SURVEY ON THE PREVALENCE AND ASSOCIATED FACTORS OF POST-STROKE PNEUMONIA AT CA MAU GENERAL HOSPITAL IN 2024

Ngọc Linh Huỳnh, Thể Tần Nguyễn, Thị Ngọc Diễm Phan, Hoài Thương Võ

Main Article Content

Abstract

Introduction: Pneumonia is a frequent and severe complication in patients with acute stroke, contributing to increased mortality, prolonged hospital stay, and elevated treatment costs. Early detection and management of risk factors are essential to improve patient prognosis. Objectives: To determine the prevalence of pneumonia and analyze associated factors in patients with acute stroke treated at Ca Mau General Hospital in 2024. Subjects and Methods: A cross-sectional descriptive study was conducted on 1,718 patients with acute stroke. Epidemiological, clinical, and interventional data were collected and analyzed using Stata software version 18.0. Multivariable logistic regression was employed to identify associated factors. Results: The prevalence of post-stroke pneumonia was 15.37%. Statistically significant associated factors included male sex (aOR = 1.67), advanced age (aOR = 1.29), high NIHSS score (aOR = 1.67), decreased consciousness (aOR = 4.16); dysphagia (aOR = 2.75), cerebral hemorrhage (aOR = 3.72); mechanical ventilation (aOR = 5.72), multiple comorbidities (aOR = 1,23), nasogastric tube placement (aOR = 2.19), and multiple comorbidities (aOR = 1.23), all with p < 0.05. Conclusion: Post-stroke pneumonia remains a common complication. Screening and control of risk factors such as male gender, patients with decreased consciousness, and those with multiple comorbidities, dysphagia, mechanical ventilation, and nasogastric tube placement are recommended to reduce this complication.

Article Details

References

1. Đặng Phúc Đức, Đỗ Đức Thuần (2023), “Tiên lượng nguy cơ viêm phổi trên bệnh nhân đột quỵ não dựa vào thang điểm đột quỵ của các Viện Sức khỏe Quốc gia (NIHSS)”, Tạp chí Y học, 363(7), tr: 45-48.
2. Nguyễn Ngọc Hòa, Đào Thanh Lưu (2022), “Nghiên cứu một số yếu tố nguy cơ viêm phổi ở bệnh nhân nhồi máu não diện rộng tại Trung tâm Đột quỵ - Bệnh viện Hữu nghị Đa khoa Nghệ An”, Tạp chí Y học Việt Nam, Số 2, tr. 144–148.
3. Armstrong, J. R., & Mosher, B. D. (2011), Aspiration pneumonia after stroke: Intervention and prevention, The Neurohospitalist, 1(2), 85–93. ttps://doi.org/10.1177/1941875210395775
4. Đỗ Đào Vũ và cs (2024), “Khảo sát tỷ lệ viêm phổi trên người bệnh phục hồi chức năng sau đột quỵ não cấp” Tạp chí Y học Việt Nam, 542, 3, tr: 205-210.
5. De Jonge, J.C., et al. (2021), “Temporal profile of pneumonia after stroke and the importance of dysphagia”, PLOS ONE, 16(6), e0252905. https://doi.org/10.1371/journal.pone.0252905
6. Grossmann I. et al. (2021), Stroke and Pneumonia: Mechanisms, Risk Factors, Management, and Prevention, Cureus, 13(11): e19912.
7. Kalra, L., Patel, M., Smithard, D., and Jackson, S. (2012), “A prospective study of post-stroke pneumonia in an acute stroke unit”, Geriatrics & Gerontology International, 12(3), pp. 521–527.
8. Mermel, L.A., et al. (2012), “Clinical Practice Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia”, American Journal of Respiratory and Critical Care Medicine, 171(4), pp. 388–416.