Navigation Links
Surgeons' pilot prevention program reduces incidence of postoperative pneumonia
Date:5/3/2010

CHICAGO (May 3, 2010) The results of new research results published in the April issue of the Journal of the American College of Surgeons show that a pilot pneumonia-prevention program significantly reduced postoperative pneumonia in a hospital surgical ward.

Postoperative pneumonia is a common complication among surgical patients and is the third most common infectious complication after urinary tract and wound infections. According to the Institute for Healthcare Improvement, a facility that performed 10,000 noncardiac operations per year would be expected to have approximately 150 cases of postoperative pneumonia. In the intensive care unit (ICU), this complication can translate into additional health care costs of approximately $40,000 per patient, and an estimated mortality rate of 20 to 70 percent. National efforts have been focused on reduction of intensive care acquired pneumonias, but there has been no program addressing hospital patients outside of the ICU.

"Postoperative pneumonia is a problem facilities face continually, but our research shows that simple steps in prevention can have such a substantial effect," according to Sherry Wren, MD, FACS, chief of general surgery, Veterans Affairs (VA) Palo Alto Health Care System and professor of surgery, Stanford University School of Medicine. "This program, if expanded to other VA or private hospitals, could help improve patient care and lower morbidity, mortality and overall health care costs."

The ward pneumonia-prevention quality improvement task force was formed in December 2006 and met during a three-month period to review evidence-based strategies. The group agreed on the following eight intervention strategies which were implemented in April 2007: (1) educating nursing staff about pneumonia prevention; (2) cough and deep-breathing exercises with incentive spirometer, a device that helps patients gauge lung function; (3) twice daily oral hygiene with chlorhexidine swabs; (4) ambulation with good pain control; (5) head of bed elevation to at least 30 degrees and sitting up for all meals; (6) quarterly discussion of the progress of the program and results for nursing staff; (7) pneumonia bundle documentation in the nursing documentation; and (8) computerized pneumonia-prevention order set in the physician order entry system.

Researchers performed a retrospective review of all inpatient pneumonia cases documented in the Veterans Administration National Surgical Quality Improvement Program (VA NSQIP) database at the VA Palo Alto Health Care System from 2006 through 2007. Data was collected from April 2007 through 2008. To be scored as a ward-acquired pneumonia, patients had to be noncardiac surgical patients who had an inpatient admission to the surgical ward.

Pneumonia diagnosed on the surgical ward was found in 13 of 1,668 inpatient admissions in the pre-intervention time period, an incidence of 0.78 percent. In comparison, there were only three of 1,651 inpatient admissions with pneumonia diagnosed on the ward in the post intervention study period, an incidence of 0.18 percent. This result represents an 81 percent decrease in post-operative pneumonias from fiscal year 2006 as compared with 2008 and is highly statistically significant (95 percent confidence interval, 0.13-1.07, p=0.006).


'/>"/>
Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Dr. Randy Miller Is Named President-Elect of the Florida Society of Plastic Surgeons
2. Survey finds many surgeons suffer injuries from minimally invasive techniques
3. Surgeons Create Palate for Baby with Rare Facial Abnormality
4. Bariatric Advantage Helps Bariatric Patients to Remember Their Surgeons Nutritional Protocols!
5. Few breast cancer surgeons follow quality of care standards, U-M study finds
6. The Eye Institute of Utah Hosts World Renowned Cataract Surgeons: In Economically Trying Times, Nine Fortunate Patients Receive State of the Art Cataract Lenses
7. Surgeons Suffering Work-Related Injuries
8. NY Plastic Surgeon Challenges Long-Held Separation of Derms and Plastic Surgeons
9. Pittsburgh Neurosurgeons Explore Use of Drug that Illuminates Brain Tumor Cells To Guide Surgery
10. Dr. Alesia Wagner of U.S. HealthWorks Medical Group Re-elected to Board of Osteopathic Physicians and Surgeons of California
11. Jefferson surgeon receives outstanding performance award from American College Of Surgeons
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... Nevada (PRWEB) , ... October 13, 2017 , ... ... Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil ... required and providing a CBD form that can be easily incorporated into liquid products, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance that covers care ... have a waiver for care if the client has a cognitive impairment diagnosis. ... for care, is often waived, so the benefits from their insurance start immediately,” said ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... “America On ... Christian identity. “America On The Brink” is the creation of published author, William ... several great-grandchildren. As a WWII veteran, he spent thirty years in the Navy. ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... to meet the demand of today’s consumer and regulatory authorities worldwide. From Children’s ... experts and tested to meet the highest standard. , These products are ...
Breaking Medicine News(10 mins):
(Date:9/12/2017)... PARIS and NEW YORK , Sept. 12, ... ethical performance ratings for global supply chains, has published the first annual ... the CSR performance of more than 20,400 companies evaluated by EcoVadis, based ... years 2015 and 2016. ... EcoVadis Global CSR Risk & Performance Index ...
(Date:9/12/2017)... SAN FRANCISCO , Sept. 12, 2017 /PRNewswire/ ... Lifecycle Management Solutions (VLMS), is pleased to announce ... as a member of its Board of Directors ... 2017. ValGenesis VLMS enables life science companies to ... eliminate the use of paper in this process. ...
(Date:9/9/2017)... Dealmed Medical Supplies, New York ... supplies, drugs, vaccines, and specialty medical products and services, ... to acquire Vantage Medical Supplies, a major distributor of ... New York . ... medical practices, will operate under the Dealmed name as ...
Breaking Medicine Technology: