Reduction in the Incidence of Poststroke Nosocomial Pneumonia by Using the “Turn-mob” Program

Background One of the most common complications in patients with acute ischemic stroke (AIS) is pneumonia, a complication that has an impact on the patient's survival. The purpose of this study was to establish whether the implementation of a passive turning and mobilization program can prevent...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2010, Vol.19 (1), p.23-28
Main Authors: Grajales Cuesy, Pilar, MSc, Lavielle Sotomayor, Pilar, PhD, Talavera Piña, Juan Osvaldo, MSc
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiovascular
Cross Infection - epidemiology
Cross Infection - etiology
Cross Infection - prevention & control
Female
Humans
Incidence
Infection Control - methods
Ischemic stroke
Male
Mexico
Middle Aged
mobilization
Musculoskeletal Manipulations
Neurology
nosocomial pneumonia
Patient Positioning
Pneumonia - epidemiology
Pneumonia - etiology
Pneumonia - prevention & control
rehabilitation
Stroke - complications
Stroke - epidemiology
Stroke Rehabilitation
Time Factors
turning
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Summary:Background One of the most common complications in patients with acute ischemic stroke (AIS) is pneumonia, a complication that has an impact on the patient's survival. The purpose of this study was to establish whether the implementation of a passive turning and mobilization program can prevent the occurrence of nosocomial pneumonia (NP) in patients with AIS. Methods We conducted a randomized clinical trial. Patients diagnosed with AIS within the last 48 hours and without mechanical ventilation were included. Group A was the “turn-mob” program: turning and passive mobilization carried out by a previously trained relative. Group B was the control group: standard treatment characterized by turning carried out by the nursing staff. The purpose was to demonstrate whether the implementation of a manual turning and passive mobilization program could reduce the incidence of NP in patients with AIS during their stay at the hospital and up to 14 days after discharge. Results In all, 223 patients were included (group A, n = 111; group B, n = 112). Fourteen (12.6%) patients in group A and 30 (26.8%) in group B developed NP. The implementation of the turn-mob program was associated with a decrease in NP, with a relative risk of 0.39 (95% confidence interval .19-.79; P = .008). Conclusion The turn-mob program applied on patients during the acute phase of an ischemic stroke decreases the incidence of NP.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2009.02.009