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Invited Commentary |

Preventing Postoperative Pneumonia

Catherine E. Lewis, MD1,2,3
[+] Author Affiliations
1Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles
2Department of Trauma and Acute Care Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles
3Department of Surgical Critical Care, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles
JAMA Surg. 2014;149(9):919. doi:10.1001/jamasurg.2014.1249.
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While pneumonia is a common postoperative complication, there is a paucity of literature on pneumonia prevention outside of the intensive care unit. Wren and colleagues designed and implemented a ward-based pneumonia prevention program at the Veterans Affairs Palo Alto Health Care System in 2007. They previously reported an initial 81% decrease in the incidence of ward-acquired pneumonia1 and now report a significant long-term decrease when compared both with preintervention rates and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP).2 Although encouraging, these findings should be interpreted with caution.

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