Risk factors for and impact of poststroke pneumonia in patients with acute ischemic stroke
Poststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains inadequate due to severe impairment to the respiratory system by PSP. Thus, it is crucial to focus on preventing PSP to improve the prognosis of patie...
Saved in:
Published in | Medicine (Baltimore) Vol. 100; no. 12; p. e25213 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Lippincott Williams & Wilkins
26.03.2021
|
Subjects | |
Online Access | Get full text |
ISSN | 0025-7974 1536-5964 1536-5964 |
DOI | 10.1097/MD.0000000000025213 |
Cover
Abstract | Poststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains inadequate due to severe impairment to the respiratory system by PSP. Thus, it is crucial to focus on preventing PSP to improve the prognosis of patients with stroke.This prospective single-center Cohort study aimed to investigate the risk factors for pulmonary infection following an ischemic stroke and identify whether PSP significantly influences the prognosis of patients after stroke.Altogether, 451 patients who were treated for acute ischemic stroke in the First Affiliated Hospital of Chongqing Medical University in China between April 2017 and April 2018 were enrolled. Clinical data from the patients from admission to 3 months after discharge were collected. PSP was the primary outcome and poor prognosis or death at 3 months following discharge was the secondary outcome observed in this study. We performed logistic regression analyses to identify the risk factors for PSP and test an association between pneumonia and poor prognosis or death after stroke.Our findings revealed the following risk factors for PSP: atrial fibrillation odds ratio (OR) = 2.884, 95% confidence intervals (CI) = 1.316-6.322), being bedridden (OR = 2.797, 95%CI = 1.322-5.921), subject to an invasive procedure (OR = 12.838, 95%CI = 6.296-26.178), massive cerebral infarction (OR = 3.994, 95%CI = 1.496-10.666), and dysphagia (OR = 2.441, 95%CI = 1.114-5.351). Pneumonia was a risk factor for poor prognosis (OR = 2.967, 95%CI = 1.273-6.915) and death (OR = 5.493, 95%CI = 1.825-16.53) after stroke.Hence, since pneumonia increases the risk of poor prognosis and death following acute ischemic stroke, preventing, and managing the risk factors for PSP may improve the prognosis and reduce the mortality after stroke. |
---|---|
AbstractList | Poststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains inadequate due to severe impairment to the respiratory system by PSP. Thus, it is crucial to focus on preventing PSP to improve the prognosis of patients with stroke.This prospective single-center Cohort study aimed to investigate the risk factors for pulmonary infection following an ischemic stroke and identify whether PSP significantly influences the prognosis of patients after stroke.Altogether, 451 patients who were treated for acute ischemic stroke in the First Affiliated Hospital of Chongqing Medical University in China between April 2017 and April 2018 were enrolled. Clinical data from the patients from admission to 3 months after discharge were collected. PSP was the primary outcome and poor prognosis or death at 3 months following discharge was the secondary outcome observed in this study. We performed logistic regression analyses to identify the risk factors for PSP and test an association between pneumonia and poor prognosis or death after stroke.Our findings revealed the following risk factors for PSP: atrial fibrillation odds ratio (OR) = 2.884, 95% confidence intervals (CI) = 1.316-6.322), being bedridden (OR = 2.797, 95%CI = 1.322-5.921), subject to an invasive procedure (OR = 12.838, 95%CI = 6.296-26.178), massive cerebral