NGHIÊN CỨU GIÁ TRỊ THANG ĐIỂM VIÊM PHỔI SEOUL TRÊN BỆNH NHÂN VIÊM PHỔI THỨ PHÁT SAU ĐỘT QUỴ NÃO CẤP TẠI TRUNG TÂM ĐỘT QUỴ PHÚ THỌ

Abstract

Background: Survey value of Seoul pneumonia score in patients with brain stroke in the acute stage. Subjects and Methods: Including 65 first-time stroke patients admitted to the hospital for inpatient treatment at the Stroke Center - Phu Tho Provincial Hospital from November 2020 to March 2021. Diagnosis of nosocomial pneumonia according to the Guidelines for diagnosis and treatment of respiratory diseases issued by the Ministry of Health in 2012. Research was conducted according to the method of prospective, descriptive statistics. Results: Average age is 62,0±11,5, male/female ratio: 2/1, average NIHSS score 8,2 ± 6,5 and patients with mechanical ventilation 7,3%. Nosocomial pneumonia ratio 13,5%. In patients with hemorrhagic stroke, with mechanical ventilation, Severe disorders of consciousness (Glasgow < 9), moderate to severe stroke (NIHSS≥ 15) had a much higher rate of pneumonia with p< 0,001; There was no relationship between age, sex and blood pressure level with the incidence of nosocomial pneumonia in stroke patients. The rate of pneumonia was lowest in patients with a score of Seoul pneumonia (VPS) = 0 (0%), The rate of pneumonia was highest in patients with a score of Seoul pneumonia (VPS) = 5 (83,33%). Conclusion: In patients with acute stroke, nosocomial pneumonia take 13.5%. There is an association between hemorrhagic stroke, mechanical ventilation, Severe disorders of consciousness, moderate to severe stroke and the rate of nosocomial pneumonia. VPS score has the ability to predict pneumonia with high specificity but low sensitivity.