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- W2390593586 abstract "Objective To investigate the relationship between stroke-associated pneumonia(SAP) and the severity and prognosis of ischemic stroke.Methods 94 patients with ischemic stroke admitted to Beijing Chaoyang Hospital of Capital Medical University from February 2012 to June 2012 were divided into SAP group(49 cases) and non-SAP group(45 cases).General clinical data(age,gender,histories of hypertension,diabetes,hyperlipidemia,coronary heart disease,atrial fibrillation,remote cerebral infarction,malignant tumor and smoking),clinical manifestations(severity of focal nerve defect,disturbance of consciousness and dysphagia),neuroimaging results(stroke area and location),disease assessment and prognosis assessment(hospitality,NIHSS score on admission,NIHSS after confirming SAP,APACHEⅡ score and Rankin score on discharge),laboratory test results and etiological examination results.The related factors of SAP and the relationship between SAP and stroke severity(NIHSS score),health condition(APACHEⅡ),prognosis(improved Rankin score) and hospitality,as well as the laboratory testing results and etiology distribution were all analyzed.Results Occurrence of age75 years,disturbance of consciousness,dysphagia,cerebral infarction in multiple parts,NIHSS15 and APACHEⅡ20 between SAP group and control group showed statistically significant differences(P0.05).The NIHSS score and ApacheⅡ score on admission,Rankin score on discharge,hospitality and mortality between SAP group and non-SAP group showed statistically significant differences(P0.05).The NIHSS on admission and NIHSS on discharge in SAP group also showed statistically significant difference(P0.05).The levels of C reactive protein,brain natriuretic peptide,prealbumin,albumin and erythrocyte sedimentation rate between SAP group and non-SAP group showed statistically significant differences(P0.05).Etiology examination showed that 39 cases were positive and 10 cases were negative with a positive rate of 80%.The results showed 31 strains of gram negative bacilli(9 strains of Acinetobacter baumanii),9 strains of gram positive coccus(8 strains of staphylococcus aureus) and 23 strains of fungi(9 strains of Candida albicans).Conclusion Conclusion SAP can aggravate the symptoms of ischemic stroke,extend hospitality,increase mortality and lead to poor prognosis.The understanding of SAP should be enhanced and appropriate prevention should be given to the patients." @default.
- W2390593586 created "2016-06-24" @default.
- W2390593586 creator A5062260278 @default.
- W2390593586 date "2013-01-01" @default.
- W2390593586 modified "2023-09-23" @default.
- W2390593586 title "Relationship between Stroke-associated Pneumonia and Severity and Prognosis of Ischemic Stroke" @default.
- W2390593586 hasPublicationYear "2013" @default.
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