在患有亚急性中风的患者群体中,中风后肺炎的危险因素:回顾性队列研究
Hiroyuki Tashima1,2, Mari Ito1,2, Michiyuki Kawakami1,2
1Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba 275-0026, Japan.
在入院胸部CT时出现肺部感染迹象的亚急性中风患者在住院期间患肺炎的风险更高. 早期检测和仔细监测对于这些患者至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 患有肺部感染的急性中风患者面临肺炎和死亡的风险增加.
- 关于亚急性中风患者肺炎发病率和预测因子的研究有限.
研究的目的:
- 在亚急性中风患者中调查与中风后肺炎相关的因素.
- 在这个队列中确定住院期间肺炎发展的预测因子.
主要方法:
- 分析了340名亚急性中风患者的队列.
- 采用了单变量和多变量逻辑回归分析.
- 关键变量包括血清白蛋白,功能性口服摄入量表 (FOIS) 评分和胸部CT发现.
主要成果:
- 在住院期间,22名患者 (6.5%) 患上了肺炎.
- 肺部感染的入院胸部CT症状是一个显著的独立预测因子 (OR:4.45;95%CI:1.54-12.9).
- 血清白蛋白和FOIS得分在单变量分析中是显著的,但在多变量分析中不是独立的.
结论:
- 在入院的胸部CT上,患有肺部感染迹象的亚急性中风患者患肺炎的可能性要大得多.
- 建议对亚急性中风患者进行密切监测和早期干预,在初始的胸部CT上呈现肺部感染迹象.
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