Stroke-Associated Pneumonia Risk Score: Validity in a French Stroke Unit

Cugy, E.; Sibon, Igor

doi:10.1016/j.jstrokecerebrovasdis.2016.09.015

Cited by 31 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This will enable us to improve stroke outcome in future. [21][22][23][24][25][26] CONCLUSION Stroke associated pneumonia is the common and serious complication after stroke. All the efforts should be taken to control various factors leading to stroke associated pneumonia like DM, hypertension, impaired swallowing etc to improve stroke outcome.…”

Section: Discussionmentioning

confidence: 99%

Pneumonia

Abbasi

Abid

2018

TPMJ

View full text Add to dashboard Cite

Stroke is a major cause of death and disability globally, with an expected rise in number of patients with ageing and economic transition of developing countries. Pneumonia is one of the major complications after stroke. Stroke associated pneumonia increases risk of death by three fold and is the major cause of morbidity and mortality after the stroke. Objective: To determine the frequency and factors leading to stroke associated pneumonia in all acute stroke patients admitted at a tertiary care hospital. Study Design: Case series. Setting: Medical Department, Aga Khan University Hospital (AKUH), Karachi. Period: six months and extended from 1st July 2015 to 31st December 2015. Material and methods: All adult patients (age 14 years and above) admitted through emergency room in the medical ward of Aga khan university hospital Karachi with the diagnosis of acute stroke on the basis of MRI findings were enrolled after taking informed consent through Non purposive consecutive sampling technique. Demographic data like age and sex were recorded. Diagnosis of stroke associated pneumonia was made on basis of CDC criteria for pneumonia. All analyses was conducted by using the Statistical package for social science SPSS (Release 19.0, standard version, copyright © SPSS; 1989-02). Results: A total of 157 patients admitted with a mean age of the inducted patients were 61.75 ± 13.91 years. According to this stratification, 23 patients (14.65%) were aged less than 45 years and remaining 134 subjects (85.35%) were above the age of 45 years among them 110 were males (70.1 %) and 47 were females (29.9 %). Stroke associated pneumonia was found in 33 (21%) out of 157 patients. Out of 33 patients having stroke associated pneumonia; 14 (42.4%) patients had Diabetes mellitus. Out of 33 patients having stroke associated pneumonia; 28 (84.8%) patients had hypertension. Out of 33 patients having stroke associated pneumonia; 2 (6%) had COPD. Out of 33 patients having stroke associated pneumonia; 2(6%) had Chronic Atrial Fibrillation. Out of 33 patients having stroke associated pneumonia; 21 (63.6%) patients had impaired swallowing. Conclusion: Stroke associated pneumonia is the common and serious complication after stroke. All the efforts should be taken to control various factors leading to stroke associated pneumonia like DM, hypertension, and impaired swallowing to improve stroke outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Pneumonia

Abbasi

Abid

2018

TPMJ

View full text Add to dashboard Cite

show abstract

“…Los principales factores asociados a la NIH post DVC son la disfagia, aspiración e inmunosupresión, además, la disminución de la limpieza mucociliar por alteración de mecanismos como la tos (12,(31)(32)(33). Por ello, distintas organizaciones, han creado métodos predictores o escalas predictoras de neumonía nosocomial asociada a DVC (33)(34)(35). Así mismo, también hay investigaciones para la aplicación de tratamientos medicamentosos preventivos, pero aún no se ha demostrado su validez científica (36,37).…”

Section: Perspectivas Sobre La Neumonía Intrahospitalaria Asociada Alunclassified

Función diafragmática y neumonía intrahospitalaria en pacientes con hemiplejía por desorden vásculo cerebral isquémico

Mallqui¹

2017

Ágora

View full text Add to dashboard Cite

El Desorden Vásculo Cerebral (DVC) es una patología neurológica cuya secuela motriz más común es la hemiplejía que afecta principalmente a la postura y tono muscular, afectándose también los músculos respiratorios. Se comprobó que la función diafragmática esta alterada en su capacidad respiratoria y contráctil. Lo que disminuye la limpieza mucociliar y aumenta el riesgo de neumonía aspirativa. En este trabajo se revisa el estado actual de los conocimientos sobre neumonía intrahospitalaria y función diafragmática en el paciente post DVC.

show abstract

“…The A 2 DS 2 scoring system, which was proposed by Hoffmann et al, is a simple and effective evaluation tool for predicting the risk of SAP during hospitalization [7]. This has been verified in China [8][9][10][11] , France [3] Spain [12], the United Kingdom [13], and Denmark [14]. The A 2 DS 2 assessment can easily be completed on admission.…”

Section: Introductionmentioning

confidence: 98%

“…Stroke-associated pneumonia (SAP) refers to pneumonia occurring during the first seven days after stroke onset in non-ventilated patients [2]. Its incidence has been reported to be approximately 2.3%-44% [3][4][5][6] .Various risk factors of SAP have been identified, such as male gender, elderly age, dysphagia, severe stroke and disturbance of consciousness. The A 2 DS 2 scoring system, which was proposed by Hoffmann et al, is a simple and effective evaluation tool for predicting the risk of SAP during hospitalization [7].…”

Section: Introductionmentioning

confidence: 99%

Risk of Stroke-Associated Pneumonia During Hospitalization: Predictive Ability of Combined A2DS2 Score and Hyperglycemia

Lian²,

Niu

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Stroke-associated pneumonia (SAP) is a common complication of cerebrovascular disease. The A 2 DS 2 score has been used to predict the risk of SAP. However, hyperglycemia is not included in this scale. The purpose of the present study was to explore whether the A 2 DS 2 scoring system and hyperglycemia could predict the risk of SAP more effectively than the conventional A 2 DS 2 scale. Methods: This retrospective study enrolled 2,552 patients with acute ischemic stroke. The A 2 DS 2 scores, fasting blood glucose level and blood glucose level on admission were collected. Regression analysis was used to identify the independent risk factors of SAP. ROC curve analysis was used to evaluate the specificity and sensitivity of the combined A 2 DS 2 score and fasting hyperglycemia for predicting SAP. Results: Fasting hyperglycemia was an independent risk factor for SAP (OR=2.95; 95% confidence interval: 2.11-4.12; P< 0.001). The area under curve of the combined A 2 DS 2 score and fasting hyperglycemia was significantly higher than that of the A 2 DS 2 score alone (0.814 vs. 0.793; P =0.020). Conclusion: Fasting hyperglycemia is an independent risk factor for predicting SAP. Compared with the A2DS2 score, the modified A2DS2 score (combined A2DS2 score and fasting hyperglycemia) is more effective in predicting the risk of SAP. Keywords : Stroke-associated pneumonia; A 2 DS 2 score; Fasting hyperglycemia; Predictive value

show abstract

Stroke-Associated Pneumonia Risk Score: Validity in a French Stroke Unit

Cited by 31 publications

References 16 publications

Pneumonia

Pneumonia

Función diafragmática y neumonía intrahospitalaria en pacientes con hemiplejía por desorden vásculo cerebral isquémico

Risk of Stroke-Associated Pneumonia During Hospitalization: Predictive Ability of Combined A2DS2 Score and Hyperglycemia

Contact Info

Product

Resources

About