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ISSN 1028-4818 (Electronic)

2015, Number 3

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Mul Med 2015; 19 (3)

Predictors of Precocious Nosocomial Pneumonia in patients with Spontaneous Intracerebral Hemorrhage

Suárez QA, García VN

Language: Spanish
References: 30
Page:
PDF size: 188.46 Kb.


ABSTRACT

Introduction: spontaneous intracerebral hemorrhage is the most lethal, disabling, and least treatable ictus condition. Within the acute complications, the nosocomial pneumonia represents the second important event, and hugely contributes to negative outcomes and high costs.
Objective: to identify the independent variables in order to estimate the prognosis of precocious nosocomial pneumonia.
Methods: the cohort study constituted by patients with acute spontaneous intracerebral hemorrhage admitted in the Intermediate Therapy Service at “Carlos Manuel de Céspedes” Hospital since August 1st, 2008, and August 31, 2012.
Results: 177 patients were included during the period of study. 36.2 % of the patients presented precocious nosocomial pneumonia. The following independent factors were found: Glasgow scale ≤ 10 (OR: 9,591; IC 95% 3,898- 23,597), Rankin scale ≥ 4 (OR: 8,545; IC 95% 2,621-27,862), dysphagia (OR: 3,726; IC 95% 1,321- 10,511), Aphasia/Dysarthria (OR: 3,723; IC 95% 1,526- 9,083), vomiting (OR: 2,692; IC 95% 1,090- 6,649).
Conclusion: the nosocomial pneumonia in patients with spontaneous intracerebral hemorrhage can be properly predicted by a small set of prognostic factors.


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