Predictors of pneumonia in acute stroke in patients in an emergency unit

Arquivos de Neuro-Psiquiatria

Sara R. M. Almeida¹  Mariana M. Bahia¹  Fabrício O. Lima¹  Ilma A. Paschoal¹  Tânia A. M. O. Cardoso¹  Li Min Li¹ 

关键词: stroke;    pneumonia;    predictors;    length of stay;    acidente vascular cerebral;    pneumonia;    preditores;    tempo de internação;   

DOI  :  10.1590/0004-282X20150046

来源: SciELO

【 摘 要 】

Objective To evaluate the risk factors and comorbid conditions associated with the development of pneumonia in patients with acute stroke. To determine the independent predictors of pneumonia. Method Retrospective study from July to December 2011. We reviewed all medical charts with diagnosis of stroke. Results 159 patients (18-90 years) were admitted. Prevalence of pneumonia was 32%. Pneumonia was more frequent in patients with hemorrhagic stroke (OR: 4.36; 95%CI: 1.9-10.01, p < 0.001), higher National Institute of Health Stroke Scale (NIHSS) (p = 0.047) and, lower Glasgow Coma Score (GCS) (p < 0.0001). Patients with pneumonia had longer hospitalization (p < 0.0001). Multivariable logistic regression analysis identified NIHSS as an independent predictor of pneumonia (95%CI: 1.049-1.246, p = 0.002). Conclusion Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficit as evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients.

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