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Work flow responding to stroke-associated pneumonia |
LIU Yu1, LI Hong2, LI Qingya3,SONG Jie4, ZHANG Liwei1, LI Zhiyi1 |
1.Department of Neurology,2. Department of Neurosurgery,3. Department of Traditional Chinese Medicine, 4. Department of Gastroenterology, the 261th Hospital of PLA, Beijing 100094, China |
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Abstract Objective To constitute the work flow responding to stroke-associated pneumonia(SAP) and determine the effects on the prevention and treatment of SAP. Methods We designed a work flow responding to SAP and observed the effectiveness of the flow in the stroke unit. 480 acute stroke patients were divided into two groups by randomized control trial. The work flow group was treated with four-step procedure interventions, while the control group was given the conventional treatment and nursing measures. The incidence of SAP, the hospitalization duration and expenses between the two groups were compared. Results Seventeen patients suffered from SAP in the work flow group and 31 patients in the control group.The incidence of SAP, the hospitalization duration and expenses in the work flow group were lower than in the control group, the difference between the two groups was statistically significant (P<0.05). Conclusions Using work flow can not only effectively prevent stroke-associated pneumonia but also shorten the length of hospital stay as well as hospitalization expenses.
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Received: 01 November 2014
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[1] |
孙伟平,黄一宁,王 峥,等.标准吞咽功能评估在卒中后误吸筛查中的应用价值[J]. 中国康复理论与实践,2009,15(4):345-347.
|
[2] |
中华医学会肠外肠内营养学分会神经疾病营养支持学组. 神经系统疾病肠内营养支持操作规范共识(2011版)[J]. 中华神经科杂志,2011,44(11):787-791.
|
[3] |
夏 萍,史俏蓉,霍永忠,等. 欧洲营养风险筛查方法NRS-2002简介及应用现状[J]. 现代预防医学,2007,34(15):2860-2866.
|
[5] |
卒中相关肺炎诊治专家共识组.卒中相关肺炎诊治中国专家共识[J]. 中华内科杂志, 2010, 49(12): 1075-1078.
|
[4] |
Cuesy P G, Sotomayor P L, Pina J O. Reduction in the incidence of poststroke nosocomial pneumonia by using the “turn-mob”program[J]. J Stroke Cerebrovasc Dis, 2010, 19(1): 23-28.
|
[6] |
Katzan I L, Cebul R D, Husak S H, et al. The effect of pneumonia on mortality among patients hospitalized for acute stroke[J], Neurology, 2003,60:620-625.
|
[5] |
卒中相关肺炎诊治专家共识组.卒中相关肺炎诊治中国专家共识[J]. 中华内科杂志, 2010, 49(12): 1075-1078.
|
[7] |
Katzan I L, Dawson N V, Thomas C L, et al. The cost of pneumonia after acute stroke[J]. Neurology,2007,68:1938-1943.
|
[6] |
Katzan I L, Cebul R D, Husak S H, et al. The effect of pneumonia on mortality among patients hospitalized for acute stroke[J], Neurology, 2003,60:620-625.
|
[8] |
纪风兵,卓 超. 卒中相关肺炎的研究进展[J]. 广东医学,2012,33(7):1029-1031.
|
[7] |
Katzan I L, Dawson N V, Thomas C L, et al. The cost of pneumonia after acute stroke[J]. Neurology,2007,68:1938-1943.
|
[8] |
纪风兵,卓 超. 卒中相关肺炎的研究进展[J]. 广东医学,2012,33(7):1029-1031.
|
[9] |
张道培,闫福岭. 卒中相关肺炎及其发病机制[J]. 国际脑血管病杂志,2007,15(1):62-66.
|
[10] |
陈燕婷,徐 运. 卒中诱导的免疫变化及相应治疗策略[J]. 国际脑血管病杂志,2009,17(6):440-443.
|
[9] |
张道培,闫福岭. 卒中相关肺炎及其发病机制[J]. 国际脑血管病杂志,2007,15(1):62-66.
|
[11] |
Hinchey J A, Shephard T, Furie K, et al. Formal dysphagia screening protocols prevent pneumonia[J]. Stroke, 2005, 36: 1972-1976.
|
[10] |
陈燕婷,徐 运. 卒中诱导的免疫变化及相应治疗策略[J]. 国际脑血管病杂志,2009,17(6):440-443.
|
[11] |
Hinchey J A, Shephard T, Furie K, et al. Formal dysphagia screening protocols prevent pneumonia[J]. Stroke, 2005, 36: 1972-1976.
|
|
|
|