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MediSur
On-line version ISSN 1727-897X
Abstract
SUAREZ QUESADA, Alexis; ALVAREZ ALIAGA, Alexis; QUESADA VAZQUEZ, Andrés José and PUPO JIMENEZ, Julia Matilde. Factors related to the development of pneumonia associated with ischemic stroke. Medisur [online]. 2022, vol.20, n.5, pp. 935-945. Epub Oct 30, 2022. ISSN 1727-897X.
Background
stroke-associated pneumonia is related to increased mortality, decreased functional recovery and prolonged hospital stay, with the consequent economic impact on health services.
Objective
to identify the risk factors for the development of pneumonia associated with ischemic stroke.
Methods
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.
Results
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 Enterobacter aerogenes (26.3%). In relation to the fulfilled clinical criteria, 89.1% presented leukocyte alteration.
Conclusion
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.
Keywords : Stroke; pneumonia; risk factors; cohort studies.