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首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Association between pneumonia in acute stroke stage and 3-year mortality in patients with acute first-ever ischemic stroke
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Association between pneumonia in acute stroke stage and 3-year mortality in patients with acute first-ever ischemic stroke

机译：急性中风阶段的肺炎与急性首要缺血性卒中患者的3年死亡率之间的关联

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摘要

The influence of pneumonia in acute stroke stage on the clinical presentation and long-term outcomes of patients with acute ischemic stroke is still controversial. We investigate the influence of pneumonia in acute stroke stage on the 3-year outcomes of patients with acute first-ever ischemic stroke. Nine-hundred and thirty-four patients with acute first-ever ischemic stroke were enrolled and had been followed for 3 years. Patients were divided into two groups according to whether pneumonia occurred during acute stroke stage or not. Clinical presentations, risk factors for stroke, laboratory data, co-morbidities, and outcomes were recorded. The result showed that a total of 100 patients (10.7%) had pneumonia in acute stroke stage. The prevalence of older age, atrial fibrillation was significantly higher in patients with pneumonia in acute stroke stage. Total anterior circulation syndrome and posterior circulation syndrome occurred more frequently among patients with pneumonia in acute stroke stage (P < 0.001 and P= 0.009, respectively). Multivariate Cox regression revealed that pneumonia in acute stroke stage is a significant predictor of 3-year mortality (hazard ratio = 6.39, 95% confidence interval = 4.03-10.11, P < 0.001). In conclusion, pneumonia during the acute stroke stage is associated with increased risk of 3-year mortality. Interventions to prevent pneumonia in acute stroke stage might improve ischemic stroke outcome. (C) 2016 Elsevier Ltd. All rights reserved.
机译：肺炎对急性中风阶段对急性缺血性卒中患者临床介绍和长期结果的影响仍存在争议。我们探讨肺炎对急性中风阶段对急性急性缺血性脑卒中患者3年的影响的影响。九百和三十四名急性首次缺血中风的患者均已注册，并进行了3年。根据急性卒中阶段是否发生肺炎，患者分为两组。记录了临床演示，记录了中风，实验室数据，共生和结果的危险因素。结果表明，总共100名患者（10.7％）在急性卒中阶段患有肺炎。急性卒中阶段肺炎患者患者的年龄患病率显着高。在急性卒中阶段肺炎患者中，患有肺炎患者的总前循环综合征和后循环综合征（P <0.001和P = 0.009分别）。多变量Cox回归显示，急性卒中阶段的肺炎是3年死亡率的显着预测因子（危险比= 6.39,95％置信区间= 4.03-10.11，P <0.001）。总之，急性卒中阶段肺炎与3年死亡率的风险增加有关。预防肺炎在急性卒中阶段的干预可能会改善缺血性卒中结果。 （c）2016 Elsevier Ltd.保留所有权利。

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