TO EVALUATE THE RATE OF PNEUMONIA AFTER ACUTE STROKE PATIENTS IN PHASE REHABILITATION

Đào Vũ Đỗ, Quang Dự Nguyễn, Thị Linh Trần, Đào Quang4 Đỗ, Thị Mỹ Linh Nguyễn, Thị Vân Anh Uông, Thu Thủy Phạm, Thiện Nhân Nguyễn, Việt Phương Đào, Văn Giáp Vũ

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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%.

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References

Ahmad M, Ayaz Z, Sinha T, et al. Risk Factors for the Development of Pneumonia in Stroke Patients: A Systematic Review and Meta-Analysis. Cureus. Published online March 27, 2024. doi:10.7759/cureus.57077
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