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Condition: Pneumonia

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Total 1895 results found since Jan 2013.

The use of anticholinergic medication is associated with an increased risk of stroke-associated pneumonia
CONCLUSIONS: The use of anticholinergic medication before stroke is associated with an increased risk of SAP.PMID:35416612 | DOI:10.1007/s40520-022-02123-x
Source: Aging Clinical and Experimental Research - April 13, 2022 Category: Geriatrics Authors: El żbieta Gradek-Kwinta Agnieszka Slowik Tomasz Dziedzic Source Type: research

Predictors of Percutaneous Endoscopic Gastrostomy Tube Placement in Middle Cerebral Artery Acute Ischemic Stroke and Stroke Laterality (P02.018)
CONCLUSIONS: Our study indicates that high NIHSS on admission, aspiration pneumonia and inability to undergo first swallow evaluation are independent predictors of PEG placement in patients with acute MCA strokes. This knowledge can be used for early identification of patients that require PEG tube placement to provide prompt nutritional support.Supported by: Hartford Hospital Research Center grant.Disclosure: Dr. San Luis has nothing to disclose. Dr. McCullough has received personal compensation for activities with Genentech, Inc. Dr. Ollenschleger has nothing to disclose. Dr. Staff has nothing to disclose. Dr. Fortunato ...
Source: Neurology - February 14, 2013 Category: Neurology Authors: San Luis, C., McCullough, L., Ollenschleger, M., Staff, I., Fortunato, G. Tags: P02 Cerebrovascular Disease II Source Type: research

Ischemic stroke in patients older and younger than 80 years
ConclusionAvoiding neurological worsening may have a large potential for reducing the difference in short‐term outcome between old and young stroke patients by preventing treatable complications including pneumonia. Risk factor burden is important for long‐term survival in both stroke patients ≥80 years and <80 years.
Source: Acta Neurologica Scandinavica - November 21, 2013 Category: Neurology Authors: H. Naess, G. Gjerde, U. Waje‐Andreassen Tags: Original Article Source Type: research

Ischemic Stroke And Cervical Artery Dissection. Risk Factors And Functional Outcome In a Single Tertiary Care Hospital: The Clinica Alemana Stroke Registry (RECCA), 1997-2003 (P3.111)
ConclusionsThe prognosis of ischemic stroke patients with cervical artery dissections is generally good. The only variable associated with a worse prognosis, was a high NIHSS at admission. This allows early identification of a group of patients who are at increased risk of significant disability at discharge.Disclosure: Dr. Diaz has nothing to disclose. Dr. Vicuña has nothing to disclose. Dr. Fernandez has nothing to disclose. Dr. Valenzuela has nothing to disclose. Dr. Lavados has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Diaz, V., Vicuna, M., Fernandez, J., Valenzuela, M., Lavados, P. Tags: Cerebrovascular Disease and Interventional Neurology: Large Vessel Nonatherosclerotic Arteriopathies Source Type: research

Hyperfibrinogenemia predicts long-term risk of death after ischemic stroke
Abstract In stroke patients higher levels of plasma fibrinogen are associated with increased risk of unfavourable functional outcome and short-term mortality. The aim of our study was to determine the relationship between plasma fibrinogen level and long-term risk of death in ischemic stroke patients. Seven hundred thirty six patients (median age 71; 47.1 % men) admitted to the stroke unit within 24 h after stroke were included. Plasma fibrinogen level was measured on day 1 of hospitalisation. Hyperfibrinogenemia was defined as plasma fibrinogen concentration >3.5 g/L. The maximal follow-up period was 84 ...
Source: Journal of Thrombosis and Thrombolysis - October 2, 2014 Category: Hematology Source Type: research

Dysphagia and Factors Associated with Respiratory Infections in the First Week Post Stroke
Conclusion: This study of a large cohort of acute stroke patients supports research indicating aspiration pneumonia is multifactorial in nature. NGT were associated with increased risk of respiratory infections and may contribute to infections by promoting oropharyngeal colonisation. Patients with severely impaired mobility were also at very high risk of respiratory infection.Neuroepidemiology 2014;43:140-144
Source: Neuroepidemiology - November 7, 2014 Category: Epidemiology Source Type: research

Assessment of hospital readmissions in stroke patient population from the Stroke Center at the University of Kentucky: as a quality measure (P5.150)
Conclusions: Our study determined etiologies for hospital readmission after initial stroke hospitalization. Urinary tract infections were found to be the most common cause for stroke readmissions. Further analysis may help to identify risks for readmission and potentially reduce readmission rates.Disclosure: Dr. Al Sawaf has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Al Sawaf, A., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research

