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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Predictors of pneumonia in acute stroke in patients in an emergency unit

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Autor(es):
Almeida, Sara R. M. [1] ; Bahia, Mariana M. [1] ; Lima, Fabricio O. [1] ; Paschoal, Ilma A. [2] ; Cardoso, Tania A. M. O. [1] ; Li, Li Min [1]
Número total de Autores: 6
Afiliação do(s) autor(es):
[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Neurol, BR-13083887 Campinas, SP - Brazil
[2] Univ Estadual Campinas, Fac Ciencias Med, Dept Clin Med, Campinas, SP - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: Arquivos de Neuro-Psiquiatria; v. 73, n. 5, p. 415-419, MAY 2015.
Citações Web of Science: 5
Resumo

Objective: To evaluate the risk factors and comorbid conditions associated with the development of pneumonia in patients with acute stroke. To determine the independent predictors of pneumonia. Method: Retrospective study from July to December 2011. We reviewed all medical charts with diagnosis of stroke. Results: 159 patients (18-90 years) were admitted. Prevalence of pneumonia was 32%. Pneumonia was more frequent in patients with hemorrhagic stroke (OR: 4.36; 95% CI: 1.9-10.01, p < 0.001), higher National Institute of Health Stroke Scale (NIHSS) (p = 0.047) and, lower Glasgow Coma Score (GCS) (p < 0.0001). Patients with pneumonia had longer hospitalization (p < 0.0001). Multivariable logistic regression analysis identified NIHSS as an independent predictor of pneumonia (95% CI: 1.049-1.246, p = 0.002). Conclusion: Pneumonia was associated with severity and type of stroke and length of hospital stay. The severity of the deficit as evaluated by the NIHSS was shown to be the only independent risk factor for pneumonia in acute stroke patients. (AU)

Processo FAPESP: 13/07559-3 - Instituto Brasileiro de Neurociência e Neurotecnologia - BRAINN
Beneficiário:Fernando Cendes
Linha de fomento: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs