Risk Factors for Stroke Associated Pneumonia

Do Quyet; Nguyen Minh Hien; Mai Xuan Khan; Pham Dinh Dai; Do Duc Thuan; Dang Minh Duc; Nguyen Dang Hai; Bui Van Nam; Pham Quoc Huy; Mai Duy Ton; Dang Tien Truong; Vu Thi Nga; Dang Phuc Duc

doi:10.3889/oamjms.2019.873

Risk Factors for Stroke Associated Pneumonia

Open Access Maced J Med Sci. 2019 Dec 20;7(24):4416-4419. doi: 10.3889/oamjms.2019.873. eCollection 2019 Dec 30.

Authors

Affiliations

¹ Respiratory Center, Military Hospital 103, Hanoi, Vietnam.
² Stroke Department, Military Hospital 103, Hanoi, Vietnam.
³ Emergency Department, Military Hospital 103, Hanoi, Vietnam.
⁴ Emergency Department, Bach Mai Hospital, Hanoi, Vietnam.
⁵ Vietnam Military Medical University, Hanoi, Vietnam.
⁶ Institute for Research and Development, Duy Tan University, Danang, Vietnam.

Abstract

Background: Stroke patients are at high risk for stroke-associated pneumonia (SAP). If patients suffer from pneumonia their prognosis will worsen.

Aim: To identify factors that increases the risk of SAP in stroke patients.

Methods: A group of 508 patients hospitalized within 5 days after the onset of stroke were enrolled prospectively.

Results: The incidence of SAP was 13.4%. Some major risk factors for SAP are: mechanical ventilation (MV) had odds ratio (OR) 16.4 (p <0.01); the National Institutes of Health Stroke Scale (NIHSS) > 15 OR 9.1 (p <0.01); the Gugging Swallowing Screen (GUSS) 0-14 OR 11.7 (p <0.01).

Conclusion: SAP is a frequent complication. We identified some risk factors of SAP, especially stroke severity (NIHSS > 15), swallowing disorder (GUSS < 15) and mechanical ventilation.

Keywords: Gugging Swallowing Screen (GUSS); National Institutes of Health Stroke Scale (NIHSS); stroke; stroke-associated pneumonia (SAP).

Copyright: © 2019 Do Quyet, Nguyen Minh Hien, Mai Xuan Khan, Pham Dinh Dai, Do Duc Thuan, Dang Minh Duc, Nguyen Dang Hai, Bui Van Nam, Pham Quoc Huy, Mai Duy Ton, Dang Tien Truong, Vu Thi Nga, Dang Phuc Duc.