infarction (OR = 3.994, 95%CI = 1.496-10.666), and dysphagia (OR = 2.441, 95%CI = 1.114-5.351). Pneumonia was a risk factor for poor prognosis (OR = 2.967, 95%CI = 1.273-6.915) and death (OR = 5.493, 95%CI = 1.825-16.53) after stroke.Hence, since pneumonia increases the risk of poor prognosis and death following acute ischemic stroke, preventing, and managing the risk factors for PSP may improve the prognosis and reduce the mortality after stroke. Poststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains inadequate due to severe impairment to the respiratory system by PSP. Thus, it is crucial to focus on preventing PSP to improve the prognosis of patients with stroke.This prospective single-center Cohort study aimed to investigate the risk factors for pulmonary infection following an ischemic stroke and identify whether PSP significantly influences the prognosis of patients after stroke.Altogether, 451 patients who were treated for acute ischemic stroke in the First Affiliated Hospital of Chongqing Medical University in China between April 2017 and April 2018 were enrolled. Clinical data from the patients from admission to 3 months after discharge were collected. PSP was the primary outcome and poor prognosis or death at 3 months following discharge was the secondary outcome observed in this study. We performed logistic regression analyses to identify the risk factors for PSP and test an association between pneumonia and poor prognosis or death after stroke.Our findings revealed the following risk factors for PSP: atrial fibrillation odds ratio (OR) = 2.884, 95% confidence intervals (CI) = 1.316-6.322), being bedridden (OR = 2.797, 95%CI = 1.322-5.921), subject to an invasive procedure (OR = 12.838, 95%CI = 6.296-26.178), massive cerebral infarction (OR = 3.994, 95%CI = 1.496-10.666), and dysphagia (OR = 2.441, 95%CI = 1.114-5.351). Pneumonia was a risk factor for poor prognosis (OR = 2.967, 95%CI = 1.273-6.915) and death (OR = 5.493, 95%CI = 1.825-16.53) after stroke.Hence, since pneumonia increases the risk of poor prognosis and death following acute ischemic stroke, preventing, and managing the risk factors for PSP may improve the prognosis and reduce the mortality after stroke.ABSTRACTPoststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains inadequate due to severe impairment to the respiratory system by PSP. Thus, it is crucial to focus on preventing PSP to improve the prognosis of patients with stroke.This prospective single-center Cohort study aimed to investigate the risk factors for pulmonary infection following an ischemic stroke and identify whether PSP significantly influences the prognosis of patients after stroke.Altogether, 451 patients who were treated for acute ischemic stroke in the First Affiliated Hospital of Chongqing Medical University in China between April 2017 and April 2018 were enrolled. Clinical data from the patients from admission to 3 months after discharge were collected. PSP was the primary outcome and poor prognosis or death at 3 months following discharge was the secondary outcome observed in this study. We performed logistic regression analyses to identify the risk factors for PSP and test an association between pneumonia and poor prognosis or death after stroke.Our findings revealed the following risk factors for PSP: atrial fibrillation odds ratio (OR) = 2.884, 95% confidence intervals (CI) = 1.316-6.322), being bedridden (OR = 2.797, 95%CI = 1.322-5.921), subject to an invasive procedure (OR = 12.838, 95%CI = 6.296-26.178), massive cerebral infarction (OR = 3.994, 95%CI = 1.496-10.666), and dysphagia (OR = 2.441, 95%CI = 1.114-5.351). Pneumonia was a risk factor for poor prognosis (OR = 2.967, 95%CI = 1.273-6.915) and death (OR = 5.493, 95%CI = 1.825-16.53) after stroke.Hence, since pneumonia increases the risk of poor prognosis and death following acute ischemic stroke, preventing, and managing the risk factors for PSP may improve the prognosis and reduce the mortality after stroke. |