Rate and Risk Factors of Recurrent 30-Day Readmissions following Hospitalization for Ischemic Stroke (S47.003)
CONCLUSIONS: Patients with 30-day readmissions after index hospitalization for ischemic stroke remain at further risk for recurrent 30-day readmissions. Characterization of magnitude and risk factors of recurrent 30-day readmissions may provide framework for reducing such preventable readmissions.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Murthy has nothing to disclose. Dr. Modi has nothing to disclose. Dr. Naval has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Moradiya, Y., Murthy, S., Modi, S., Naval, N. Tags: Cerebrovascular Disease and Interventional Neurology Source Type: research

Comment Preventive antibiotic therapy in stroke: PASSed away?
Stroke not only impairs neurological function but also leads to severe medical complications,1 of which infections, especially pneumonia, are the most important.2 In the past 10 years, epidemiological data have consistently shown that post-stroke infections are associated with increased mortality and poor neurological outcomes.3–5 Dysphagia and a stroke-induced immunodepressive state are risk factors for post-stroke infections.6 Despite general measures for infection prevention, pneumonia remains a common and severe clinical challenge, even for patients treated in specialised stroke units5,7 that are known to reduce the ...
Source: LANCET - January 20, 2015 Category: Journals (General) Authors: Andreas Meisel Tags: Comment Source Type: research

Risk of Stroke-Associated Pneumonia With Acid-Suppressive Drugs: A Population-Based Cohort Study
Abstract: Acid-suppressive drugs, including histamine-2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs), are common medications used for treating upper gastrointestinal tract disorders. However, acid-suppressive drugs have been reported to increase the risk of pneumonia in numerous disease populations. However, the relationship between acid-suppressive drugs and stroke-associated pneumonia (SAP) remains controversial. The purpose of this study was to investigate the association between acid-suppressive drug usage and pneumonia among patients with stroke by using a nationwide data set. A population-based coho...
Source: Medicine - July 1, 2015 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Correspondence Parenteral antibiotics are not enough to prevent pneumonia in stroke – Authors' reply
The susceptibility of patients with stroke to pneumonia has been well recognised,1 and its cause is multifactorial.2 Luciano Silvestri and colleagues rightly point out pathophysiological differences between early pneumonia after stroke, defined as within the first week after stroke onset, and late pneumonia, defined as after the first week. The Pneumonia In Stroke ConsEnsuS (PISCES) group has recently recommended reserving the term stroke-associated pneumonia for the spectrum of lower respiratory tract infections within the first 7 days after stroke onset.
Source: LANCET - August 14, 2015 Category: Journals (General) Authors: Diederik van de Beek, Matthijs Brouwer, Paul Nederkoorn Tags: Correspondence Source Type: research

Risk of pneumonia associated with zero‐degree head positioning in acute ischemic stroke patients treated with intravenous tissue plasminogen activator
ConclusionsZero‐degree head of bed positioning in the first 24 h following an acute ischemic stroke treated with IV‐tPA was associated with acceptable rates of pneumonia. Rates for pneumonia may be further reduced by eliminating use of a 0° protocol in intubated/mechanically ventilated patients. A zero‐degree head of bed position is recommended to increase cerebral perfusion in nonhypoxic acute ischemic stroke patients able to tolerate lying flat. However, this is not uniformly applied in clinical practice, most likely due to concerns of aspiration pneumonia. In our retrospective descriptive study, zero‐degree p...
Source: Brain and Behavior - December 1, 2015 Category: Neurology Authors: Paola Palazzo, Amy Brooks, David James, Randy Moore, Andrei V. Alexandrov, Anne W. Alexandrov Tags: Original Research Source Type: research

E-048 Factors Associated with Early Tracheostomy and Percutaneous Gastrostomy and Their Effects on Hospitalization in Hemorrhagic Stroke Patients
ConclusionsHemorrhagic stroke is a devastating neurovascular event that requires prompt intervention and vigilant management. Our study identified patient risk factors that may suggest candidacy for tracheotomy and PEG. Additionally, we found that timing of PEG may shape a patient’s hospital course. Complication rates related to tracheostomy and PEG in this population were minimal. In conclusion, this retrospective data set supports some benefit to early PEG placement in this population, and justifies the need for further prospective study.DisclosuresM. McCann: None. J. Fraser: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: McCann, M., Fraser, J. Tags: Electronic poster abstracts Source Type: research

Guideline conform diagnostics for dysphagia : A  representative survey of speech therapists at certified stroke units in Germany.
CONCLUSION: The implementation of a detailed and differentiated anamnesis, standardized screening, and a clinical swallowing examination with testing of different food consistencies suggests a high quality of the dysphagia diagnostics at stroke units in Germany. The increasing availability of technical instruments, especially fiber endoscopy, substantiates this view. PMID: 28382486 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - April 5, 2017 Category: Neurology Authors: Flader CM, Rosendahl C, Günther T Tags: Nervenarzt Source Type: research