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Condition: Pneumonia

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Total 1895 results found since Jan 2013.

In-Hospital Stroke Recurrence and Stroke After Transient Ischemic Attack: Frequency and Risk Factors Clinical Sciences
Conclusions— In-hospital stroke recurrence was low with optimal current management. Patients with a history of TIA, severe symptomatic carotid stenosis, or uncommon causes of stroke were at higher risk. Pneumonia was associated with a higher risk of stroke recurrence in patients with initial TIA or minor stroke but not in the overall population studied. Aphasia may bias the detection rate by concealing new neurological symptoms.
Source: Stroke - March 23, 2015 Category: Neurology Authors: Erdur, H., Scheitz, J. F., Ebinger, M., Rocco, A., Grittner, U., Meisel, A., Rothwell, P. M., Endres, M., Nolte, C. H. Tags: Acute Cerebral Infarction, Carotid Stenosis, Emergency treatment of Stroke, Antiplatelets Clinical Sciences Source Type: research

{beta}-Blockers, Pneumonia, and Outcome After Ischemic Stroke: Evidence From Virtual International Stroke Trials Archive Clinical Sciences
Conclusions— In this large nonrandomized comparison, on-stroke BB was associated with reduced mortality. Prestroke and on-stroke BB were inversely associated with incidence of nosocomial pneumonia. Randomized trials investigating the potential of β-blockade in acute stroke may be warranted.
Source: Stroke - April 27, 2015 Category: Neurology Authors: Sykora, M., Siarnik, P., Diedler, J., for the VISTA Acute Collaborators, VISTA Acute Collaborators, Lees, Alexandrov, Bath, Bluhmki, Bornstein, Claesson, Davis, Donnan, Diener, Fisher, Ginsberg, Gregson, Grotta, Hacke, Hennerici, Hommel, Kaste, Lyden, Mar Tags: Acute Cerebral Infarction, Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Can a Novel Clinical Risk Score Improve Pneumonia Prediction in Acute Stroke Care? A UK Multicenter Cohort Study Stroke
Conclusions The ISAN score is a simple tool for predicting SAP in clinical practice. External validation is required in ischemic and hemorrhagic stroke cohorts.
Source: JAHA:Journal of the American Heart Association - January 13, 2015 Category: Cardiology Authors: Smith, C. J., Bray, B. D., Hoffman, A., Meisel, A., Heuschmann, P. U., Wolfe, C. D. A., Tyrrell, P. J., Rudd, A. G., the Intercollegiate Stroke Working Party Group Tags: Stroke Source Type: research

Microbiological Etiologies of Pneumonia Complicating Stroke Clinical Sciences
Conclusions—Although the analysis was limited by small and heterogeneous study populations, limiting determination of microbiological causality, this review suggests aerobic Gram-negative bacilli and Gram-positive cocci are frequently associated with pneumonia complicating stroke. This supports the need for appropriately designed studies to determine microbial cause and a consensus-based approach in antibiotic usage and further targeted antibiotic treatment trials for enhanced antibiotic stewardship.
Source: Stroke - June 25, 2018 Category: Neurology Authors: Amit K. Kishore, Andy Vail, Adam R. Jeans, Angel Chamorro, Mario Di Napoli, Lalit Kalra, Peter Langhorne, Christine Roffe, Willeke Westendorp, Paul J. Nederkoorn, Javier Garau, Diederik van de Beek, Joan Montaner, Mark Woodhead, Andreas Meisel, Craig J. S Tags: Complications, Meta Analysis, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Hospital Readmission Rates Among Mechanically Ventilated Patients With Stroke Brief Reports
Conclusions— Approximately one quarter of mechanically ventilated patients with stroke who survive to discharge are readmitted to the hospital within 30 days. Readmission rates are significantly higher in patients with stroke who undergo tracheostomy, but the difference is not clinically meaningful. Thirty-day readmission rates among mechanically ventilated patients with stroke are similar to Medicare beneficiaries hospitalized with major medical diseases such as pneumonia.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Lahiri, S., Navi, B. B., Mayer, S. A., Rosengart, A., Merkler, A. E., Claassen, J., Kamel, H. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Emergency treatment of Stroke, Other Stroke Treatment - Medical Brief Reports Source Type: research

The economic cost of stroke-associated pneumonia in a UK setting.
Conclusions SAP increased acute care costs for stroke by approximately 80%. This provides further impetus for research aimed at reducing SAP, and will inform cost-effectiveness analyses of potential therapeutic strategies. PMID: 29105583 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 4, 2017 Category: Neurology Authors: Ali AN, Howe J, Majid A, Redgrave J, Pownall S, Abdelhafiz AH Tags: Top Stroke Rehabil Source Type: research

Diagnosis of Stroke-Associated Pneumonia: Recommendations From the Pneumonia in Stroke Consensus Group Special Report
Conclusions— Consensus operational criteria for the terminology and diagnosis of SAP are proposed based on the CDC criteria. These require prospective evaluation in patients with stroke to determine their reliability, validity, impact on clinician behaviors (including antibiotic prescribing), and clinical outcomes.
Source: Stroke - July 27, 2015 Category: Neurology Authors: Smith, C. J., Kishore, A. K., Vail, A., Chamorro, A., Garau, J., Hopkins, S. J., Di Napoli, M., Kalra, L., Langhorne, P., Montaner, J., Roffe, C., Rudd, A. G., Tyrrell, P. J., van de Beek, D., Woodhead, M., Meisel, A. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Emergency treatment of Stroke Special Report Source Type: research