Author | Qin, Xinyue Zhang, Wenyu Li, Qi Cai, Zhiyou Yuan, Minghao Zhang, Rongrong Zou, Ning |
AuthorAffiliation | Department of Neurology, Chongqing Medical University |
AuthorAffiliation_xml | – name: Department of Neurology, Chongqing Medical University – name: d Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China – name: c Department of Neurology, Chongqing General Hospital, University of Chinese Academy of Sciences – name: b Department of Neurology, Chongqing School – name: a Department of Neurology, Chongqing Medical University |
Author_xml | – sequence: 1 givenname: Minghao surname: Yuan fullname: Yuan, Minghao organization: Department of Neurology, Chongqing Medical University – sequence: 2 givenname: Qi surname: Li fullname: Li, Qi organization: Department of Neurology, Chongqing Medical University – sequence: 3 givenname: Rongrong surname: Zhang fullname: Zhang, Rongrong organization: Department of Neurology, Chongqing Medical University – sequence: 4 givenname: Wenyu surname: Zhang fullname: Zhang, Wenyu organization: Department of Neurology, Chongqing Medical University – sequence: 5 givenname: Ning surname: Zou fullname: Zou, Ning organization: Department of Neurology, Chongqing Medical University – sequence: 6 givenname: Xinyue surname: Qin fullname: Qin, Xinyue organization: Department of Neurology, Chongqing Medical University – sequence: 7 givenname: Zhiyou surname: Cai fullname: Cai, Zhiyou organization: Department of Neurology, Chongqing School |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33761707$$D View this record in MEDLINE/PubMed |
BookMark | eNp9Uctu1DAUtVARnRa-AAl5ySbFjyS2N0iohRapFRKCDRvLcW6ImcQOttMRf4-HaXl0gTeWjs_D99wTdOSDB4SeU3JGiRKvbi7OyJ_DGkb5I7ShDW-rRrX1Edrs0UooUR-jk5S-EUK5YPUTdMy5aKkgYoO-fHRpiwdjc4gJDyFi43vs5qUgOAx4CSmnHMMW8OJhnYN3BjuPF5Md-JzwzuURG7tmwC7ZEWZn8UHwFD0ezJTg2d19ij6_e_vp_Kq6_nD5_vzNdWXrhvAKOmWNBVkzNoi2BWn6nivoOsk7YZm0kkvGqG0aSTvWG0mJpFz1bd2b2tSWn6LXB99l7WbobflWNJNeoptN_KGDcfrfF-9G_TXcasUko4QUg5d3BjF8XyFlPZdRYJqMh7AmzRpSSm2Y2lNf_J31O-S-0EJQB4KNIaUIg7Yul67CPtpNmhK9X56-udAPl1e0_IH23v7_qvqg2oUpQ0zbad1B1COYKY-_6I1QrGKkzMpZS6qCSM5_AktwrLw |
CitedBy_id | crossref_primary_10_7759_cureus_52574 crossref_primary_10_1097_NRL_0000000000000529 crossref_primary_10_2174_0127724328258172230926070748 crossref_primary_10_1177_20503121221122465 crossref_primary_10_1186_s12933_023_01864_x crossref_primary_10_1371_journal_pone_0308994 crossref_primary_10_7759_cureus_57077 crossref_primary_10_1016_j_clineuro_2025_108770 crossref_primary_10_2147_JIR_S492095 crossref_primary_10_23736_S1973_9087_24_08475_2 crossref_primary_10_1080_10376178_2022_2107038 crossref_primary_10_12998_wjcc_v12_i20_4048 crossref_primary_10_1186_s12933_022_01704_4 crossref_primary_10_32345_USMYJ_1_136__2023_84_93 crossref_primary_10_1016_j_jstrokecerebrovasdis_2023_107404 crossref_primary_10_1016_j_heliyon_2022_e11664 crossref_primary_10_1038_s41598_022_14656_2 |
Cites_doi | 10.4103/bc.bc_24_20 10.1186/s12883-016-0627-y 10.1016/j.jstrokecerebrovasdis.2010.05.002 10.1371/journal.pone.0186607 10.1371/journal.pone.0002158 10.1177/2396987318764519 10.1212/WNL.0b013e31822dc795 10.1179/016164111X13007856084205 10.1161/STROKEAHA.110.610881 10.1177/1941875210395775 10.1212/01.WNL.0000046586.38284.60 10.1586/ern.09.72 10.1186/s12014-017-9162-0 10.1186/1471-2377-11-110 10.1016/S0140-6736(14)62456-9 10.1046/j.1468-1331.2003.00749.x 10.1212/WNL.0b013e31823152b1 10.1111/ane.12956 10.1371/journal.pone.0131782 10.1161/STROKEAHA.109.557967 10.1038/srep36656 10.1007/s13311-016-0466-y 10.1097/MD.0000000000001227 10.1161/STROKEAHA.114.006639 10.1136/svn-2017-000123 10.1586/14787210.2015.1085302 10.1007/s12325-012-0049-1 10.1161/STROKEAHA.115.009617 10.1042/CS20130284 10.1161/01.STR.0000199138.73365.b3 |
