Association of neurological function,nutritional status,and exercise capacity scale scores with risk of stroke-related pneumonia
10.3969/j.issn.1002-0152.2023.12.001
- VernacularTitle:神经功能、营养状况及运动能力量表评分与卒中相关肺炎风险关联性研究
- Author:
Xiang ZHU
1
;
Xiong LIAO
;
Xueting LIN
;
Lei WU
Author Information
1. 江西省预防医学重点实验室,南昌大学公共卫生学院(南昌 330006)
- Keywords:
Shock;
Stroke score;
National Institutes of Health stroke scale;
Geriatric nutrition risk index;
Stroke-associated pneumonia;
Motor function independence measure;
Restricted cubic spline
- From:
Chinese Journal of Nervous and Mental Diseases
2023;49(12):705-711
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the scores of National Institutes of Health stroke scale(NIHSS),geriatric nutritional risk index(GNRI),motor function in dependence measure(MFIM)and the risk of stroke-related pneumonia(SAP).Methods Patients with stroke admitted from November,2021 to May,2022 were included.The scores of NIHSS,GNRI and MFIM at admission were collected,and they were divided into non-SAP group(n=232)and SAP group(n=86)according to whether pneumonia occurred within one week after stroke.According to the receiver operating characteristic(ROC)curve,the predictive ability of each score to SAP was evaluated,and each score was grouped according to the best cut-off point.logistic regression model and restricted cubic spline were used to analyze the relationship between each score and SAP.Results A total of 318 stroke patients were enrolled in the study including 86 in SAP group and 232 in non-SAP group.Logistic regression shows that,levels of NIHSS score(OR=32.783,95％CI:16.366～65.671,P<0.001),MFIM score(OR=0.052,95％CI:0.027～0.100,P<0.001)and GNRI score(OR=0.262,95％CI:0.144～0.476,P<0.001)were associated with SAP.Restricted cubic spline analysis shows that,there was a nonlinear dose-response relationship between SAP risk and NIHSS score(P-general trend<0.001,P-nonlinear=0.002),GNRI score(P-general trend<0.001,P-nonlinear<0.001).Conclusion NIHSS,MFIM,and GNRI scores are associated with the risk of SAP in stroke patients,and some of them have nonlinear relationships.
