Analysis of Risk Factors of Stroke-associated Pneumonia
10.3969/j.issn.1006-9771.2014.10.017
- VernacularTitle:卒中相关性肺炎危险因素分析
- Author:
Yuewen MA
;
Sai HUAN
;
Dai ZHANG
- Publication Type:Journal Article
- Keywords:
stroke, pneumonia, nasal feeding, dysphagia, risk factors
- From:
Chinese Journal of Rehabilitation Theory and Practice
2014;(10):967-970
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of stroke- associated pneumonia (SAP) in stroke patients. Methods A retrospective study was designed to analyze the clinical data of 159 patients with stroke. They were divided into SAP group (n=35) and non-SAP group (n=124). Their age, gender, hypertension, diabetes mellitus, gastric mucosal protective agents, dysphagia after stroke (DAS), stroke history, type of stroke, hypoproteinemia, disturbance of consciousness, nasal feeding and smoking were analyzed with univariate analysis and multivariate Logistic regression analysis. Results 22% of the 159 patients suffered from SAP. Univariate analysis showed, there was statistical difference in age (P<0.01), gastric mucosal protective agents (P<0.01), DAS (P<0.01), hypoalbuminemia (P<0.05), disturbance of consciousness (P<0.05), nasal feeding (P<0.001) and smoking (P<0.01) between two groups. Binary Logistic regression for the multivariate analysis indicated that age≥70 years old, DAS, nasal feeding and smoking were the risk factors related with SAP. After adjusting for all other variables, the odds of SAP were 5.119 times higher for patients requiring nasal feeding than those without nasal feeding. Conclusion There is a high morbidity for SAP, which is attributed to multiple factors. Age≥70, DAS, nasal feeding and smoking may be the most important risk factors related with SAP.