ContentType | Journal Article |
Copyright | Lippincott Williams & Wilkins Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. 2021 |
Copyright_xml | – notice: Lippincott Williams & Wilkins – notice: Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. – notice: Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. 2021 |
DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 5PM |
DOI | 10.1097/MD.0000000000025213 |
DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1536-5964 |
EndPage | e25213 |
ExternalDocumentID | PMC9282100 33761707 10_1097_MD_0000000000025213 00005792-202103260-00083 |
Genre | Journal Article |
GeographicLocations | China |
GeographicLocations_xml | – name: China |
GroupedDBID | --- .-D .XZ .Z2 01R 0R~ 354 40H 4Q1 4Q2 4Q3 5GY 5RE 5VS 71W 77Y 7O~ AAAAV AAGIX AAHPQ AAIQE AAMOA AAQKA AARTV AASCR AAWTL AAXQO AAYEP ABASU ABBUW ABCQX ABDIG ABFRF ABOCM ABVCZ ABXVJ ABZAD ABZZY ACDDN ACEWG ACGFO ACGFS ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ACZKN ADGGA ADHPY ADNKB ADPDF AE6 AEFWE AENEX AFBFQ AFDTB AGOPY AHOMT AHQNM AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BQLVK CS3 DIWNM DU5 E.X EBS EEVPB ERAAH EX3 F2K F2L F2M F2N F5P FCALG FD6 FIJ FL- GNXGY GQDEL GROUPED_DOAJ H0~ HLJTE HYE HZ~ H~9 IKREB IKYAY IN~ IPNFZ JK3 JK8 K8S KD2 KMI KQ8 L-C N9A N~7 N~B O9- OAG OAH OB2 OHH OK1 OL1 OLB OLG OLH OLU OLV OLY OLZ OPUJH OUVQU OVD OVDNE OVEED OVIDH OVLEI OWV OWW OWZ OXXIT P2P RIG RLZ RPM RXW S4R S4S TAF TEORI TSPGW UNMZH V2I VVN W3M WOQ WOW X3V X3W XYM YFH YOC ZFV ZY1 AAYXX ADKSD ADSXY CITATION 8L- ACIJW AWKKM CGR CUY CVF ECM EIF NPM ODA 7X8 5PM |
ID | FETCH-LOGICAL-c4503-eb9cace8422f766e8add39ebb83b7c28c838221c5581b2da8108139d64da4a4c3 |
ISSN | 0025-7974 1536-5964 |
IngestDate | Tue Sep 30 16:55:49 EDT 2025 Wed Oct 01 14:13:14 EDT 2025 Wed Feb 19 02:24:43 EST 2025 Wed Oct 01 08:25:18 EDT 2025 Thu Apr 24 23:11:29 EDT 2025 Fri May 16 03:50:30 EDT 2025 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 12 |
Language | English |
License | Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c4503-eb9cace8422f766e8add39ebb83b7c28c838221c5581b2da8108139d64da4a4c3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0000-0002-9296-2455 |
OpenAccessLink | http://dx.doi.org/10.1097/MD.0000000000025213 |
PMID | 33761707 |
PQID | 2505365290 |
PQPubID | 23479 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_9282100 proquest_miscellaneous_2505365290 pubmed_primary_33761707 crossref_citationtrail_10_1097_MD_0000000000025213 crossref_primary_10_1097_MD_0000000000025213 wolterskluwer_health_00005792-202103260-00083 |
ProviderPackageCode | CITATION AAYXX |
PublicationCentury | 2000 |
PublicationDate | 20210326 2021-03-26 2021-Mar-26 |
PublicationDateYYYYMMDD | 2021-03-26 |
PublicationDate_xml | – month: 03 year: 2021 text: 20210326 day: 26 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States – name: Hagerstown, MD |
PublicationTitle | Medicine (Baltimore) |
PublicationTitleAlternate | Medicine (Baltimore) |
PublicationYear | 2021 |
Publisher | Lippincott Williams & Wilkins |
Publisher_xml | – name: Lippincott Williams & Wilkins |
