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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 managementObservation 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 mobilisation15/11 (73.3)13/10 (76.9)9/7 (77.8)
 Sputum mobilisation received by PEPb11/2 (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 therapy15/10 (66.7)13/9 (69.2)9/7 (77.8)
 Fluid therapy plan developedc10/9 (90.0)9/8 (88.9)7/6 (85.7)
 Fluids received accordance to fluid therapy planc9/4 (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 support15/11 (73.3)13/9 (69.2)9/7 (77.8)
 Development of nutrition support pland, b11/6 (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 support15/10 (66.7)13/10 (76.9)9/8 (88.9)
 Development of mobilisation plane, b10/6 (60.0)10/7 (70.0)8/6 (75.0)
 Mobilization received accordance to mobilisation plane6/2 (33.3)7/3 (42.9)6/3(50.0)
Oxygen therapy
 In need of oxygen therapy15/9 (60.0)13/9 (69.2)9/8 (88.9)
 Oxygen therapy initiated and monitored according to SpO2 levela9/8 (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