与急性缺血性中风住院期间患肺炎风险增加相关的因素
Pornpong Jitpratoom1, Adhiratha Boonyasiri2
1Division of Medicine, Chumphon Khet Udomsakdi Hospital, Chumphon, Thailand.
PloS one
|January 10, 2024
概括
与中风相关的肺炎 (SAP) 与失败的吞测试和侵入性通风有关. 高血压,中风前的残疾和脑预测了急性缺血性中风 (AIS) 后的不良结果.
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:
- 与中风相关的肺炎 (SAP) 是急性缺血性中风 (AIS) 后的常见并发症.
- 识别SAP风险因素和不良结果的预测因素对于患者管理至关重要.
- 本研究研究了SAP及其对AIS患者长期结果的影响.
研究的目的:
- 确定与AIS患者SAP发展相关的因素.
- 在AIS后3个月内确定功能表现不佳的预测因素.
- 为了告知临床实践和改善患者护理策略.
主要方法:
- 进行了一项单一中心的回顾性观察研究.
- 分析了2019年7月至2020年7月期间接受AIS治疗的患者.
- 多变量分析确定了与SAP的关联和糟糕的结果 (修改的兰金级评分≥4).
主要成果:
- 在AIS患者中,15.8%的SAP发生.
- 与SAP相关的因素包括失败的吞水试验 (WST),侵入性机械通风和保留的福利导管.
- 预测3个月不良结果的预测因素包括高血压,中风前残疾 (mRS ≥2),初始巴塞尔指数低 (<40),WST失败和脑.
结论:
- 失败的WST,侵入性通风和福利导管使用与SAP有显著的关联.
- 高血压,中风前的残疾,低功能状态,失败的WST和大脑是AIS后不良结果的关键预测因素.
- 这些发现突出了对AIS患者风险分层和有针对性的干预措施的关键因素.
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