Factors related to the development of pneumonia associated with ischemic stroke
<p><strong>Background</strong>: stroke-associated pneumonia is related to increased mortality, decreased functional recovery and prolonged hospital stay, with the consequent economic impact on health services.<br /><strong>Objective</strong>: to identify the risk...
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2022-10-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5476 |
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| author | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés Quesada Vázquez Julia Matilde Pupo Jiménez |
| author_facet | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés Quesada Vázquez Julia Matilde Pupo Jiménez |
| author_sort | Alexis Suárez Quesada |
| collection | DOAJ |
| description | <p><strong>Background</strong>: stroke-associated pneumonia is related to increased mortality, decreased functional recovery and prolonged hospital stay, with the consequent economic impact on health services.<br /><strong>Objective</strong>: to identify the risk factors for the development of pneumonia associated with ischemic stroke.<br /><strong>Methods</strong>: analytical observational study, prospective cohort, with 725 patients diagnosed with ischemic stroke, treated at the Carlos Manuel de Céspedes Hospital (Bayamo, province of Granma), from January 2015 to July 2019. The association of the variables Sociodemographic, personal pathological history, toxic habits, stroke conditions, dysphagia, biochemical and immunonutritional markers with the development of pneumonia associated with ischemic stroke were determined using binary logistic regression.<br /><strong>Results</strong>: Of the total number of patients studied, 21.5% developed pneumonia associated with stroke. The main risk factors were dysphagia (OR= 13.9), COPD (OR= 13.9) and a score on the NIHSS scale ≥ 12 points (OR= 8.31). The most frequently isolated germ was <em>Enterobacter aerogenes</em> (26.3%). In relation to the fulfilled clinical criteria, 89.1% presented leukocyte alteration.<strong><br />Conclusion</strong>: the logistic regression model made it possible to identify the factors related to the development of pneumonia associated with ischemic stroke based on data available on a regular basis in healthcare practice.</p> |
| format | Article |
| id | doaj-art-8981ce5c1fc34fce9022e2c434b479e2 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2022-10-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-8981ce5c1fc34fce9022e2c434b479e22025-01-30T21:28:59ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2022-10-012059359452198Factors related to the development of pneumonia associated with ischemic strokeAlexis Suárez Quesada0Alexis Álvarez Aliaga1Andrés Quesada Vázquez2Julia Matilde Pupo Jiménez3Hospital General Provincial Carlos Manuel de Céspedes. Bayamo, GranmaHospital General Provincial Carlos Manuel de Céspedes. Bayamo, GranmaHospital General Provincial Carlos Manuel de Céspedes. Bayamo, GranmaHospital General Provincial Carlos Manuel de Céspedes. Bayamo, Granma<p><strong>Background</strong>: stroke-associated pneumonia is related to increased mortality, decreased functional recovery and prolonged hospital stay, with the consequent economic impact on health services.<br /><strong>Objective</strong>: to identify the risk factors for the development of pneumonia associated with ischemic stroke.<br /><strong>Methods</strong>: analytical observational study, prospective cohort, with 725 patients diagnosed with ischemic stroke, treated at the Carlos Manuel de Céspedes Hospital (Bayamo, province of Granma), from January 2015 to July 2019. The association of the variables Sociodemographic, personal pathological history, toxic habits, stroke conditions, dysphagia, biochemical and immunonutritional markers with the development of pneumonia associated with ischemic stroke were determined using binary logistic regression.<br /><strong>Results</strong>: Of the total number of patients studied, 21.5% developed pneumonia associated with stroke. The main risk factors were dysphagia (OR= 13.9), COPD (OR= 13.9) and a score on the NIHSS scale ≥ 12 points (OR= 8.31). The most frequently isolated germ was <em>Enterobacter aerogenes</em> (26.3%). In relation to the fulfilled clinical criteria, 89.1% presented leukocyte alteration.<strong><br />Conclusion</strong>: the logistic regression model made it possible to identify the factors related to the development of pneumonia associated with ischemic stroke based on data available on a regular basis in healthcare practice.</p>http://medisur.sld.cu/index.php/medisur/article/view/5476accidente cerebrovascularneumoníafactores de riesgoestudios de cohorte |
| spellingShingle | Alexis Suárez Quesada Alexis Álvarez Aliaga Andrés Quesada Vázquez Julia Matilde Pupo Jiménez Factors related to the development of pneumonia associated with ischemic stroke Medisur accidente cerebrovascular neumonía factores de riesgo estudios de cohorte |
| title | Factors related to the development of pneumonia associated with ischemic stroke |
| title_full | Factors related to the development of pneumonia associated with ischemic stroke |
| title_fullStr | Factors related to the development of pneumonia associated with ischemic stroke |
| title_full_unstemmed | Factors related to the development of pneumonia associated with ischemic stroke |
| title_short | Factors related to the development of pneumonia associated with ischemic stroke |
| title_sort | factors related to the development of pneumonia associated with ischemic stroke |
| topic | accidente cerebrovascular neumonía factores de riesgo estudios de cohorte |
| url | http://medisur.sld.cu/index.php/medisur/article/view/5476 |
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