Risk Factors for Stroke Associated Pneumonia
Do Quyet1, Nguyen Minh Hien2, Mai Xuan Khan1
1Respiratory Center, Military Hospital 103, Hanoi, Vietnam.
Open Access Macedonian Journal of Medical Sciences
|March 28, 2020
Summary
Stroke-associated pneumonia (SAP) is common in stroke patients. Key risk factors include severe strokes (NIHSS > 15), swallowing difficulties (GUSS < 15), and mechanical ventilation.
Area of Science:
- Neurology
- Infectious Diseases
- Critical Care Medicine
Background:
- Stroke patients face a significant risk of developing stroke-associated pneumonia (SAP).
- SAP substantially worsens patient prognosis and outcomes following a stroke.
Purpose of the Study:
- To identify and analyze key risk factors contributing to the development of SAP in stroke patients.
Main Methods:
- Prospective enrollment of 508 patients hospitalized within 5 days of stroke onset.
- Data collection focused on identifying factors associated with SAP development.
Main Results:
- The incidence of SAP was observed to be 13.4% in the study cohort.
- Significant risk factors identified include mechanical ventilation (OR 16.4, p <0.01), high National Institutes of Health Stroke Scale (NIHSS) scores > 15 (OR 9.1, p <0.01), and low Gugging Swallowing Screen (GUSS) scores 0-14 (OR 11.7, p <0.01).
Conclusions:
- Stroke-associated pneumonia is a frequent complication post-stroke.
- Stroke severity (NIHSS > 15), swallowing impairment (GUSS < 15), and the need for mechanical ventilation are critical risk factors for SAP.
Keywords:
Gugging Swallowing Screen (GUSS)National Institutes of Health Stroke Scale (NIHSS)strokestroke-associated pneumonia (SAP)More Related Videos
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