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Table 4 HPs’ adherence to EBG recommendations for general management in three medical units*

From: Gaps between current clinical practice and evidence-based guidelines for treatment and care of older patients with Community Acquired Pneumonia: a descriptive cross-sectional study

General management

Observation day 1, Patients in need / Patients receiving treatment, n/n (%)

Observation day 2, Patients in need / Patients receiving treatment, n/n (%)

Observation day 3, Patients in need / Patients receiving treatment, n/n (%)

Sputum mobilisation

 In need of sputum mobilisation

15/11 (73.3)

13/10 (76.9)

9/7 (77.8)

 Sputum mobilisation received by PEPb

11/2 (18.2)

10/2 (20.0)

7/3 (42.9)

Oral care

 Oral care (twice a day)

15/4 (26.7)

13/3 (23.1)

9/5 (55.6)

Intravenous fluid therapy

 In need of fluid therapy

15/10 (66.7)

13/9 (69.2)

9/7 (77.8)

 Fluid therapy plan developedc

10/9 (90.0)

9/8 (88.9)

7/6 (85.7)

 Fluids received accordance to fluid therapy planc

9/4 (44.4)

8/2 (25.0)

6/4 (66.7)

Nutrition support

 Screening for nutrition status (≤24 h)

15/4 (26.7)

13/4(30.8)

9/4 (44.4)

 Screening for nutrition status (up to or during observation days)

15/ 8 (53.3)

13/8 (61.5)

9/8 (88.9)

 In need of nutrition support

15/11 (73.3)

13/9 (69.2)

9/7 (77.8)

 Development of nutrition support pland, b

11/6 (54.5)

9/6 (66.7)

7/6 (85.7)

Mobilization

 Mobilization (walk or sit out of bed ≥20 min)

15/11 (73.3)

13/8 (61.5)

9/5 (55.6)

 In need of mobilisation support

15/10 (66.7)

13/10 (76.9)

9/8 (88.9)

 Development of mobilisation plane, b

10/6 (60.0)

10/7 (70.0)

8/6 (75.0)

 Mobilization received accordance to mobilisation plane

6/2 (33.3)

7/3 (42.9)

6/3(50.0)

Oxygen therapy

 In need of oxygen therapy

15/9 (60.0)

13/9 (69.2)

9/8 (88.9)

 Oxygen therapy initiated and monitored according to SpO2 levela

9/8 (88.9)

9/9 (100.0)

8/8 (100.0)

  1. aOverall, 15 patients were observed day 1, 13 patients day 2 and 9 patients day 3. Results are expressed as a number of patients expected to receive the intervention and the number of patients who received it
  2. a-eTest is adjusted for patients in need of: a) oxygen therapy; b) sputum mobilisation; c) intravenous fluid therapy; d) nutrition support; e) mobilisation plan
  3. bCare plan was not developed according to EBG but was accepted because it described some sort of plan for patient, although incomplete and unsystematic