An observational study in Community Acquired Pneumonia, Pneumonia and Infection, sponsored by Klinikum Nürnberg. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-10-16.
Sponsored by Klinikum Nürnberg · Observational
Community acquired pneumonia (CAP) is associated with a high in-hospital mortality. Standardization of diagnostics and adherence to sepsis bundles in the emergency department (ED) are associated with reduced mortality in patients with sepsis. Investigators examined whether the introduction of standardized care bundles and check lists in the ED are associated with a reduced mortality rate in patients hospitalized for CAP.
This is an observational trial. The investigators retrospectively analyzed performance indicators of 2819 consecutive patients with CAP admitted to the Nuremberg Hospital, Germany, from 2008 to 2009. At the turn of the year, implementation of CAP care bundles took place including interprofessional education, checklists and institutionalized feedback. Primary endpoint was in-hospital mortality of CAP patients. After the implementation of CAP care bundles in the ED, mortality of affected patients was significantly lower in 2009 compared to 2008. This study should demonstrate that the implementation of a standardized CAP care bundle in the ED is associated with a risk reduction in affected patients. Standardization of diagnostic and therapeutic processes in the ED therefore improves the outcome of patients hospitalized for CAP.
2,044 studies on the registry are indexed under Pneumonia; 283 are open to participants now.
This study's enrollment of 2,819 is above the median of 203 across 688 observational studies indexed under Pneumonia.
Browse Pneumonia studies →Klinikum Nürnberg is the lead sponsor of 10 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Emergency department patients
Exclusion Criteria:
A patient with CAP was identified by encoding pneumonia without severe immunosuppression (HIV infection, solid organ or bone marrow/stem cell transplants, severe neutropenia) as the main diagnosis (ICD 10 GM) of hospital admission.
mortality of CAP patients
Time frame: up to 14days
mortality up to 14days in subgroups
Mortality of patients upt to 14day is determined in subgroups (different age groups, sub-groups of CRB-risk classes) CRB-65: C mental confusion; R respiratory rate ≥30/min; B systolic blood pressure \<90 mm Hg; 65, age ≥65 years
Time frame: up to 14 days
This study is completed, as verified in Oct 2013. You cannot join it, but the record below documents what was studied.
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Klinikum Nürnberg