Predictors of pneumonia in acute stroke in patients in an emergency unit
Objective To evaluate the risk factors and comorbid conditions associated with the development of pneumonia in patients with acute stroke. To determine the independent predictors of pneumonia. Method Retrospective study from July to December 2011. We reviewed all medical charts with diagnosis of str...
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2015-05-01
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doaj-1438b1b4016047bf89c9d3cd61e38aec2020-11-24T20:58:33ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272015-05-0173541541910.1590/0004-282X20150046S0004-282X2015000500008Predictors of pneumonia in acute stroke in patients in an emergency unitSara R. M. AlmeidaMariana M. BahiaFabrício O. LimaIlma A. PaschoalTânia A. M. O. CardosoLi Min LiObjective To evaluate the risk factors and comorbid conditions associated with the development of pneumonia in patients with acute stroke. To determine the independent predictors of pneumonia. Method Retrospective study from July to December 2011. We reviewed all medical charts with diagnosis of stroke. Results 159 patients (18-90 years) were admitted. Prevalence of pneumonia was 32%. Pneumonia was more frequent in patients with hemorrhagic stroke (OR: 4.36; 95%CI: 1.9-10.01, p < 0.001), higher National Institute of Health Stroke Scale (NIHSS) (p = 0.047) and, lower Glasgow Coma Score (GCS) (p < 0.0001). Patients with pneumonia had longer hospitalization (p < 0.0001). Multivariable logistic regression analysis identified NIHSS as an independent predictor of pneumonia (95%CI: 1.049-1.246, p = 0.002). Conclusion Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficit as evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500008&lng=en&tlng=enacidente vascular cerebralpneumoniapreditorestempo de internação |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sara R. M. Almeida Mariana M. Bahia Fabrício O. Lima Ilma A. Paschoal Tânia A. M. O. Cardoso Li Min Li |
spellingShingle |
Sara R. M. Almeida Mariana M. Bahia Fabrício O. Lima Ilma A. Paschoal Tânia A. M. O. Cardoso Li Min Li Predictors of pneumonia in acute stroke in patients in an emergency unit Arquivos de Neuro-Psiquiatria acidente vascular cerebral pneumonia preditores tempo de internação |
author_facet |
Sara R. M. Almeida Mariana M. Bahia Fabrício O. Lima Ilma A. Paschoal Tânia A. M. O. Cardoso Li Min Li |
author_sort |
Sara R. M. Almeida |
title |
Predictors of pneumonia in acute stroke in patients in an emergency unit |
title_short |
Predictors of pneumonia in acute stroke in patients in an emergency unit |
title_full |
Predictors of pneumonia in acute stroke in patients in an emergency unit |
title_fullStr |
Predictors of pneumonia in acute stroke in patients in an emergency unit |
title_full_unstemmed |
Predictors of pneumonia in acute stroke in patients in an emergency unit |
title_sort |
predictors of pneumonia in acute stroke in patients in an emergency unit |
publisher |
Academia Brasileira de Neurologia (ABNEURO) |
series |
Arquivos de Neuro-Psiquiatria |
issn |
1678-4227 |
publishDate |
2015-05-01 |
description |
Objective To evaluate the risk factors and comorbid conditions associated with the development of pneumonia in patients with acute stroke. To determine the independent predictors of pneumonia. Method Retrospective study from July to December 2011. We reviewed all medical charts with diagnosis of stroke. Results 159 patients (18-90 years) were admitted. Prevalence of pneumonia was 32%. Pneumonia was more frequent in patients with hemorrhagic stroke (OR: 4.36; 95%CI: 1.9-10.01, p < 0.001), higher National Institute of Health Stroke Scale (NIHSS) (p = 0.047) and, lower Glasgow Coma Score (GCS) (p < 0.0001). Patients with pneumonia had longer hospitalization (p < 0.0001). Multivariable logistic regression analysis identified NIHSS as an independent predictor of pneumonia (95%CI: 1.049-1.246, p = 0.002). Conclusion Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficit as evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients. |
topic |
acidente vascular cerebral pneumonia preditores tempo de internação |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500008&lng=en&tlng=en |
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