Lifestyle Factors and Early Clinical Outcome in Patients With Acute Stroke Clinical Sciences
Conclusions—Healthy lifestyle was not associated with a lower risk of adverse stroke outcomes, in particularly among men. However, underweight may be a particular concern being associated with an increased risk of adverse outcomes among both sexes.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Annette Ingeman, Grethe Andersen, Reimar W. Thomsen, Heidi H. Hundborg, Henrik H. Rasmussen, Soren P. Johnsen Tags: Complications, Mortality/Survival, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Prospective Quality Initiative to Maximize Dysphagia Screening Reduces Hospital-Acquired Pneumonia Prevalence in Patients With Stroke Clinical Sciences
Conclusions— A quality improvement initiative using a nurse-administered bedside screen with rapid bedside swallow evaluation by a speech pathologist improves screening compliance and correlates with decreased prevalence of pneumonia among patients with stroke.
Source: Stroke - October 21, 2013 Category: Neurology Authors: Titsworth, W. L., Abram, J., Fullerton, A., Hester, J., Guin, P., Waters, M. F., Mocco, J. Tags: Other Stroke Treatment - Medical Clinical Sciences Source Type: research

How Is Pneumonia Diagnosed in Clinical Stroke Research?: A Systematic Review and Meta-Analysis Clinical Sciences
Conclusions— We found considerable variation in terminology and the diagnostic approach to pneumonia. Our review supports the need for consensus development of operational diagnostic criteria for pneumonia complicating stroke.
Source: Stroke - April 27, 2015 Category: Neurology Authors: Kishore, A. K., Vail, A., Chamorro, A., Garau, J., Hopkins, S. J., Di Napoli, M., Kalra, L., Langhorne, P., Montaner, J., Roffe, C., Rudd, A. G., Tyrrell, P. J., van de Beek, D., Woodhead, M., Meisel, A., Smith, C. J. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Acute Stroke Syndromes, Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke Clinical Sciences
Conclusions—One in 5 patients with acute ischemic stroke did not have documented dysphagia screening, and patients with mild strokes were substantially less likely to have documented screening. Failing dysphagia screening was associated with poor outcomes, including in patients with mild strokes, highlighting the importance of dysphagia screening for all patients with acute ischemic stroke.
Source: Stroke - March 27, 2017 Category: Neurology Authors: Raed A. Joundi, Rosemary Martino, Gustavo Saposnik, Vasily Giannakeas, Jiming Fang, Moira K. Kapral Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Contributions Source Type: research

Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients Brief Report
Conclusions—24/7 dysphagia screening can be effectively performed by nurses and leads to reduced pneumonia rates. Therefore, empowering nurses to do a formal bedside screening for swallowing dysfunction in stroke patients timely after admission is warranted whenever speech–language therapists are not available.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Christoph Palli, Simon Fandler, Kathrin Doppelhofer, Kurt Niederkorn, Christian Enzinger, Christian Vetta, Esther Trampusch, Reinhold Schmidt, Franz Fazekas, Thomas Gattringer Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke Brief Reports Source Type: research

Risk factors for the development of chest infections in acute stroke: a systematic review.
CONCLUSION: Evidence has been comprehensively synthesized to provide reliable estimates of the association between important risk factors and chest infection. Monitoring patients meeting these criteria may promote early identification and treatment to improve long-term outcomes. PMID: 30028658 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 20, 2018 Category: Neurology Authors: Chapman C, Morgan P, Cadilhac DA, Purvis T, Andrew NE Tags: Top Stroke Rehabil Source Type: research

Interrelationship Among Common Medical Complications After Acute Stroke: Pneumonia Plays an Important Role Clinical Sciences
Conclusions— Pneumonia is closely associated with the development of several nonpneumonia medical complications after AIS and ICH.
Source: Stroke - November 25, 2013 Category: Neurology Authors: Ji, R., Wang, D., Shen, H., Pan, Y., Liu, G., Wang, P., Wang, Y., Li, H., Wang, Y., on behalf of China National Stroke Registry (CNSR) Investigators Tags: Clinical Sciences Source Type: research

Does Respiratory Muscle Training Improve Cough Flow in Acute Stroke? Pilot Randomized Controlled Trial Clinical Sciences
Conclusions— Respiratory muscle function and cough flow improve with time after acute stroke. Additional inspiratory or expiratory respiratory muscle training does not augment or expedite this improvement. Clinical Trial Registration— URL: http://www.controlled-trials.com. Unique identifier: ISRCTN40298220.
Source: Stroke - January 26, 2015 Category: Neurology Authors: Kulnik, S. T., Birring, S. S., Moxham, J., Rafferty, G. F., Kalra, L. Tags: Rehabilitation, Stroke, Other Stroke Treatment - Medical Clinical Sciences Source Type: research