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Reduction in the incidence of poststroke nosocomial pneumonia by using the "turn-mob" program
Pilar Grajales Cuesy1, Pilar Lavielle Sotomayor, Juan Osvaldo Talavera Piña
1Clinical Epidemiology Medical Unit, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS, Mexico City, Mexico.
Background:
One of the most common complications in patients with acute ischemic stroke (AIS) is pneumonia, a complication that has an impact on the patient's survival. The purpose of this study was to establish whether the implementation of a passive turning and mobilization program can prevent the occurrence of nosocomial pneumonia (NP) in patients with AIS.
Methods:
We conducted a randomized clinical trial. Patients diagnosed with AIS within the last 48 hours and without mechanical ventilation were included. Group A was the "turn-mob" program: turning and passive mobilization carried out by a previously trained relative. Group B was the control group: standard treatment characterized by turning carried out by the nursing staff. The purpose was to demonstrate whether the implementation of a manual turning and passive mobilization program could reduce the incidence of NP in patients with AIS during their stay at the hospital and up to 14 days after discharge.
Results:
In all, 223 patients were included (group A, n = 111; group B, n = 112). Fourteen (12.6%) patients in group A and 30 (26.8%) in group B developed NP. The implementation of the turn-mob program was associated with a decrease in NP, with a relative risk of 0.39 (95% confidence interval .19-.79; P = .008).
Conclusion:
The turn-mob program applied on patients during the acute phase of an ischemic stroke decreases the incidence of NP.
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