Implementation of a pneumonia prevention protocol to decrease the incidence of postoperative pneumonia in patients
M A J Geerds1, E C Folbert2, S F M Visschedijk2
1Department of Trauma Surgery, Ziekenhuisgroep Twente, Zilvermeeuw 1, 7609 PP Almelo, The Netherlands; University of Twente, Biomedical Signals and Systems Group, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.
Injury
|June 19, 2022
Summary
A new protocol significantly reduced postoperative pneumonia in elderly hip fracture patients. This proactive approach, including enhanced physical therapy and oral care, offers a promising strategy for preventing this common complication.
Area of Science:
- Geriatric Medicine
- Surgical Complications
- Infectious Disease Prevention
Background:
- Postoperative pneumonia is a frequent complication in elderly patients undergoing hip fracture surgery.
- Effective prevention strategies are crucial for improving patient outcomes and reducing healthcare burdens.
Purpose of the Study:
- To evaluate the effectiveness of a proactive postoperative pneumonia prevention protocol.
- To compare pneumonia incidence in elderly hip fracture patients receiving the protocol versus usual care.
Main Methods:
- A prospective intervention cohort (n=245) was compared to a historical control cohort (n=249).
- The protocol included intensified physical therapy, pulmonary exercises, and oral care.
- Pneumonia diagnosis was based on infection parameters, radiographic evidence, or clinical suspicion.
Main Results:
- The incidence of postoperative pneumonia was significantly lower in the intervention group (10.6%) compared to the control group (17.3%).
- The proactive protocol resulted in a 6.7 percentage point reduction in pneumonia incidence (p=0.033).
Conclusions:
- A proactive postoperative pneumonia prevention protocol demonstrates significant promise.
- This protocol can effectively decrease the occurrence of postoperative pneumonia in elderly patients following hip fracture surgery.
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