References | Wilson (R7-20250504) 2012; 21 Westendorp (R12-20250504) 2012; 1 Westendorp (R13-20250504) 2015; 385 Aslanyan (R15-20250504) 2004; 11 Hug (R3-20250504) 2009; 40 Vargas (R16-20250504) 2006; 37 Katzan (R5-20250504) 2003; 60 Ho (R25-20250504) 2015; 94 Shi (R10-20250504) 2018; 3 Teh (R17-20250504) 2018; 138 Teramoto (R32-20250504) 2009; 9 Westendorp (R2-20250504) 2011; 11 Ashour (R24-20250504) 2016; 9 Azurmendi (R8-20250504) 2017; 14 Yuan (R26-20250504) 2015; 13 Zhu (R22-20250504) 2015; 10 Koennecke (R6-20250504) 2011; 77 Smith (R20-20250504) 2015; 46 Kamal (R34-20250504) 2020; 6 Vermeij (R29-20250504) 2018; 1 Ingeman (R4-20250504) 2011; 42 Matz (R21-20250504) 2016; 16 Shinohara (R31-20250504) 2012; 29 Liu (R11-20250504) 2016; 6 Westendorp (R27-20250504) 2018; 3 Sui (R23-20250504) 2011; 33 Wang (R28-20250504) 2012; 125 Armstrong (R1-20250504) 2011; 1 Harms (R19-20250504) 2008; 3 Schwarz (R9-20250504) 2016; 13 Tu (R33-20250504) 2014; 126 Zheng (R14-20250504) 2017; 12 Finlayson (R18-20250504) 2011; 77 Warusevitane (R30-20250504) 2015; 46 |
References_xml | – volume: 6 start-page: 196 year: 2020 ident: R34-20250504 article-title: Strokes occurring in the hospital: symptom recognition and eligibility for treatment in the intensive care units versus hospital wards publication-title: Brain Circ doi: 10.4103/bc.bc_24_20 – volume: 9 start-page: 163 year: 2016 ident: R24-20250504 article-title: Predictors of early infection in cerebral ischemic stroke publication-title: J Med Life – volume: 16 start-page: 107 year: 2016 ident: R21-20250504 article-title: Poststroke pneumonia at the stroke unit - a registry based analysis of contributing and protective factors publication-title: BMC Neurol doi: 10.1186/s12883-016-0627-y – volume: 125 start-page: 2449 year: 2012 ident: R28-20250504 article-title: Effect of in-hospital medical complications on case fatality post-acute ischemic stroke: data from the China National Stroke Registry publication-title: Chin Med J Engl – volume: 21 start-page: 61 year: 2012 ident: R7-20250504 article-title: Mortality and cost of pneumonia after stroke for different risk groups publication-title: J Stroke Cerebrovasc Dis doi: 10.1016/j.jstrokecerebrovasdis.2010.05.002 – volume: 12 start-page: e0186607 year: 2017 ident: R14-20250504 article-title: Should preventive antibiotics be used in patients with acute stroke? A systematic review and meta-analysis of randomized controlled trials publication-title: PLoS One doi: 10.1371/journal.pone.0186607 – volume: 3 start-page: e2158 year: 2008 ident: R19-20250504 article-title: Preventive antibacterial therapy in acute ischemic stroke: a randomized controlled trial publication-title: PLoS One doi: 10.1371/journal.pone.0002158 – volume: 3 start-page: 136 year: 2018 ident: R27-20250504 article-title: Development and internal validation of a prediction rule for post-stroke infection and poststroke pneumonia in acute stroke patients publication-title: Eur Stroke J doi: 10.1177/2396987318764519 – volume: 77 start-page: 965 year: 2011 ident: R6-20250504 article-title: Factors influencing in-hospital mortality and morbidity in patients treated on a stroke unit publication-title: Neurology doi: 10.1212/WNL.0b013e31822dc795 – volume: 33 start-page: 508 year: 2011 ident: R23-20250504 article-title: Risk factors of stroke-associated pneumonia in Chinese patients publication-title: Neurol Res doi: 10.1179/016164111X13007856084205 – volume: 42 start-page: 3214 year: 2011 ident: R4-20250504 article-title: In-hospital medical complications, length of stay, and mortality among stroke unit patients publication-title: Stroke doi: 10.1161/STROKEAHA.110.610881 – volume: 1 start-page: 85 year: 2011 ident: R1-20250504 article-title: Aspiration pneumonia after stroke: intervention and prevention publication-title: Neurohospitalist doi: 10.1177/1941875210395775 – volume: 60 start-page: 620 year: 2003 ident: R5-20250504 article-title: The effect of pneumonia on mortality among patients hospitalized for acute stroke publication-title: Neurology doi: 