Risk factors for and outcomes of poststroke pneumonia in patients with acute ischemic stroke treated with mechanical thrombectomy Article Swipe
Ping Zhang
,
Lei Chen
,
Yi Jiang
,
Hui Yuan
,
Xuan Zhu
,
Minmin Zhang
,
Tao Wu
,
Benqiang Deng
,
Pengfei Yang
,
Yongwei Zhang
,
Jianmin Liu
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1023475
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1023475
Objective The purpose of the study was to assess the risk factors for poststroke pneumonia (PSP) and its association with the outcomes in patients with acute ischemic stroke (AIS) due to large artery occlusion treated with mechanical thrombectomy (MT). Methods Consecutive patients with AIS who underwent MT from January 2019 to December 2019 in the stroke center of Changhai Hospital were identified retrospectively. All of the patients were evaluated for the occurrence of PSP while in the hospital, and their modified Rankin scale (mRS) scores were assessed 90 days after having a stroke. Logistic regression analysis was conducted to determine the independent predictors of PSP, and the associations between PSP and clinical outcomes were analyzed. Results A total of 248 patients were enrolled, of whom 33.47% (83) developed PSP. Logistic regression analysis revealed that body mass index (BMI) [unadjusted odds ratio (OR) 1.200, 95% confidence interval (CI) 1.038–1.387; p = 0.014], systemic immune-inflammation index (SII) (OR 1.001, 95% CI 1.000–1.002; p = 0.003), dysphagia (OR 9.498, 95% CI 3.217–28.041; p < 0.001), and intubation after MT (OR 4.262, 95% CI 1.166–15.581; p = 0.028) were independent risk factors for PSP. PSP was a strong predictor of clinical outcomes: it was associated with functional independence (mRS score ≤ 2) (OR 0.104, 95% CI 0.041–0.260; p < 0.001) and mortality at 90 days (OR 3.010, 95% CI 1.068–8.489; p = 0.037). Conclusion More than one in three patients with AIS treated with MT developed PSP. Dysphagia, intubation, higher BMI, and SII were associated with PSP in these patients. Patients with AIS who develop PSP are more likely to experience negative outcomes. The prevention and identification of PSP are necessary to reduce mortality and improve clinical outcomes.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fneur.2023.1023475
- https://www.frontiersin.org/articles/10.3389/fneur.2023.1023475/pdf
- OA Status
- gold
- Cited By
- 7
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4323363533
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4323363533Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fneur.2023.1023475Digital Object Identifier
- Title
-
Risk factors for and outcomes of poststroke pneumonia in patients with acute ischemic stroke treated with mechanical thrombectomyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-03-07Full publication date if available
- Authors
-
Ping Zhang, Lei Chen, Yi Jiang, Hui Yuan, