Stroke Phase Is Essential for Pneumonia in Dysphagia Patients After Cerebral Infarction.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Neurologist Pub Date : 2024-03-01 DOI:10.1097/NRL.0000000000000529

Zi Ke, Wei Liu, Fuyan Chen, Wenyi Ge, Yiru Bao, Jian Wen, Yang Liu, Xingping Li, Xiaonong Fan, Bangqi Wu

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Abstract

Background: The risk of pneumonia increases after stroke, especially in poststroke dysphagia patients. Propensity score matching (PSM) is a statistical method in SPSS, which can be used to balance the difference between the 2 groups of known factors. Nasogastric tube feeding is an important factor of stroke-associated pneumonia. However, few studies have used PSM to eliminate the effect of confounding factor.

Methods: Our research was a retrospective case-control study. Retrospective review of the patient database between December 1, 2019, and June 30, 2022, to identify consecutive dysphagia patients after cerebral infarction during hospitalization. An 1:1 PSM in SPSS 25.0 was used to balance nasogastric tube feeding between patients with and without pneumonia. The characteristics of these 2 groups were analyzed. Univariate and binary logistic regression analyses were used to screen the risk factors of dysphagia after cerebral infarction.

Results: After 1:1 PSM, 198 subjects met our criteria and were included in the analysis. Age [odds ratio (OR)=1.047, 95% CI: 1.013-1.081, P =0.006], stroke phase (acute stroke) (OR=5.931, 95% CI: 1.133-31.054, P =0.035), admission National Institutes of Health Stroke Scale score (OR=1.058, 95% CI: 1.004-1.115, P =0.034), and length of hospital stay (OR=1.025, 95% CI: 1.001-1.049, P =0.042) had statistically significant correlation with pneumonia in patients with dysphagia after cerebral infarction.

Conclusion: In clinical practice, for the prevention of pneumonia in patients with dysphagia after cerebral infarction, we should pay more attention to admission National Institutes of Health Stroke Scale score, age, and stroke phase, especially in acute cerebral infarction patients.

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脑梗塞后吞咽困难患者的脑卒中期对肺炎至关重要。

背景：卒中后肺炎的风险增加，尤其是卒中后吞咽困难患者。倾向得分匹配（PSM）是SPSS中的一种统计方法，可用于平衡两组已知因素之间的差异。鼻饲管是脑卒中相关肺炎的一个重要因素。然而，很少有研究使用PSM来消除混杂因素的影响。方法：本研究采用回顾性病例对照研究。对2019年12月1日至2022年6月30日期间的患者数据库进行回顾性审查，以确定住院期间脑梗死后的连续吞咽困难患者。SPSS 25.0中的1:1 PSM用于平衡肺炎患者和非肺炎患者的鼻胃管喂养。分析这两组患者的特点。采用单因素和二元逻辑回归分析筛选脑梗死后吞咽困难的危险因素。结果：在1:1 PSM后，198名受试者符合我们的标准并纳入分析。年龄[比值比（OR）=1.047，95%CI:1.013-1.081，P=0.006]，卒中阶段（急性卒中）（OR=5.931，95%CI:1.133-31.054，P=0.035），美国国立卫生研究院入院卒中量表评分（OR=1.058，95%CI:1.004-1.115，P=0.034），和住院时间（OR=1.025，95%CI:1.001-1.049，P=0.042）与脑梗死后吞咽困难患者的肺炎具有统计学显著相关性。结论：在临床实践中，为了预防脑梗死后吞咽困难患者的肺炎，我们应该更多地关注美国国立卫生研究院卒中量表的评分、年龄和卒中阶段，尤其是急性脑梗死患者。

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来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.