Influencing factors of stroke-associated pneumonia in elderly patients with stroke
10.3969/j.issn.1006-2483.2025.02.032
- VernacularTitle:老年脑卒中患者并发卒中相关性肺炎的影响因素分析
- Author:
Lei BO
1
;
Yu TAO
2
;
Jing CHEN
3
Author Information
1. Department of Neurology,Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital) , Nanjing , Jiangsu 210006 , China
2. ICU in Department of Respiratory and Critical Care Medicine,Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital) , Nanjing , Jiangsu 210006 , China
3. Department of Medical Oncology,Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital) , Nanjing , Jiangsu 210006 , China
- Publication Type:Journal Article
- Keywords:
Elderly patient;
Stroke;
Stroke-associated pneumonia
- From:
Journal of Public Health and Preventive Medicine
2025;36(2):143-147
- CountryChina
- Language:Chinese
-
Abstract:
Objective To preliminarily analyze influencing factors of stroke-associated pneumonia (SAP) in elderly patients with stroke, and to summarize prevention and intervention strategies of SAP. Methods A total of 284 elderly patients with stroke who visited Nanjing Hospital affiliated to Nanjing Medical University from January 2022 to September 2024 were enrolled for the study. According to presence or absence of SAP, the patients were divided into SAP group (n=87) and non-SAP group (n=197). The case data in the two groups were collected. Statistical analysis of data was conducted using univariate analysis and multivariate analysis. Results A total of 87 patients with SAP were included in this study, with an SAP complication rate of 30.63%. The x2 test showed that there were significant differences between the two groups in gastric tube indwelling, catheter indwelling, diabetes mellitus, severity of stroke, severity of dysphagia, severity of consciousness disorder, long-term bed rest, white blood cell count, neutrophil count, lymphocyte count, and serum homocysteine level (P<0.05). Logistic regression analysis showed that indwelling gastric tube (OR: 2.040; 95%CI: 1.138-3.659), severe stroke (OR: 2.121; 95%CI: 1.287-3.497), moderate dysphagia (OR: 4.797; 95%CI: 1.512-15.217), severe dysphagia (OR: 9.816; 95%CI: 2.708-35.578), severe disturbance of consciousness (OR: 7.637; 95%CI: 1.833-31.813), long-term bed rest (OR: 2.347; 95%CI: 1.179-4.669), and abnormal white blood cell count (OR: 1.988; 95%CI: 1.135-3.482) were influencing factors of SAP in elderly patients with stroke (P<0.05). Conclusion Gastric tube indwelling, severe stroke, severe dysphagia, severe disturbance of consciousness, long-term bed rest and abnormal white blood cell count are influencing factors of SAP in elderly patients with stroke. In clinical diagnosis and treatment, preventive measures should be taken in time for high-risk patients with stroke complicated by SAP.
