DAGDA score and its evidence‐based pneumonia‐prevention programme
Aim The mortality rate of the postoperative pneumonia group is significantly higher than that of non‐pneumonia group. Five of 38 risk factors were found to be significantly related to postoperative pneumonia (P
Gespeichert in:
| Veröffentlicht in: | Surgical practice 2019-11, Vol.23 (4), p.131-139 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 139 |
|---|---|
| container_issue | 4 |
| container_start_page | 131 |
| container_title | Surgical practice |
| container_volume | 23 |
| creator | Wong, Kevin Ka‐Fai Fung, James Tak‐Kwan Leung, Siu‐Kee |
| description | Aim
The mortality rate of the postoperative pneumonia group is significantly higher than that of non‐pneumonia group. Five of 38 risk factors were found to be significantly related to postoperative pneumonia (P |
| doi_str_mv | 10.1111/1744-1633.12368 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2314596932</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2314596932</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2698-76aebe5bbf8c384da5a5d44affd6db1a313b203b6b759b18686a8ec18cb1c7f53</originalsourceid><addsrcrecordid>eNqFkM1OwzAQhC0EEqVw5hqJc9o4jh3nGLWlRarEAThb_tmgVI0T7KSoNx6BZ-yTkBDUK3vZ1WhmR_oQusfRDPczx2mShJgRMsMxYfwCTc7K5fmO6TW68X4XRSTlKZmg1TJfL_PA69pBIK0JytYHcCgNWA2nr28lPZigsdBVtS1lrzQODmDbsrZB4-p3J6sKbtFVIfce7v72FL09rl4Xm3D7vH5a5NtQxyzjYcokKKBKFVwTnhhJJTVJIovCMKOwJJioOCKKqZRmCnPGmeSgMdcK67SgZIoexr9980cHvhW7unO2rxQxwQnNWEbi3jUfXdrV3jsoROPKSrqjwJEYWImBhhjIiF9WfYKOic9yD8f_7CJ_2Yy5H_5VbUE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2314596932</pqid></control><display><type>article</type><title>DAGDA score and its evidence‐based pneumonia‐prevention programme</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wong, Kevin Ka‐Fai ; Fung, James Tak‐Kwan ; Leung, Siu‐Kee</creator><creatorcontrib>Wong, Kevin Ka‐Fai ; Fung, James Tak‐Kwan ; Leung, Siu‐Kee</creatorcontrib><description>Aim
The mortality rate of the postoperative pneumonia group is significantly higher than that of non‐pneumonia group. Five of 38 risk factors were found to be significantly related to postoperative pneumonia (P < 0.05) after univariable logistic regression and then multivariable logistic regression analysis: (i) Dependence of activity of daily living; (ii) presence of Ascites; (iii) General anaesthesia; (iv) preoperative Dyspnoea; and (v) ASA (American Society of Anesthesiologists) score ≥3. The DAGDA score was formulated by using these significant risk factors to predict high‐risk patients. The maximum DAGDA score is 18, with an area under the receiver operating characteristic curve of 0.774 (95 per cent confidence interval: 0.716–0.837). Sensitivity and specificity of the DAGDA score with a cut‐off point of 8 are 73.6 and 73.4 per cent, respectively. The external validation of the DAGDA score was examined by using other 4495 patients, which resulted in similar findings. A multidisciplinary team (MDT), including surgeons, respiratory physicians, surgical nursing staff and physiotherapists, was formed, and proactive measures were applied to patients at high risk of developing postoperative pneumonia.
Patients and Methods
The present study was a prospective cohort study to compare the postoperative pneumonia rate and pneumonia‐related mortality before and after this programme.
Results
After the implementation of the pneumonia‐prevention programme, there was a decrease in the postoperative pneumonia rate from 4.1 to 3.7 per cent. The 30‐day pneumonia‐related mortality rate significantly dropped from 31.9 to 4.8 per cent (P = 0.016).
