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Hospital-acquired pneumonia is more frequent and lethal in stroke patients: A nationwide 4-year study

Published online by Cambridge University Press:  29 September 2021

João C. Gonçalves-Pereira Open the ORCID record for João C. Gonçalves-Pereira [Opens in a new window] ,
Flavio Marino ,
Paulo Mergulhão ,
Baltazar Nunes  and
Filipe Froes
João C. Gonçalves-Pereira*
Affiliation:
Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal Nova Medical School, Universidade Nova de Lisboa, Lisbon, Portugal Grupo de Infeção e Sépsis, Oporto, Portugal
Flavio Marino
Affiliation:
Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
Paulo Mergulhão
Affiliation:
Grupo de Infeção e Sépsis, Oporto, Portugal Hospital Lusíadas, Oporto, Portugal Faculdade de Medicina, Universidade do Porto, Oporto, Portugal
Baltazar Nunes
Affiliation:
Departamento de Epidemiologia, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal
Filipe Froes
Affiliation:
Grupo de Infeção e Sépsis, Oporto, Portugal Chest Department, Hospital Pulido Valente, Centro Hospitalar Lisboa Norte, Lisbon, Portugal
*
Author for correspondence: João C. Gonçalves-Pereira, E-mail: joao.goncalvespereira@hvfx.min-saude.pt
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Abstract

We report a higher incidence of hospital-acquired pneumonia (HAP) in patients admitted with stroke (odds ratio, 5.6; 95% CI, 5.4–5.8). Patients with HAP and stroke had an elevated risk of death (odds ratio, 1.2; 95% CI, 1.1–1.3). The incidence and mortality of HAP in stroke patients increased across all age groups.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 1 , January 2023 , pp. 122 - 124
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Hannawi, Y, Hannawi, B, Rao, CPV, Suarez, JI, Bershad, EM. Stroke-associated pneumonia: major advances and obstacles. Cerebrovasc Dis 2013;35:430–443.CrossRefGoogle ScholarPubMed
Ji, R, Shen, H, Pan, Y, et al. Novel risk score to predict pneumonia after acute ischemic stroke. Stroke 2013;44:1303–1309.CrossRefGoogle ScholarPubMed
Lord, AS, Lewis, A, Czeisler, B, et al. Majority of 30-day readmissions after intracerebral hemorrhage are related to infections. Stroke 2016;47:1768–1771.CrossRefGoogle ScholarPubMed
Hilker, R, Poetter, C, Findeisen, N, et al. Nosocomial pneumonia after acute stroke: implications for neurological intensive care medicine. Stroke 2003;34:975–981.CrossRefGoogle ScholarPubMed
Gonçalves-Pereira, J, Mergulhão, P, Nunes, B, Froes, F. Incidence and impact of hospital-acquired pneumonia: a Portuguese nationwide 4-year study. J Hosp Infect 2021;112:1–5.CrossRefGoogle Scholar
Masrur, S, Smith, EE, Saver, JL, et al. Dysphagia screening and hospital-acquired pneumonia in patients with acute ischemic stroke: findings from get with the guidelines—stroke. J Stroke Cerebrovasc Dis 2013;22:301–309.CrossRefGoogle ScholarPubMed
Lee Titsworth, W, Abram, J, Fullerton, A, et al. Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke. Stroke 2013;44:3154–3160.CrossRefGoogle Scholar
Chapman, C, Cadilhac, DA, Morgan, P, et al. Chest infection within 30 days of acute stroke, associated factors, survival and the benefits of stroke unit care: analysis using linked data from the Australian Stroke Clinical Registry. Int J Stroke 2020;15:390–398.CrossRefGoogle ScholarPubMed
Teh, WH, Smith, CJ, Barlas, RS, et al. Impact of stroke-associated pneumonia on mortality, length of hospitalization, and functional outcome. Acta Neurol Scand 2018;138:293–300.CrossRefGoogle ScholarPubMed
Brogan, E, Langdon, C, Brookes, K, Budgeon, C, Blacker, D. Can’t swallow, can’t transfer, can’t toilet: factors predicting infections in the first week post stroke. J Clin Neurosci 2015;22:92–97.CrossRefGoogle ScholarPubMed
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