Pneumonia Clinical Trial
Official title:
Reduction of Mortality in Community-Acquired Pneumonia After Implementing Standardized Care Bundles in the Emergency Department
Community acquired pneumonia (CAP) is associated with a high in-hospital mortality.
Standardization of diagnostics and adherence to sepsis bundles in the emergency department
(ED) are associated with reduced mortality in patients with sepsis. Investigators examined
whether the introduction of standardized care bundles and check lists in the ED are
associated with a reduced mortality rate in patients hospitalized for CAP.
This is an observational trial. The investigators retrospectively analyzed performance
indicators of 2819 consecutive patients with CAP admitted to the Nuremberg Hospital,
Germany, from 2008 to 2009. At the turn of the year, implementation of CAP care bundles took
place including interprofessional education, checklists and institutionalized feedback.
Primary endpoint was in-hospital mortality of CAP patients. After the implementation of CAP
care bundles in the ED, mortality of affected patients was significantly lower in 2009
compared to 2008. This study should demonstrate that the implementation of a standardized
CAP care bundle in the ED is associated with a risk reduction in affected patients.
Standardization of diagnostic and therapeutic processes in the ED therefore improves the
outcome of patients hospitalized for CAP.
n/a
Observational Model: Cohort, Time Perspective: Retrospective
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