10.1212/01.WNL.0000046586.38284.60 – volume: 1 start-page: CD008530 year: 2018 ident: R29-20250504 article-title: Antibiotic therapy for preventing infections in people with acute stroke publication-title: Cochrane Database Syst Rev – volume: 9 start-page: 1187 year: 2009 ident: R32-20250504 article-title: Novel preventive and therapuetic strategy for poststroke pneumonia publication-title: Expert Rev Neurother doi: 10.1586/ern.09.72 – volume: 14 start-page: 27 year: 2017 ident: R8-20250504 article-title: Proteomic discovery and verification of serum amyloid A as a predictor marker of patients at risk of post-stroke infection: a pilot study publication-title: Clin Proteomics doi: 10.1186/s12014-017-9162-0 – volume: 11 start-page: 110 year: 2011 ident: R2-20250504 article-title: Post-stroke infection: a systematic review and meta-analysis publication-title: BMC Neurol doi: 10.1186/1471-2377-11-110 – volume: 385 start-page: 1519 year: 2015 ident: R13-20250504 article-title: The preventive antibiotics in stroke study (PASS): a pragmatic randomised open-label masked endpoint clinical trial publication-title: Lancet doi: 10.1016/S0140-6736(14)62456-9 – volume: 1 start-page: CD008530 year: 2012 ident: R12-20250504 article-title: Antibiotic therapy for preventing infections in patients with acute stroke publication-title: Cochrane Database Syst Rev – volume: 11 start-page: 49 year: 2004 ident: R15-20250504 article-title: Pneumonia and urinary tract infection after acute ischaemic stroke: a tertiary analysis of the GAIN International trial publication-title: Eur J Neurol doi: 10.1046/j.1468-1331.2003.00749.x – volume: 77 start-page: 1338 year: 2011 ident: R18-20250504 article-title: Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke publication-title: Neurology doi: 10.1212/WNL.0b013e31823152b1 – volume: 138 start-page: 293 year: 2018 ident: R17-20250504 article-title: Impact of stroke-associated pneumonia on mortality, length of hospitalization, and functional outcome publication-title: Acta Neurologica Scandinavica doi: 10.1111/ane.12956 – volume: 10 start-page: e0131782 year: 2015 ident: R22-20250504 article-title: Atrial fibrillation is an independent risk factor for hospital-acquired pneumonia publication-title: PLoS One doi: 10.1371/journal.pone.0131782 – volume: 40 start-page: 3226 year: 2009 ident: R3-20250504 article-title: Infarct volume is a major determiner of post-stroke immune cell function and susceptibility to infection publication-title: Stroke doi: 10.1161/STROKEAHA.109.557967 – volume: 6 start-page: 36656 year: 2016 ident: R11-20250504 article-title: The efficacy of prophylactic antibiotics on post-stroke infections: an updated systematic review and meta-analysis publication-title: Sci Rep doi: 10.1038/srep36656 – volume: 13 start-page: 783 year: 2016 ident: R9-20250504 article-title: Prophylactic antibiotic therapy for preventing poststroke infection publication-title: Neurotherapeutics doi: 10.1007/s13311-016-0466-y – volume: 94 start-page: e1227 year: 2015 ident: R25-20250504 article-title: Risk of stroke-associated pneumonia with acid-suppressive drugs: a population-based Cohort study publication-title: Medicine (Baltimore) doi: 10.1097/MD.0000000000001227 – volume: 46 start-page: 454 year: 2015 ident: R30-20250504 article-title: Safety and effect of metoclopramide to prevent pneumonia in patients with stroke fed via nasogastric tubes trial publication-title: Stroke doi: 10.1161/STROKEAHA.114.006639 – volume: 3 start-page: 34 year: 2018 ident: R10-20250504 article-title: Stroke-induced immunosuppression and poststroke infection publication-title: Stroke Vasc Neurol doi: 10.1136/svn-2017-000123 – volume: 13 start-page: 1289 year: 2015 ident: R26-20250504 article-title: