Care bundles for community-acquired pneumonia in the emergency department

Hortmann, Marcus; Lad, Tanuj; Christ, Michael

doi:10.1097/mej.0000000000000163

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Therefore, compared with an individual one of practice measures, a better effect will achieve for the treatment and recovery of patients after combining all measures ( 55 ). Actually, studies have suggested that accurate and effective implementation of the care bundle significantly reduced the risk of SAP and improved the functional prognosis in stroke patients ( 52 , 56 ). Although some eligible studies indicated a comparable preventive effect of the care bundle with routine care strategies in the incidence of SAP and aspiration, it could not neglect that an insufficient sample size was included in these studies.…”

Section: Discussionmentioning

confidence: 99%

Patient's care bundle benefits to prevent stroke associated pneumonia: A meta-analysis with trial sequential analysis

Guo¹,

Fan²,

Liu³

et al. 2022

Front. Neurol.

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BackgroundPatient's care bundle has been found to have a beneficial effect on refractory diseases, but the preventive effect of this strategy on stroke-associated pneumonia (SAP) remains unclear. The purpose of this meta-analysis was to determine the role of the patient's care bundle in the prevention of SAP.MethodsA systematic search was conducted in five electronic databases to identify randomized controlled trials (RCTs) published before January 31, 2022. The incidence of SAP and aspiration and the length of hospital stay were assessed. Random pair-wise meta-analysis was conducted using Review Manager 5.4, and trial sequential analysis (TSA) was also performed.ResultsTwenty eligible RCTs involving 1916 patients were included for data analysis. Pooled results suggested that patient's care bundle was associated with significantly lower incidence of SAP (risk ratio [RR], 0.37; 95% CI, 0.29–0.46; p < 0.001; I2 = 0%) and aspiration (RR, 0.23; 95% CI, 0.15–0.35; p < 0.001; I2 = 0%). Meanwhile, patient's care bundle also significantly shortened the length of hospital stay for general patients (mean difference [MD], −3.10; 95% CI, −3.83 to −2.37; p < 0.001; I2 = 16%) and the length of intensive care unit (ICU) stay for patients with severe stoke (MD, −4.85; 95% CI, −5.86−3.84; p < 0.001; I2 = 0%). Results of TSA confirmed that none of the findings could be significantly reversed by future studies.ConclusionsThe patient's care bundle effectively prevents the occurrence of SAP and aspiration and shortens the hospital stay of stroke patients. However, it is necessary to design more high-quality studies to further validate our findings and investigate their applicability in other geographical regions.

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Section: Discussionmentioning

confidence: 99%

Patient's care bundle benefits to prevent stroke associated pneumonia: A meta-analysis with trial sequential analysis

Guo¹,

Fan²,

Liu³

et al. 2022

Front. Neurol.

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Effectiveness of bundled care in the management of cerebral hemorrhage complicated by pulmonary infection in China: A systematic review and meta-analysis

Zhang,

Wu,

et al. 2024

PLoS ONE

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Objective Aimed to systematically evaluate the therapeutic and rehabilitative effects of bundled care on patients with cerebral hemorrhage complicated by pulmonary infection in China. Methods Relevant literature was retrieved from multiple databases and original studies investigated the efficacy of bundled care in managing cerebral hemorrhage complicated by pulmonary infection were included. Data analysis was conducted using Meta-analysis software (RevMan 5.3 and Stata 17.0). The Cochrane risk of bias assessment tool was used to evaluate the risk of bias. Sensitivity analysis was performed to evaluate the robustness of the results. Funnel plot, Begg and Egger test were conducted to assess the presence of publication bias. The protocol was registered in PROSPERO (CRD42023475738). Results Twelve studies involving 1049 patients were included in this meta-analysis. The results showed that bundled care significantly reduced the duration of antibiotic use and pulmonary infection (SMD = -0.77), reduced the duration of tracheal intubation (MD = -5.35), and shortened hospital stay (MD = -6.30). The effective rate of treatment (OR = 8.39), satisfaction degree (OR = 5.65), anxiety (MD = -4.52) and depression scores (MD = -4.38), and quality of life scores (MD = 11.75) were improved after bundled care intervention compared to routine care. Assessment of publication bias showed no significant evidence of publication bias. Conclusions Bundled care can significantly shorten the duration of illness treatment and hospital stay of patients with cerebral hemorrhage complicated by pulmonary infection, improve treatment effectiveness and satisfaction degree, alleviate anxiety and depression, and promote the improvement of quality of life.

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Care bundles for community-acquired pneumonia in the emergency department

Cited by 2 publications

References 9 publications

Patient's care bundle benefits to prevent stroke associated pneumonia: A meta-analysis with trial sequential analysis

Patient's care bundle benefits to prevent stroke associated pneumonia: A meta-analysis with trial sequential analysis

Effectiveness of bundled care in the management of cerebral hemorrhage complicated by pulmonary infection in China: A systematic review and meta-analysis

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