Conclusion
The DAGDA score and the MDT‐led pneumonia‐prevention programme are useful to decrease postoperative pneumonia and prevent pneumonia‐related mortality.</description><identifier>ISSN: 1744-1625</identifier><identifier>EISSN: 1744-1633</identifier><identifier>DOI: 10.1111/1744-1633.12368</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>DAGDA score ; Health risk assessment ; Mortality ; Pneumonia ; pneumonia‐prevention programme ; postoperative pneumonia ; scoring system</subject><ispartof>Surgical practice, 2019-11, Vol.23 (4), p.131-139</ispartof><rights>2019 College of Surgeons of Hong Kong</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2698-76aebe5bbf8c384da5a5d44affd6db1a313b203b6b759b18686a8ec18cb1c7f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1744-1633.12368$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1744-1633.12368$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids></links><search><creatorcontrib>Wong, Kevin Ka‐Fai</creatorcontrib><creatorcontrib>Fung, James Tak‐Kwan</creatorcontrib><creatorcontrib>Leung, Siu‐Kee</creatorcontrib><title>DAGDA score and its evidence‐based pneumonia‐prevention programme</title><title>Surgical practice</title><description>Aim
The mortality rate of the postoperative pneumonia group is significantly higher than that of non‐pneumonia group. Five of 38 risk factors were found to be significantly related to postoperative pneumonia (P < 0.05) after univariable logistic regression and then multivariable logistic regression analysis: (i) Dependence of activity of daily living; (ii) presence of Ascites; (iii) General anaesthesia; (iv) preoperative Dyspnoea; and (v) ASA (American Society of Anesthesiologists) score ≥3. The DAGDA score was formulated by using these significant risk factors to predict high‐risk patients. The maximum DAGDA score is 18, with an area under the receiver operating characteristic curve of 0.774 (95 per cent confidence interval: 0.716–0.837). Sensitivity and specificity of the DAGDA score with a cut‐off point of 8 are 73.6 and 73.4 per cent, respectively. The external validation of the DAGDA score was examined by using other 4495 patients, which resulted in similar findings. A multidisciplinary team (MDT), including surgeons, respiratory physicians, surgical nursing staff and physiotherapists, was formed, and proactive measures were applied to patients at high risk of developing postoperative pneumonia.
Patients and Methods
The present study was a prospective cohort study to compare the postoperative pneumonia rate and pneumonia‐related mortality before and after this programme.
Results
After the implementation of the pneumonia‐prevention programme, there was a decrease in the postoperative pneumonia rate from 4.1 to 3.7 per cent. The 30‐day pneumonia‐related mortality rate significantly dropped from 31.9 to 4.8 per cent (P = 0.016).
Conclusion
The DAGDA score and the MDT‐led pneumonia‐prevention programme are useful to decrease postoperative pneumonia and prevent pneumonia‐related mortality.</description><subject>DAGDA score</subject><subject>Health risk assessment</subject><subject>Mortality</subject><subject>Pneumonia</subject><subject>pneumonia‐prevention programme</subject><subject>postoperative pneumonia</subject><subject>scoring system</subject><issn>1744-1625</issn><issn>1744-1633</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFkM1OwzAQhC0EEqVw5hqJc9o4jh3nGLWlRarEAThb_tmgVI0T7KSoNx6BZ-yTkBDUK3vZ1WhmR_oQusfRDPczx2mShJgRMsMxYfwCTc7K5fmO6TW68X4XRSTlKZmg1TJfL_PA69pBIK0JytYHcCgNWA2nr28lPZigsdBVtS1lrzQODmDbsrZB4-p3J6sKbtFVIfce7v72FL09rl4Xm3D7vH5a5NtQxyzjYcokKKBKFVwTnhhJJTVJIovCMKOwJJioOCKKqZRmCnPGmeSgMdcK67SgZIoexr9980cHvhW7unO2rxQxwQnNWEbi3jUfXdrV3jsoROPKSrqjwJEYWImBhhjIiF9WfYKOic9yD8f_7CJ_2Yy5H_5VbUE</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Wong, Kevin Ka‐Fai</creator><creator>Fung, James Tak‐Kwan</creator><creator>Leung, Siu‐Kee</creator><general>Wiley Publishing Asia Pty Ltd</general><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>201911</creationdate><title>DAGDA score and its evidence‐based pneumonia‐prevention