Risk factors for lung infection in stroke patients: a meta-analysis of observational studies publication-title: Expert Rev Anti Infect Ther doi: 10.1586/14787210.2015.1085302 – volume: 29 start-page: 900 year: 2012 ident: R31-20250504 article-title: Poststroke pneumonia prevention by angiotensin-converting enzyme inhibitors: results of a meta-analysis of five studies in Asians publication-title: Adv Ther doi: 10.1007/s12325-012-0049-1 – volume: 46 start-page: 2335 year: 2015 ident: R20-20250504 article-title: Diagnosis of stroke-associated pneumonia: recommendations from the pneumonia in stroke consensus group publication-title: Stroke doi: 10.1161/STROKEAHA.115.009617 – volume: 126 start-page: 339 year: 2014 ident: R33-20250504 article-title: Serum 25-hydroxyvitamin D predicts the short-term outcomes of Chinese patients with acute ischaemic stroke publication-title: Clin Sci (Lond) doi: 10.1042/CS20130284 – volume: 37 start-page: 461 year: 2006 ident: R16-20250504 article-title: Clinical consequences of infection in patients with acute stroke: is it prime time for further antibiotic trials? publication-title: Stroke doi: 10.1161/01.STR.0000199138.73365.b3 |
SSID | ssj0013724 |
Score | 2.4476821 |
Snippet | Poststroke pneumonia (PSP) is a common complication of stroke and an important cause of death following stroke. However, the treatment of PSP remains... |
SourceID | pubmedcentral proquest pubmed crossref wolterskluwer |
SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
StartPage | e25213 |
SubjectTerms | Age Factors Aged Atrial Fibrillation - complications Atrial Fibrillation - diagnosis Bedridden Persons - statistics & numerical data China - epidemiology Cohort Studies Deglutition Disorders - diagnosis Deglutition Disorders - etiology Female Humans Ischemic Stroke - complications Ischemic Stroke - mortality Male Observational Study Pneumonia - diagnosis Pneumonia - epidemiology Pneumonia - etiology Pneumonia - prevention & control Prognosis Risk Factors Severity of Illness Index |
Title | Risk factors for and impact of poststroke pneumonia in patients with acute ischemic stroke |
URI | https://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00005792-202103260-00083 https://www.ncbi.nlm.nih.gov/pubmed/33761707 https://www.proquest.com/docview/2505365290 https://pubmed.ncbi.nlm.nih.gov/PMC9282100 |
Volume | 100 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
journalDatabaseRights | – providerCode: PRVAFT databaseName: Colorado Digital library customDbUrl: eissn: 1536-5964 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: KQ8 dateStart: 20140101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries – providerCode: PRVAFT databaseName: Colorado Digital library customDbUrl: eissn: 1536-5964 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: KQ8 dateStart: 20130101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries – providerCode: PRVAON databaseName: DOAJ customDbUrl: eissn: 1536-5964 dateEnd: 20241231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: DOA dateStart: 20140101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVALS databaseName: IngentaConnect Open Access Journals customDbUrl: eissn: 1536-5964 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: FIJ dateStart: 20140101 isFulltext: true titleUrlDefault: http://www.ingentaconnect.com/content/title?j_type=online&j_startat=Aa&j_endat=Af&j_pagesize=200&j_page=1 providerName: Ingenta – providerCode: PRVAQN databaseName: PubMed Central customDbUrl: eissn: 1536-5964 dateEnd: 20250917 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: RPM dateStart: 20130101 isFulltext: true titleUrlDefault: https://www.ncbi.nlm.nih.gov/pmc/ providerName: National Library of Medicine – providerCode: PRVOVD databaseName: Journals@Ovid LWW All Open Access Journal Collection Rolling customDbUrl: eissn: 1536-5964 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: OVEED dateStart: 19220501 isFulltext: true titleUrlDefault: http://ovidsp.ovid.com/ providerName: Ovid – providerCode: PRVEMX databaseName: Wolters Kluwer Open Health customDbUrl: eissn: 1536-5964 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0013724 issn: 0025-7974 databaseCode: AGOPY dateStart: 19220101 isFulltext: true titleUrlDefault: http://www.wkopenhealth.com/journals.php providerName: Wolters Kluwer Health |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Zb9QwELZgK1WVEOIs4aiMxFsJZO0kTh6BXVQhLYiqhcJL5DhOG7Ukq91ECH49YztOsgcI2IdoFR-x8n2ezNgzY4SesRCUaFAc3Iz7ORgoYe6mXs5dnjGaj9Mw5Tq2avY-PDr1350FZ2vRJXX6QvzcGlfyP6jCPcBVRcn-A7Jdp3AD_gO-cAWE4fpXGB8rv3B7Yo51h-zjHufVsl7Wi-pSHs5L2cCwCn7Y51K1gW1CuQoUYOVqP3nTYKizztrtd6WMvuZXdWF8c7sVhC8Nbz3wy_MLXnUuPtpP4GOxsTR9XJXni6r9Yg4LPsvyRzNchiDaD4u0Sayt6AzdIDY5yTvZ6nlDEpGBqJQENAe6VYqb7MCziUkuaX4btQGK-TcNLAUhOWbm8Ny15Nm26DraISwMyQjtfPg0nU76jSZGfJuMKmYvtzxzD-3aXlZ1lw2DZNOv9sb3Svk8LC91yMNAcTm5hW62Fgd-ZehzG12T5R20a0G9i74qFuGWRRhYhIFF2LAIVznuWYQ7FuGixJZFWLEIaxZhyyJsGtxDp2-nJ2-O3PbEDVf4AQAq01hwISOfkBxel4zg60djmaYRTZkgkYgoKJRjEQRg7ZCMR2PQKGmchT5Mde4Leh-NyqqUDxAWLJDEC7iXKpM9y6IMbGGPC85yksd57CBi32Ui2nT06lSUq8S6RcwmyToWDnreNZqbbCx_rv7UgpSA1FRbYbyUVbNMlOJPw4DEnoP2DWhdhxZtB7EVOLsKKiP7aklZXOjM7DGJCFDeQe4K8ImJadbjC1hMXDWBPDCcdFKHiD787Rgeob1-sj1Go3rRyCegBdfpgV49Omj5_AsNlq7g |
linkProvider | Ovid |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1Lj9MwELagKwESQrwpTyOhnAgkdmInhx6qNktZNgXR7rJwiRzHFlGRU21S-PuMk7RQViCRSyL5cfBM7G88M98g9IIzANEAHNxCBBoMFKbd3NPCFQWn2s9ZLtrcqnTOZifB0Vl41kdb2FwYm31Wr1_ZV7tP2w9bD8cahsvR0cKZJ58WI-NMFpPRZ-fD-E3S3lPbKAlnOqq-68YZz9v4q5DHBHSAWMY41mZPR_QyOmA2U3OADt6fJsn0l7-Bk2BX3BUg9pafKOav02nHcdg9BI47un-GXQCmF-Mrr_-orO-7XrWh778dYIc30Y0eeeJxpyq30CVlbqMrae9bv4O-fCzrFe7r72DAsliYAndZlLjSeF3VTd2cVyuF10ZtQH1LgUuDe2bWGtsrXSzkplG4BJvZRt3jbsBddHKYLCczt6-84Mog9Kir8lgKqaKAEM0ZUxHsgjRWeR7RnEsSyYgCsPBlGALqJYWIfEAWNC5YACIXgaT30MBURj1AWPJQES8UXm5Nt6KICrCJPCEF10THOh4isl3LTPa05LY6xrds6x5Pp9mfAhiil7tB646V49_dn2-FlMHfY10iwqhqU2cWAFIWktgbovud0HYTUth7fe7xIeJ74tx1sMzc-y2m_NoydMdgyPoezOnuCT7rcluzv6nnw__s_wxdnS3T4-z47fzdI3TNttrwOMIeo0FzvlFPAC81-dNe2X8CnLAJ7A |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1Lb9QwELbKVqqQEOLN8jQSyomgxE7s5JBDtclSCrut2BZaLpHj2Gq0VbJqsiD-PeM8FpYiJHJJJD8UZSb2N56ZbxB6zRmAaAAOdi48DQYK03bmaGGLnFPtZiwTbW7VbM4OTr3DM_9sBw0eU5N8Vq_emlu7TJsHUw7H2IUn0eHCmiwm0bk1T74sorl1vP8uaY-pTZCEdRxPox9WHFXfdGPFR9HAzziLO5LC7iKwX9EbaDcwG-8I7R59TpL4l9-BE29T5BWg9sBT9PdptveyawD1epzlre-V8YHXyzYE_reNbHoH3e4RKN7vVOYu2lHlPbQ3633s99HXT0W9xH0dHgyYFosyx102Ja40XlV1UzdX1VLhVanWoMaFwEWJe4bWGpujXSzkulG4ANvZRN_jbsADdDpNTiYHdl-BwZae71BbZaEUUgUeIZozpgJYDWmosiygGZckkAEFgOFK3wf0S3IRuIAwaJgzD0QvPEkfolFZleoxwpL7iji-cDJjwuV5kINt5AgpuCY61OEYkeFbprKnJzdVMi7TwU0-i9M_BTBGbzaDVh07x7-7vxqElMJfZFwjolTVuk4NEKTMJ6EzRo86oW0mpLAGu9zhY8S3xLnpYBi6t1vK4qJl6g7BoHUdmNPeEnza5bi27-fzkMBSRQyxIWuT_AP65D_7v0R7oPzpx_fzD0_RTdNoouQIe4ZGzdVaPQfY1GQvel3_CZOJC3M |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Risk+factors+for+and+impact+of+poststroke+pneumonia+in+patients+with+acute+ischemic+stroke&rft.jtitle=Medicine+%28Baltimore%29&rft.au=Yuan%2C+Minghao&rft.au=Li%2C+Qi&rft.au=Zhang%2C+Rongrong&rft.au=Zhang%2C+Wenyu&rft.date=2021-03-26&rft.eissn=1536-5964&rft.volume=100&rft.issue=12&rft.spage=e25213&rft_id=info:doi/10.1097%2FMD.0000000000025213&rft_id=info%3Apmid%2F33761707&rft.externalDocID=33761707 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0025-7974&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0025-7974&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0025-7974&client=summon |