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Risk Factors and Outcomes of Pneumonia After Primary Intraventricular Hemorrhage

Rui Guo1, Jinkun Yang2, Zhiyuan Yu1

  • 1Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.

World Neurosurgery
|April 10, 2019
PubMed

Insights

Lower Glasgow Coma Scale scores and a history of stroke are key predictors of pneumonia following primary intraventricular hemorrhage (PIVH). Pneumonia increases hospital stay but does not independently predict poor 90-day outcomes.

Area of Science:

  • Neurology
  • Critical Care Medicine
  • Infectious Diseases

Background:

  • Primary intraventricular hemorrhage (PIVH) is a severe neurological condition.
  • Pneumonia is a common complication in critically ill patients, particularly those with neurological injuries.
  • Understanding risk factors and outcomes of pneumonia post-PIVH is crucial for patient management.

Purpose of the Study:

  • To identify risk factors associated with pneumonia development after PIVH.
  • To evaluate the impact of pneumonia on patient outcomes, including mortality and functional status, following PIVH.

Main Methods:

  • A single-center retrospective study analyzed 174 patients with PIVH from 2010 to 2016.
  • Pneumonia was diagnosed using modified CDC criteria within 7 days of PIVH onset.
  • Outcomes assessed included modified Rankin Scale scores, mortality at discharge, and 90-day follow-up.

Main Results:

  • Pneumonia occurred in 7.5% of patients.
  • Lower Glasgow Coma Scale (GCS) scores and a history of stroke were independent predictors of pneumonia.
  • Patients with pneumonia experienced longer hospital stays and poorer 90-day outcomes, though pneumonia was not an independent predictor of poor outcome after adjustment.

Conclusions:

  • Glasgow Coma Scale score and stroke history are significant independent predictors for developing pneumonia after PIVH.
  • Pneumonia following PIVH is linked to prolonged hospitalization and worse functional outcomes at 90 days.
Abstract

Keywords:
OutcomePneumoniaPrimary intraventricular hemorrhageRisk factors

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