programme</title><author>Wong, Kevin Ka‐Fai ; Fung, James Tak‐Kwan ; Leung, Siu‐Kee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2698-76aebe5bbf8c384da5a5d44affd6db1a313b203b6b759b18686a8ec18cb1c7f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>DAGDA score</topic><topic>Health risk assessment</topic><topic>Mortality</topic><topic>Pneumonia</topic><topic>pneumonia‐prevention programme</topic><topic>postoperative pneumonia</topic><topic>scoring system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Kevin Ka‐Fai</creatorcontrib><creatorcontrib>Fung, James Tak‐Kwan</creatorcontrib><creatorcontrib>Leung, Siu‐Kee</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Surgical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Kevin Ka‐Fai</au><au>Fung, James Tak‐Kwan</au><au>Leung, Siu‐Kee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DAGDA score and its evidence‐based pneumonia‐prevention programme</atitle><jtitle>Surgical practice</jtitle><date>2019-11</date><risdate>2019</risdate><volume>23</volume><issue>4</issue><spage>131</spage><epage>139</epage><pages>131-139</pages><issn>1744-1625</issn><eissn>1744-1633</eissn><abstract>Aim
The mortality rate of the postoperative pneumonia group is significantly higher than that of non‐pneumonia group. Five of 38 risk factors were found to be significantly related to postoperative pneumonia (P < 0.05) after univariable logistic regression and then multivariable logistic regression analysis: (i) Dependence of activity of daily living; (ii) presence of Ascites; (iii) General anaesthesia; (iv) preoperative Dyspnoea; and (v) ASA (American Society of Anesthesiologists) score ≥3. The DAGDA score was formulated by using these significant risk factors to predict high‐risk patients. The maximum DAGDA score is 18, with an area under the receiver operating characteristic curve of 0.774 (95 per cent confidence interval: 0.716–0.837). Sensitivity and specificity of the DAGDA score with a cut‐off point of 8 are 73.6 and 73.4 per cent, respectively. The external validation of the DAGDA score was examined by using other 4495 patients, which resulted in similar findings. A multidisciplinary team (MDT), including surgeons, respiratory physicians, surgical nursing staff and physiotherapists, was formed, and proactive measures were applied to patients at high risk of developing postoperative pneumonia.
Patients and Methods
The present study was a prospective cohort study to compare the postoperative pneumonia rate and pneumonia‐related mortality before and after this programme.
Results
After the implementation of the pneumonia‐prevention programme, there was a decrease in the postoperative pneumonia rate from 4.1 to 3.7 per cent. The 30‐day pneumonia‐related mortality rate significantly dropped from 31.9 to 4.8 per cent (P = 0.016).
Conclusion
The DAGDA score and the MDT‐led pneumonia‐prevention programme are useful to decrease postoperative pneumonia and prevent pneumonia‐related mortality.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><doi>10.1111/1744-1633.12368</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1744-1625 |
| ispartof | Surgical practice, 2019-11, Vol.23 (4), p.131-139 |
| issn | 1744-1625 1744-1633 |
| language | eng |
| recordid | cdi_proquest_journals_2314596932 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | DAGDA score Health risk assessment Mortality Pneumonia pneumonia‐prevention programme postoperative pneumonia scoring system |
| title | DAGDA score and its evidence‐based pneumonia‐prevention programme |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T09%3A43%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=DAGDA%20score%20and%20its%20evidence%E2%80%90based%20pneumonia%E2%80%90prevention%20programme&rft.jtitle=Surgical%20practice&rft.au=Wong,%20Kevin%20Ka%E2%80%90Fai&rft.date=2019-11&rft.volume=23&rft.issue=4&rft.spage=131&rft.epage=139&rft.pages=131-139&rft.issn=1744-1625&rft.eissn=1744-1633&rft_id=info:doi/10.1111/1744-1633.12368&rft_dat=%3Cproquest_cross%3E2314596932%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2314596932&rft_id=info:pmid/&rfr_iscdi=true |