British Thoracic Society community-acquired pneumonia care bundle: results of a national implementation project

Wei Shen Lim; Chamira Rodrigo; Alice M Turner; Sally Welham; James M Calvert; British Thoracic Society

doi:10.1136/thoraxjnl-2015-206834

British Thoracic Society community-acquired pneumonia care bundle: results of a national implementation project

Wei Shen Lim, Chamira Rodrigo, Alice M Turner, Sally Welham, James M Calvert, British Thoracic Society

Inflammation and Ageing

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Abstract

In 2013, 16 UK hospital trusts participated in a quality improvement programme involving implementation of a community-acquired pneumonia (CAP) care bundle. High-level data were collected on 14 962 patients admitted with CAP; bundle implementation increased from 1% in October 2012 to 20% by September 2013. Analysis of patient-level data on 2118 adults (median age 75.3 years) found that in the bundle-implementation group, significantly more patients received antibiotics within 4 h of admission (adjusted OR 1.52, 95% CI 1.08 to 2.14, p=0.016) and 30-day inpatient mortality was lower (8.8% vs 13.6%; adjusted OR 0.59, 95% CI 0.37 to 0.95, p=0.03).

Original language	English
Journal	Thorax
Early online date	21 Jul 2015
DOIs	https://doi.org/10.1136/thoraxjnl-2015-206834
Publication status	Published - 2015

Keywords

care bundle
quality improvement programme
pneumonia
community-acquired

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10.1136/thoraxjnl-2015-206834

CAP care bundle report Thorax FINAL revised_clean18 May 2015
Eligibility for repository: Checked on 22/1/2016
Licence: None: All rights reserved

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title = "British Thoracic Society community-acquired pneumonia care bundle: results of a national implementation project",

abstract = "In 2013, 16 UK hospital trusts participated in a quality improvement programme involving implementation of a community-acquired pneumonia (CAP) care bundle. High-level data were collected on 14 962 patients admitted with CAP; bundle implementation increased from 1% in October 2012 to 20% by September 2013. Analysis of patient-level data on 2118 adults (median age 75.3 years) found that in the bundle-implementation group, significantly more patients received antibiotics within 4 h of admission (adjusted OR 1.52, 95% CI 1.08 to 2.14, p=0.016) and 30-day inpatient mortality was lower (8.8% vs 13.6%; adjusted OR 0.59, 95% CI 0.37 to 0.95, p=0.03).",

keywords = "care bundle, quality improvement programme, pneumonia, community-acquired",

author = "Lim, {Wei Shen} and Chamira Rodrigo and Turner, {Alice M} and Sally Welham and Calvert, {James M} and {British Thoracic Society}",

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journal = "Thorax",

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T1 - British Thoracic Society community-acquired pneumonia care bundle

T2 - results of a national implementation project

AU - Lim, Wei Shen

AU - Rodrigo, Chamira

AU - Turner, Alice M

AU - Welham, Sally

AU - Calvert, James M

AU - British Thoracic Society

PY - 2015

Y1 - 2015

N2 - In 2013, 16 UK hospital trusts participated in a quality improvement programme involving implementation of a community-acquired pneumonia (CAP) care bundle. High-level data were collected on 14 962 patients admitted with CAP; bundle implementation increased from 1% in October 2012 to 20% by September 2013. Analysis of patient-level data on 2118 adults (median age 75.3 years) found that in the bundle-implementation group, significantly more patients received antibiotics within 4 h of admission (adjusted OR 1.52, 95% CI 1.08 to 2.14, p=0.016) and 30-day inpatient mortality was lower (8.8% vs 13.6%; adjusted OR 0.59, 95% CI 0.37 to 0.95, p=0.03).

AB - In 2013, 16 UK hospital trusts participated in a quality improvement programme involving implementation of a community-acquired pneumonia (CAP) care bundle. High-level data were collected on 14 962 patients admitted with CAP; bundle implementation increased from 1% in October 2012 to 20% by September 2013. Analysis of patient-level data on 2118 adults (median age 75.3 years) found that in the bundle-implementation group, significantly more patients received antibiotics within 4 h of admission (adjusted OR 1.52, 95% CI 1.08 to 2.14, p=0.016) and 30-day inpatient mortality was lower (8.8% vs 13.6%; adjusted OR 0.59, 95% CI 0.37 to 0.95, p=0.03).

KW - care bundle

KW - quality improvement programme

KW - pneumonia

KW - community-acquired

U2 - 10.1136/thoraxjnl-2015-206834

DO - 10.1136/thoraxjnl-2015-206834

M3 - Article

C2 - 26197815

SN - 0040-6376

JO - Thorax

JF - Thorax

ER -

British Thoracic Society community-acquired pneumonia care bundle: results of a national implementation project

Abstract

Keywords

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