Detection of airway protective level of the cough reflex in acute stroke patients

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

article

Belal, Ehab Shaker¹  Selim, Samah²  Aboul fotouh, Alshaimaa M.¹  Mohammad, Asmaa¹ 

[1] Department of Neurology, Faculty of Medicine, Cairo University;Department of Chest, Faculty of Medicine, Cairo University

关键词: Post-strokes respiratory complications;    Cough reflex;    Mann Assessment of Swallowing Ability;   

DOI  :  10.1186/s41983-020-0157-9

学科分类：医学（综合）

来源: Springer

【 摘 要 】

The most common respiratory complications in cerebrovascular strokes were respiratory infection, pulmonary edema, acute lung injury (ALI) acute respiratory distress syndrome (ARDS) and pulmonary embolism (PE). The inhalation cough challenge facilitates the quantification of cough. To detect the level of cough reflex that is enough to protect against respiratory infection in stroke patients, and to identify predictors of post-stroke respiratory infection. One hundred and one of cerebrovascular stroke patients were assessed in the first week of symptoms by National Institutes of Health Stroke Scale (NIHSS) Arabic version, Mann Assessment of Swallowing Ability (MASA), cough challenge test, cough flow meter, and A2DS2 score. Then, follow up after 1 week. Post-stroke respiratory infection was higher in older patients and those who were not working. Respiratory infection was significantly associated with high A2DS2 and NIHSS score (p value < 0.001). A highly significant increase in the levels of the inflammatory markers was detected in patients with a respiratory infection. Eighty percent of stroke patients with no cough developed a respiratory infection. The Mann total scores and the peak cough flow were lower in patients who had a respiratory infection. Preserved cough reflex is essential in preventing aspirations and consequent respiratory infections.

【 授权许可】

CC BY