Post-stroke management research in the light of a rehabilitation scheme aimed at reducing the risk of developing pneumonia

Abstract

Introduction. Pneumonia is one of the most common infectious complications among people after stroke. The presence of this complication is associated with a significant increase in mortality and a deterioration in the clinical condition of the patients resulting in a longer hospitalization time and more severe rehabilitation, which translates into worse functional status. Objective. The aim of the study is to analyze the causes and consequences of the development of pneumonia in early post-stroke rehabilitation and to indicate the need for modification of rehabilitation methods at the onset of infection. Description of the state of knowledge. According to the literature describing infections found in neurological departments and intensive care, the concept of Stroke-associated pneumonia (SAP) is believed to be associated with pneumonia. Risk factors in this situation are disturbances of consciousness and dysphagia, and it is assumed that this condition is associated with abnormal dopamine transmission in patients after extensive stroke. Conslusion. In the early post-stroke period, there are numerous predictors of pneumonia: dysphagia, decrease in P levels, cough reflex, adverse bacterial flora development, postprandial immunodepression, mechanical ventilation and hypokinesia, which allow early identification of patients particularly at risk. the risk of disease development and the use of appropriate measures. On the one hand, it points to the need to develop a variety of measures to minimize the risk of developing pneumonia and to rapidly develop new standards of management to improve upon the onset of pneumonia so as to reduce the consequences of infection.