Risk Factors for Stroke Associated Pneumonia
Do Quyet1, Nguyen Minh Hien2, Mai Xuan Khan1
1Respiratory Center, Military Hospital 103, Hanoi, Vietnam.
Background:
Stroke patients are at high risk for stroke-associated pneumonia (SAP). If patients suffer from pneumonia their prognosis will worsen.
Aim:
To identify factors that increases the risk of SAP in stroke patients.
Methods:
A group of 508 patients hospitalized within 5 days after the onset of stroke were enrolled prospectively.
Results:
The incidence of SAP was 13.4%. Some major risk factors for SAP are: mechanical ventilation (MV) had odds ratio (OR) 16.4 (p <0.01); the National Institutes of Health Stroke Scale (NIHSS) > 15 OR 9.1 (p <0.01); the Gugging Swallowing Screen (GUSS) 0-14 OR 11.7 (p <0.01).
Conclusion:
SAP is a frequent complication. We identified some risk factors of SAP, especially stroke severity (NIHSS > 15), swallowing disorder (GUSS < 15) and mechanical ventilation.
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