Risk Factors and Outcome of Stroke-associated Pneumonia in Emergency Ward
10.3969/j.issn.1006-9771.2017.08.013
- VernacularTitle:急诊病房脑卒中相关性肺炎的危险因素及预后分析
- Author:
Na WANG
;
Fengrong WANG
;
Lushan LIU
- Keywords:
stroke;
stroke-associated pneumonia;
risk factors;
outcome
- From:
Chinese Journal of Rehabilitation Theory and Practice
2017;23(8):932-936
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors and outcome of stroke-associated pneumonia (SAP) in emergency ward. Methods The baseline characteristics and laboratory data of 306 patients with stroke in emergency ward of our hospital from April, 2014 to December, 2016 were reviewed. Patients were allocated into SAP group (n=120) and non-SAP group (n=186). The multivariable Logistic regression was applied to investigate risk factors for the progression and death of SAP. Results Totally, 120 (39.2%) patients developed SAP, in which 34 (28.3%) cases died. There were significant differences in age, the scores of Glasgow Coma Score (GCS), Sequential Organ Failure As-sessment (SOFA) and National Institute of Health Stroke Scale (NIHSS), and mechanical ventilation, dysphagia, antiacid and tube feeding (P<0.05). The multivariable Logistic regression analysis revealed that age over 65 years, hypertension, GCS<9, NIHSS, dysphagia and anti-acid were the risk factors for the development of SAP;the SOFA, NIHSS>15 and mechanical ventilation were the risk factors for 30-day mortality in SAP group. Conclusion SAP is a severe complication of stroke, it is associated with a variety of risk factors that affect its out-come in emergency ward.
