[Impact of a pneumonia prevention protocol on the results of treatment in patients in the acute period of stroke].
To evaluate the efficiency of introducing a local protocol for preventing pneumonia in the acute period of stroke, the authors analyzed the results of treating 52 intensive care unit patients who had a higher than 75% pneumonia risk. These patients were divided into 2 groups: a control group (before introduction of the protocol) (n = 25) and a study group (after introduction of the protocol (n = 27). A retrospective analysis showed a significant reduction in the total incidence of pneumonia (56 and 18.5%; p < 0.05), in the incidence of ventilator-associated pneumonia (65/1000 and 19/1000 days of artificial ventilation (AV); p < 0.05), total mortality (48.0 and 14.8%; p < 0.01) and mortality among patients on AV (78.6 and 21.1%; p < 0.005).
Gusarov
V G
VG
Zamiatin
M N
MN
Teplykh
B A
BA
Zhabotinskaia
M G
MG
Sagil'dina
Iu O
IuO
Pavlova
V S
VS
D000208:Acute Disease; D000368:Aged; D002985:Clinical Protocols / Q000592:standards; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D018410:Pneumonia, Bacterial / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D012121:Respiration, Artificial; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications / Q000401:mortality / Q000628:therapy*; D016896:Treatment Outcome