A Simple Nomogram for Predicting Stroke-Associated Pneumonia in Patients with Acute Ischemic Stroke DOI Open Access
Y.C. Lee, Hee Jung Jang

Healthcare, Journal Year: 2023, Volume and Issue: 11(23), P. 3015 - 3015

Published: Nov. 22, 2023

The purpose of this study was to develop a prediction model for stroke-associated pneumonia (SAP) based on risk factors SAP and suggest nursing interventions prevent SAP. In addition, nomogram developed enhance its utility in practice. retrospective cohort included 551 patients hospitalized acute ischemic stroke at university hospital South Korea. Data were collected through structured questionnaire review the electronic medical record (EMR). development predictive SAP, multivariate logistic regression analysis showed that independent age ≥ 65 years, National Institute Health Stroke Scale (NIHSS) score 7, nasogastric tube feeding, C-reactive protein (CRP) 5.0 mg/dL. logit used construct nomogram, area under curve (AUC) 0.94. Furthermore, slope calibration plot close 45-degree line, indicating may be useful predicting It is necessary monitor age, NIHSS score, feeding status, CRP level identify high-risk groups using provide active

Language: Английский

Nutritional assessment in acute stroke patients: A systematic review of guidelines and systematic reviews DOI Creative Commons
Stefano Mancin, Marco Sguanci, Desirèe Andreoli

et al.

International Journal of Nursing Studies, Journal Year: 2024, Volume and Issue: 158, P. 104859 - 104859

Published: July 10, 2024

Dysphagia and malnutrition are major contributors to mortality in patients with acute stroke. An early assessment of nutritional status upon hospital admission is crucial enhance clinical outcomes by reducing the associated high-risk complications. However, fragmented nature existing literature makes it difficult optimize practices.

Language: Английский

Citations

3

Comprehensive assessment and treatment strategies for dysphagia in the elderly population: Current status and prospects DOI Open Access

Xiqi Hu,

Yanan Ma,

Kenji Karako

et al.

BioScience Trends, Journal Year: 2024, Volume and Issue: 18(2), P. 116 - 126

Published: April 23, 2024

As the population ages, prevalence of dysphagia among older adults is a growing concern. Age-related declines in physiological function, coupled with neurological disorders and structural changes pharynx associated aging, can result weakened tongue propulsion, prolonged reaction time submental muscles, delayed closure laryngeal vestibule, opening upper esophageal sphincter (UES), increasing risk dysphagia. Dysphagia impacts physical health elderly, leading to serious complications such as dehydration, aspiration pneumonia, malnutrition, even life-threatening conditions, it also detrimentally affects their psychological social well-being. There significant correlation between frailty, sarcopenia, elderly population. Therefore, should be screened for identify both frailty sarcopenia. A reasonable diagnostic approach involves screening, clinical assessment, instrumental diagnosis. In terms treatment, multidisciplinary collaboration, rehabilitation training, utilization new technologies are essential. Future research will continue concentrate on these areas enhance diagnosis treatment dysphagia, ultimate aim enhancing quality life

Language: Английский

Citations

2

Evaluating high-flow oxygen therapy after mechanical thrombectomy under general anesthesia in acute ischemic stroke: A retrospective single-center study DOI Creative Commons
Pingyou He,

Xiang Bao,

Fengfeng Jiang

et al.

Clinical Neurology and Neurosurgery, Journal Year: 2024, Volume and Issue: 243, P. 108359 - 108359

Published: June 1, 2024

The use of mechanical thrombectomy for acute intracranial vascular occlusion under general anesthesia with endotracheal intubation is well-established as a safe and effective method. However, the process extubation post-surgery presents challenges certain patients. This retrospective study assesses safety efficacy combining ventilation high-flow oxygen inhalation an interim strategy, while also examining its impact on long-term clinical outcomes. research enrolled 119 patients large vessel who underwent tracheal between January 2020 November 2023. Participants were categorized into two groups: Group 1 (n=55), which received (HFO) post-extubation, 2 (n=64), was treated routine supplementation (RO). compared reintubation tracheotomy rates these groups to determine effectiveness. Additionally, it analyzed outcomes by comparing NIHSS mRS scores before treatment at 90-day follow-up. rate post-extubation significantly lower in HFO group (12.7%, n=7) RO (31.2%, n=20, p=0.016). incidence within 7 days reduced (7.3%, n=4 vs 20.3%, n=13, p=0.043). Moreover, greater proportion achieved 0 90 post-stroke than those (60%, n=33 40.6%, n=26, p=0.035). median score more favorable (6, IQR [1-18] 8, [1-20], p=0.005). suggests that therapy after may lessen need tracheotomy, potentially leading improved prognosis.

Language: Английский

Citations

2

Association between removable prosthesis-wearing and pneumonia: a systematic review and meta-analysis DOI Creative Commons
Tong Wah Lim, Kar Yan Li,

Michael F. Burrow

et al.

BMC Oral Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 11, 2024

Language: Английский

Citations

2

A Simple Nomogram for Predicting Stroke-Associated Pneumonia in Patients with Acute Ischemic Stroke DOI Open Access
Y.C. Lee, Hee Jung Jang

Healthcare, Journal Year: 2023, Volume and Issue: 11(23), P. 3015 - 3015

Published: Nov. 22, 2023

The purpose of this study was to develop a prediction model for stroke-associated pneumonia (SAP) based on risk factors SAP and suggest nursing interventions prevent SAP. In addition, nomogram developed enhance its utility in practice. retrospective cohort included 551 patients hospitalized acute ischemic stroke at university hospital South Korea. Data were collected through structured questionnaire review the electronic medical record (EMR). development predictive SAP, multivariate logistic regression analysis showed that independent age ≥ 65 years, National Institute Health Stroke Scale (NIHSS) score 7, nasogastric tube feeding, C-reactive protein (CRP) 5.0 mg/dL. logit used construct nomogram, area under curve (AUC) 0.94. Furthermore, slope calibration plot close 45-degree line, indicating may be useful predicting It is necessary monitor age, NIHSS score, feeding status, CRP level identify high-risk groups using provide active

Language: Английский

Citations

5