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.
Lewis CE. Preventing Postoperative Pneumonia. JAMA Surg. 2014;149(9):919. doi:10.1001/jamasurg.2014.1249