Effect of stroke-associated pneumonia on the severity and the prognosis of patients with cerebral infarction
Xiao Wen
Xue Hailong
Jia Xiuli
He Zhiyi
Abstract：Objective To investigate the effects of stroke-associated pneumonia(SAP) on the severity and the prognosis of patients with cerebral infarction.Methods Ninety-seven patients with stroke-associated pneumonia(SAP group) and 100 cases(control group) with only stroke patients were selected to investigate factors affecting stroke.The laboratory parameters and survival rate were compared.Results For the group SAP,multiple sites infarction rate was 26.8％ (26/97),C-reactive protein(CRP) was (116 ± 70) mg/L ; erythrocyte sedimentation rate(ESR) was (23 ± 14) mm/1 h.All of the three were significantly higher than those of the control group [(multiple sites infarction rate was 6.0％ (6/100),C-reactive protein was (75 ±41)mg/L,erythrocyte sedimentation rate was (10 ± 5) mm/l h] (P ＜ 0.05).Multiple sites infarction,NIHSS ≥ 15 points,APACHE Ⅱ ≥ 20 were SAP's risk factors [5.737 (2.242-16.682),13.588 (6.527-28.290),7.329 (2.688-19.98),all P ＜0.05] ; CRP and ESR of SAP patients were significantly higher [(116 ± 70) mg/L vs (75 ± 41) mg/L,(23 ±14) mm/1 h vs (10 ± 5) mm/1 h] but PAB and ALB were significantly lower [0.25 (0.11,1.03) g/L vs 0.36 (0.19,1.00)g/L,(30 ±5)g/L vs (35 ±3)g/L,P ＜0.05 or P ＜0.01] than those of the control group (P ＜0.05) ;the survival prognosis of SAP patients was worse than that in the control group (P ＜ 0.05).Conclusions SAP can produce great impact on the patient's condition and the prognosis of survival.Measures to prevent the occurrence of SAP should be taken timely to improve the patient's condition and the prognosis of survival.
Keywords：Stroke-associated pneumoniaCerebral infarctionPrognosisImpact
Publication Date：2014-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1596-1598 )