Incidence and classification of AGI in patients with acute ischemic stroke and its effect on prognosis
- VernacularTitle:急性缺血性脑卒中患者AGI发生率、分级及其对预后的影响
- Author:
Siyu LUO
1
;
Huifeng ZHU
1
;
Dong WAN
1
Author Information
- Publication Type:Journal Article
- Keywords: Acute stroke; Acute gastrointestinal injury; AGI classification; Prognosis
- From: Journal of Apoplexy and Nervous Diseases 2022;39(7):580-584
- CountryChina
- Language:Chinese
- Abstract: To explore the incidence and grade of acute gastrointestinal injury（AGI）in patients with acute stroke，and the influence of gastrointestinal disorders on the mortality of stroke. Methods A total of 103 patients were recruited. According to the National Institutes of Health Stroke Scale（NIHSS）scores，they were divided into two groups：severe stroke patients（n=52）and mild to moderate stroke patients（n=51）.The incidence of gastrointestinal complications in the two groups are calculated. AGI classification was performed according to gastrointestinal symptoms. Binary logistic analysis was used to analyze the influencing factors of gastrointestinal failure in stroke patients，and KM curve was used to evaluate the effect of AGI classification on 28-day mortality in stroke patients. Results The incidence of gastrointestinal complications was 91.3%. There was no significant difference in the incidence of gastrointestinal disorders in the mild to moderate stroke and severe stroke groups（74.5% vs 75.0%，P>0.05）；The severe stroke group showed a higher incidence of gastrointestinal failure（7.8% vs 25.0%，P<0.05）. Multivariate logistic regression analysis showed：elevated NIHSS score was a risk factor for gastrointestinal failure after stroke（P<0.05）.Combining gastrointestinal failure significantly increased the 28-day mortality of stroke patients（χ2=53.08，P<0.001）. Conclusion Gastrointestinal complications are common in patients with acute stroke. NIHSS score is positively correlated with gastrointestinal failure. And patients with gastrointestinal failure have a worse prognosis.
- Full text:2024072323114911753Incidence and classification of AGI in patients with acute ischemic stroke and its effect on prognosis.pdf
