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Editorials |

“ ‘Tis a gift to be simple… ”

Richard G. Wunderink
Author and Funding Information

Affiliations: Memphis, TN
 ,  Dr. Wunderink is Director, Research Department, Methodist Healthcare Memphis.

Correspondence to: Richard G. Wunderink, MD, FCCP, Director, Research Department, Methodist Healthcare Memphis, 1265 Union Ave, Suite 501 Crews, Memphis, TN 38104; e-mail: wunderiR@methodisthealth.org



Chest. 2003;124(3):777-778. doi:10.1378/chest.124.3.777
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In the era of electronic ICUs, computer-assisted decision making, and robotic surgical assistants, the words of this classic American hymn are a good reminder to not forget the value of basic, simple maneuvers to improve the care of our patients. In this issue of CHEST (see page 883), Mundy and coworkers have elegantly demonstrated this approach with their study on a simple maneuver—getting patients with community-acquired pneumonia (CAP) out of bed, either into a chair or ambulating within 24 h of admission. The result was an impressive average 1.1-day decrease in the length of hospitalization. The most impressive difference in length of stay for the early ambulation group was in patients with a pneumonia severity index (PSI) class III.1 Average hospital length of stay in this group decreased from a mean of approximately 7.5 days to a mean of 5 days. The lack of benefit in the lower acuity PSI classes probably results from the primarily psychological and social reasons for hospital admission.12

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