Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age
<strong>Foundation:</strong> infection associated with stroke is the most important medical complication because it increases both the morbidity and the mortality rate in the first 30 days after the event occurs. <br /><strong>Objective:</strong> to identify risk factor...
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| Format: | Article |
| Language: | Spanish |
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Universidad de las Ciencias Médicas de Cienfuegos
2024-09-01
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| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1381 |
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| author | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés José Quesada Vázquez Eduardo René Valdés Ramos Ezequiel Ernesto López Espinosa |
| author_facet | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés José Quesada Vázquez Eduardo René Valdés Ramos Ezequiel Ernesto López Espinosa |
| author_sort | Alexis Suárez Quesada |
| collection | DOAJ |
| description | <strong>Foundation:</strong> infection associated with stroke is the most important medical complication because it increases both the morbidity and the mortality rate in the first 30 days after the event occurs. <br /><strong>Objective:</strong> to identify risk factors for infection associated with ischemic stroke in patients over 60 years of age. <br /><strong>Methods:</strong> a prospective cohort analytical study was carried out in patients over 60 years of age with a diagnosis of ischemic stroke treated at the Carlos Manuel de Cespedes General University Hospital in the municipality of Bayamo, Granma province, in the period of time from January 2018 until December 2022. The dependent variable was determined: infection associated with ischemic stroke and as independent variables the factors with possible influence on the development of infection associated with ischemic stroke. The means and standard deviations were determined, along with the minimum and maximum values of each distribution and absolute and relative frequencies were obtained.<br /> <strong>Results:</strong> the binary logistic regression model, adjusted by the forward method, identified that the factors with independent influence are the NIHSS score > 13 points (OR = 18.0; 95 % CI = 7.3 - 44.3; p= 0.000), neurodegenerative diseases (OR = 17.3; 95 % CI = 3.4 - 87.8; p= 0.001), dysphagia (OR = 6.2; 95% CI = 2.5 - 15 .3; p= 0.000) and atrial fibrillation (OR = 4.2; 95 % CI = 1.4 - 12.5; p= 0.008). <br /><strong>Conclusions:</strong> the severity of ischemic stroke, the coexistence of neurodegenerative diseases and dysphagia constitute the main risk factors for infection associated with ischemic stroke in patients over 60 years of age. |
| format | Article |
| id | doaj-art-5bfa942a2e5f4f16aab84f5416897204 |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2024-09-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-5bfa942a2e5f4f16aab84f54168972042025-01-30T21:22:03ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342024-09-01144386395738Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of AgeAlexis Suárez Quesada0Alexis Álvarez Aliaga1Andrés José Quesada Vázquez2Eduardo René Valdés Ramos3Ezequiel Ernesto López Espinosa4Hospital General Universitario Carlos Manuel de Céspedes. Bayamo. Granma.Hospital General Universitario Carlos Manuel de Céspedes. Bayamo. Granma.Hospital General Universitario Carlos Manuel de Céspedes. Bayamo. Granma.Hospital General Universitario Carlos Manuel de Céspedes. Bayamo. Granma.Hospital General Universitario Carlos Manuel de Céspedes. Bayamo. Granma.<strong>Foundation:</strong> infection associated with stroke is the most important medical complication because it increases both the morbidity and the mortality rate in the first 30 days after the event occurs. <br /><strong>Objective:</strong> to identify risk factors for infection associated with ischemic stroke in patients over 60 years of age. <br /><strong>Methods:</strong> a prospective cohort analytical study was carried out in patients over 60 years of age with a diagnosis of ischemic stroke treated at the Carlos Manuel de Cespedes General University Hospital in the municipality of Bayamo, Granma province, in the period of time from January 2018 until December 2022. The dependent variable was determined: infection associated with ischemic stroke and as independent variables the factors with possible influence on the development of infection associated with ischemic stroke. The means and standard deviations were determined, along with the minimum and maximum values of each distribution and absolute and relative frequencies were obtained.<br /> <strong>Results:</strong> the binary logistic regression model, adjusted by the forward method, identified that the factors with independent influence are the NIHSS score > 13 points (OR = 18.0; 95 % CI = 7.3 - 44.3; p= 0.000), neurodegenerative diseases (OR = 17.3; 95 % CI = 3.4 - 87.8; p= 0.001), dysphagia (OR = 6.2; 95% CI = 2.5 - 15 .3; p= 0.000) and atrial fibrillation (OR = 4.2; 95 % CI = 1.4 - 12.5; p= 0.008). <br /><strong>Conclusions:</strong> the severity of ischemic stroke, the coexistence of neurodegenerative diseases and dysphagia constitute the main risk factors for infection associated with ischemic stroke in patients over 60 years of age.https://revfinlay.sld.cu/index.php/finlay/article/view/1381accidente cerebrovascularinfecciónneumoníaictus |
| spellingShingle | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés José Quesada Vázquez Eduardo René Valdés Ramos Ezequiel Ernesto López Espinosa Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age Revista Finlay accidente cerebrovascular infección neumonía ictus |
| title | Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age |
| title_full | Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age |
| title_fullStr | Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age |
| title_full_unstemmed | Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age |
| title_short | Risk Factors for Infection Associated with Ischemic Stroke in Patients over 60 Years of Age |
| title_sort | risk factors for infection associated with ischemic stroke in patients over 60 years of age |
| topic | accidente cerebrovascular infección neumonía ictus |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/1381 |
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