The relationship between pneumonia and Glasgow coma scale assessment on acute stroke patients

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Ritarwan, K.^1 ; Batubara, C.A.^1 ; Dhanu, R.^1

Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia^1

关键词: General hospitals;    Glasgow coma scale;    Independent predictors;    Length of hospital stays;    Long-term outcome;    Medical complications;    Multivariate logistic regressions;    National institute of healths;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012204/pdf
DOI  :  10.1088/1755-1315/125/1/012204

来源: IOP

【 摘 要 】

Pneumonia is one of the most frequent medical complications of a stroke. Despite the well-documented association of a stroke associated infections with increased mortality and worse long-term outcome, on the other hand, the limited data available on independent predictors of pneumonia in acute stroke patients in an emergency unit. To determine the independentrelationship between pneumonia and Glasgow Coma Scale assessment on acute stroke patients. The cohort retrospective study observed 55 acute stroke patients who stayed in intensive care unit Adam Malik General Hospital from January until August 2017. Pneumonia was more frequent in patients with Ischemic stroke (OR 5.40; 95% CI: 1.28 - 6.40, p=0.003), higher National Institute of Health Stroke Scale (NIHSS) (p=0.014) and lower Glasgow Coma Scale (p=0.0001). Analysis multivariate logistic regression identified NIHSS as an independent of predictors of pneumonia (95% CI : 1.047 - 1.326, p=0.001). Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficits evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients.