脑卒中后肺炎:与在中风出院后90天内再入院相关的因素
Tiffany Bouddhara1, LeighAnn Persondek2, Elizabeth Ablah3
1Department of Anesthesiology, The University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214, United States.
脑卒中后的肺炎再入院与鼻胃管的使用,机械通风和无口饮食有关. 在住院期间没有感染的患者的肺炎再入院率较低.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- 脑卒中后的肺炎是致病率和死亡率的重要原因之一.
- 确定再接收的风险和保护因素对于患者管理至关重要.
研究的目的:
- 确定与中风后肺炎再入院相关的风险和保护因素.
- 为旨在减少再入院的临床干预提供信息.
主要方法:
- 365名中风患者的回顾性图表审查.
- 案例对照研究设计,对照对病例比例为 4:1.
- 对在90天内因中风后肺炎重新入院的患者的分析.
主要成果:
- 1.8%的中风患者 (73/3952) 患有中风后肺炎而重新入院.
- 风险因素包括鼻胃管的使用,机械通风和无口饮食.
- 在索引入院期间缺乏获得感染是一个保护因素.
结论:
- 脑卒中后的肺炎病理生理学是多因素的,涉及食障碍,殖民化和免疫状态.
- 识别有风险的患者可以进行量身定制的干预,以防止再接收.
- 没有口服状态会增加再接收风险,而无感染状态会降低再接收风险.
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