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Do kinetic beds prevent nosocomial pneumonia?
Lead author's name: DeBoisblanc B Three-part Clinical Question: Patients: medical intensive care patients Intervention: air-supported, continuous, oscillating bed for 5 days v. conventional beds Outcome: pneumonia during first 5 days
Search Terms: Intensive care, critical care, mechanical ventilation, ventilator-associated pneumonia, nosocomial pneumonia, prevention, controlled trial
The Study: partly
blinded, randomised trial with intention-to-treat analysis. The Study Patients: 124
non-consecutive medical ICU patients Control group N = 51; all
analysed Experimental group N = 69; all analysed including 3 patients who withdrew from the study because of discomfort
The Evidence:
Comments: Medical patients were randomised to the two treatments. The study was stopped prematurely because of a lack of funding. All patients were followed up, but only for five days. The criteria used for the diagnosis of pneumonia ensured that both community and hospital acquired pneumonias were included. The radiologists were the only people blinded to treatment groups. It is not possible to state that the two groups were sufficiently similar at the start of the study. No power calculation was done.
Appraised by: David Swann Email: d.g.swann@ed.ac.uk Kill or Update By: December 2009 © SICS EBM Group 2004 | ||||||||||||||||||||||
