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Date Published: 23/06/2022
Abstract Views: 377
Views PDF: 170
DOI: https://doi.org/10.51298/vmj.v515i2.2776
Issue
Vol. 515 No. 2 (2022)
Section
Các bài báo
How to Cite
Ngọc Hoà, N. ., & Thanh Lưu, Đào . (2022). RISK FACTORS FOR DEVELOPING PNEUMONIA IN PATIENSTS WITH LARGE INFARCTION AT STROKE CENTER, NGHE AN FRIENDSHIP GENERAL HOSPITAL. Vietnam Medical Journal, 515(2). https://doi.org/10.51298/vmj.v515i2.2776

RISK FACTORS FOR DEVELOPING PNEUMONIA IN PATIENSTS WITH LARGE INFARCTION AT STROKE CENTER, NGHE AN FRIENDSHIP GENERAL HOSPITAL

Nguyễn Ngọc Hoà1,, Đào Thanh Lưu1
1 Stroke Center, Nghe An Friendship General Hospital

Main Article Content

Abstract

Background: Pneumonia is a common complication of stroke, especially in large infarctions and is a leading cause of death after a stroke. As a result, it is crucial to focus on pneumonia prevention and care in order to improve the prognosis of stroke patients. This study aimed to investigate the risk factors of pneumonia following a large infarction. Methods: This cross-sectional study involved 172 patients with large infarction, comprising 101 pneumonia patients and 71 non-pneumonia patients. Results: The mean age of patients was 73,76 ± 9,54, their mean GCS and NIHSS were 12,38 ± 1,72 and 15,07 ± 4,50, respectively. Klebsiella 6.93%, E. coli 6.94%, Acinetobacter baumannii 4.95%, MRSA 1.98%, and unknown cause 79,2% were the microbial etiologies of pneumonia. Our findings revealed several risk factors for pneumonia in patients with large infarction: age 80 (OR = 9,578, 95% CI 3,58-25,67), GCS 13 (PR = 3,06, 95% CI 2,28-4,12), NIHSS 12 (PR = 10,87, 95% CI 3,64-32,57), ASPECTS 6 (PR = 1,62, 95% CI 1,29-2,04), dysphagia (PR = 16,22, 95% CI 2,37-110. Conclusions: Older age, a more severe ischemic stroke, a larger infarct lesion on imaging, and dysphagia may all help predict the incidence of pneumonia after a massive infarction.

Article Details

Keywords

pneumonia, large infarction, ischemic stroke, risk factor

References

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