None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Age = 65 years ? Diagnosis of pneumonia: the presence of new pulmonary infiltration in dependent areas on chest radiographs at the time of hospitalization with at least one of the following - New or increased cough - An abnormal temperature ( 37.8?) - An abnormal serum leukocyte count (leukocytosis, left shift, or leukopenia) ? Aspiration tendency or risk factors for frequent or large volume aspiration with at least one of the following - Altered mental status - Gastrointestinal disorder - Dysphagia or swallowing difficulties - Esophageal motility disorders - Tracheostomy state - Enteral tube feeding ? Informed consent
Exclusion criteria
Exclusion criteria: ? Severe hypercapnia (PaCO2 > 70mmHg) ? Respiratory arrest requiring tracheal intubation ? Cardiac arrest, acute coronary syndrome or life threatening arrhythmias ? Failure of more than two organs ? Recent trauma or burns of the neck and face ? Non- cooperation ? Pregnancy ? Withdrawal of consent ? Refusal of treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to respiratory clinical stability | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to clinical stability;Early clinical stability (day 3) rate;Late clinical stability (day 7) rate;Radiological improvement (day 3, 7);Broadening of antimicrobial spectrum;frequency of suction, bronchoscopy for toileting;Hospital length of stay;In-hospital mortality | — |
Countries
Korea, Republic of
Contacts
Seoul National University Bundang Hospital