Audit of the management of patients admitted with community acquired pneumonia

Community acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. There is evidence that guidelines do guide and standardise management, but with less measurable effect on outcome. We prospectively audited the management of CAP in patients admitted to a Dublin hospital during...

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Vydané v:Irish medical journal Ročník 99; číslo 5; s. 138
Hlavní autori: Foley, S C, Kelly, E M, O'Neill, S J
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland 01.05.2006
Predmet:
Aged
Anti-Bacterial Agents - therapeutic use
Community-Acquired Infections - classification
Community-Acquired Infections - drug therapy
Community-Acquired Infections - mortality
Hospitalization
Humans
Ireland
Management Audit - statistics & numerical data
Middle Aged
Pneumonia - classification
Pneumonia - drug therapy
Pneumonia - mortality
Prognosis
Quality of Health Care
Severity of Illness Index
Ireland
ISSN:0332-3102
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Abstract Community acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. There is evidence that guidelines do guide and standardise management, but with less measurable effect on outcome. We prospectively audited the management of CAP in patients admitted to a Dublin hospital during the winter of 2003/04. The main objective was to evaluate the quality of care for CAP using the BTS guidelines as a standard of management. 164 patients were admitted with CAP during the defined period. Guidelines for assessment of disease severity at presentation were followed in only 56 (34.1%) cases. Appropriate antibiotic therapy was instituted within 8 hours of presentation in 123 (75.0%) cases. The rate of use of a severity assessment score to stratify patients with CAP based on recognized guidelines is low in our hospital. Despite this, the overall mortality rate of 8.5% is comparable with previous results.
AbstractList Community acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. There is evidence that guidelines do guide and standardise management, but with less measurable effect on outcome. We prospectively audited the management of CAP in patients admitted to a Dublin hospital during the winter of 2003/04. The main objective was to evaluate the quality of care for CAP using the BTS guidelines as a standard of management. 164 patients were admitted with CAP during the defined period. Guidelines for assessment of disease severity at presentation were followed in only 56 (34.1%) cases. Appropriate antibiotic therapy was instituted within 8 hours of presentation in 123 (75.0%) cases. The rate of use of a severity assessment score to stratify patients with CAP based on recognized guidelines is low in our hospital. Despite this, the overall mortality rate of 8.5% is comparable with previous results.
Community acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. There is evidence that guidelines do guide and standardise management, but with less measurable effect on outcome. We prospectively audited the management of CAP in patients admitted to a Dublin hospital during the winter of 2003/04. The main objective was to evaluate the quality of care for CAP using the BTS guidelines as a standard of management. 164 patients were admitted with CAP during the defined period. Guidelines for assessment of disease severity at presentation were followed in only 56 (34.1%) cases. Appropriate antibiotic therapy was instituted within 8 hours of presentation in 123 (75.0%) cases. The rate of use of a severity assessment score to stratify patients with CAP based on recognized guidelines is low in our hospital. Despite this, the overall mortality rate of 8.5% is comparable with previous results.Community acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. There is evidence that guidelines do guide and standardise management, but with less measurable effect on outcome. We prospectively audited the management of CAP in patients admitted to a Dublin hospital during the winter of 2003/04. The main objective was to evaluate the quality of care for CAP using the BTS guidelines as a standard of management. 164 patients were admitted with CAP during the defined period. Guidelines for assessment of disease severity at presentation were followed in only 56 (34.1%) cases. Appropriate antibiotic therapy was instituted within 8 hours of presentation in 123 (75.0%) cases. The rate of use of a severity assessment score to stratify patients with CAP based on recognized guidelines is low in our hospital. Despite this, the overall mortality rate of 8.5% is comparable with previous results.
Author Foley, S C
O'Neill, S J
Kelly, E M
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  surname: Kelly
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SubjectTerms Aged
Anti-Bacterial Agents - therapeutic use
Community-Acquired Infections - classification
Community-Acquired Infections - drug therapy
Community-Acquired Infections - mortality
Hospitalization
Humans
Ireland
Management Audit - statistics & numerical data
Middle Aged
Pneumonia - classification
Pneumonia - drug therapy
Pneumonia - mortality
Prognosis
Quality of Health Care
Severity of Illness Index
Title Audit of the management of patients admitted with community acquired pneumonia
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