAC

5

1563c

47.2

16.1, 78.3

99.5

<0.01

0.63

0.57

Random

 Possible VAP

1

243c

7.4

4.1, 10.7

NA

NA

NA

NA

NA

 Probable VAP

1

62c

6.5

0.3, 12.6

NA

NA

NA

NA

NA

Negative predictive value

 VAC

9

20927d

95.6

94.7, 96.5

98.2

<0.01

−7.30

<0.01

Random

 IVAC

6

14211d

93.3

91.5, 95.0

99.1

<0.01

−3.89

0.02

Random

 Possible VAP

1

8165d

99.2

99.0, 99.4

NA

NA

NA

NA

NA

 Probable VAP

1

8346d

99.1

98.8, 99.3

NA

NA

NA

NA

NA

  1. aNumber of patients with ventilator-associated pneumonia (VAP). bNumber of patients without VAP. cNumber of patients in the corresponding ventilator-associated events (VAE) type. dNumber of patients in the corresponding non-VAE type. eEgger’s test was used to estimate publication bias in meta-analyses containing more than two individual studies, NA not available
  2. VAE include ventilator-associated conditions (VAC), infection-related ventilated-associated conditions (IVAC), possible VAP, and probable VAP