TO EVALUATE THE RATE OF PNEUMONIA AFTER ACUTE STROKE PATIENTS IN PHASE REHABILITATION
Main Article Content
Abstract
Objective: To evaluate the rate of pneumonia after acute stroke patients in phase rehabilitation and describe the relationship between pneumonia associated stroke (SAP) and rehabilitation outcomes. Subject and methods: Prospective descriptive study on 465 patients diagnosed with acute stroke at the rehabilitation center of Bach Mai hospital from March 2023 to December 2023. Results: Average age is 62.88±12.95, male/female ratio is 2/1, ischemic rate is 74.8%, cerebral hemorrhage is 25.2%, average NIHSS score is 9.57±3.7. The SAP rate is 16.34%. Patients with SAP has a higher rate of dysphagia, rate of nasogastric tube, and NIHSS score than the group of patients without SAP, p < 0.05. Conclusion: The rate of SAP at rehabilitation center Bach Mai hospital is quite high at 16.34%.
Article Details
Keywords
pneumonia associated stroke, rehabilitation outcome
References
2. Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia - ProQuest. Accessed June 15, 2021. https://www.proquest.com/openview/ a1f5fc7969996bf33f6aeedad5f37e7e/1?pq-origsite=gscholar&cbl=40575
3. Smith CJ, Kishore AK, Vail A, et al. Diagnosis of Stroke-Associated Pneumonia: Recommendations From the Pneumonia in Stroke Consensus Group. Stroke. 2015;46(8):2335-2340. doi:10.1161/ STROKEAHA.115.009617
4. Hannawi Y, Hannawi B, Rao CPV, Suarez JI, Bershad EM. Stroke-associated pneumonia: major advances and obstacles. Cerebrovasc Dis Basel Switz. 2013;35(5): 430-443. doi:10.1159/ 000350199
5. Phúc ĐĐ, Thuần ĐĐ. Tiên lượng nguy cơ viêm phổi ở bệnh nhân đột quỵ não dựa vào thang điểm điểm đột quỵ của các viện sức khỏe quốc gia mỹ. Tạp Chí Y Học Quân Sự. 2023;(363):45-48. doi:10.59459/1859-1655/JMM.43
6. Zhang SY, Huang J, Zhou XL. A Meta-analysis of the Risk Factors for Stroke-associated Pneumonia. J Coll Physicians Surg--Pak JCPSP. 2023; 33(7): 799-803. doi:10.29271/jcpsp. 2023.07.799
7. Dziewas R, Warnecke T, Hamacher C, et al. Do nasogastric tubes worsen dysphagia in patients with acute stroke? BMC Neurol. 2008;8(1):28. doi:10.1186/1471-2377-8-28