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BMC Neurology

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Open Access 01-12-2022 | Stroke | Research

Reducing the incidence of stroke-associated pneumonia: an evidence-based practice

Authors: Zhu-Yun Liu, Lin Wei, Ri-Chun Ye, Jiao Chen, Dan Nie, Ge Zhang, Xiao-Pei Zhang

Published in: BMC Neurology | Issue 1/2022

Abstract

Background

Pulmonary infection is a frequent complication among stroke patients and adversely affects clinical outcomes, increases the length of hospitalization stay and costs, and aggravates the financial burden of the national medical health system. Early identification and management of high-risk patients are necessary and imperative to reduce the incidence of stroke-associated pneumonia (SAP).

Aim

The evidence-based practice project evaluated the effectiveness of a standard care bundle intervention in preventing the occurrence of SAP.

Methods

The project was conducted in a neurology department of a teaching hospital. Given the variation in assessment and management standards, evidence-based practice (EBP) methodology was used to establish a process for quality improvement. A thorough literature search was conducted to identify evidence-based interventions to manage and prevent SAP. Thorough critiques of the literature and synthesis of the evidence were completed. A systematic management flow and care bundle interventions were established. The care bundle included interventions, such as the utilization of tools for SAP risk screening; dysphagia screening and rehabilitation; feeding modification, oral care, airway management, position management, and the nursing techniques of traditional Chinese medicine.

Results

A significant improvement was observed in preventing SAP in patients in the postimplementation group compared with those in the preimplementation group (14.0% vs. 37.2%, p = 0.025). In addition, significantly lower duration of hospitalization, lower rate of aspiration, and improvements in albumin and oral hygiene were found after the implementation of the care bundle.

Conclusions

Evidence-based care bundles successfully empower nurses to reduce the incidence of SAP. The management flow of SAP prevention could be promoted to other units of the neurology department in the future. The results of the project reflect positively on the capacity to implement EBP in an acute care setting for stroke. The EBP methodology can be utilized to solve other clinical problems.

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Title: Reducing the incidence of stroke-associated pneumonia: an evidence-based practice
Authors: Zhu-Yun Liu
Lin Wei
Ri-Chun Ye
Jiao Chen
Dan Nie
Ge Zhang
Xiao-Pei Zhang
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Stroke
Care
Pneumonia
Dysphagia
Dysphagia
Dysphagia
Published in: BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-022-02826-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reducing the incidence of stroke-associated pneumonia: an evidence-based practice

Abstract

Background

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Aim

Methods

Results

Conclusions

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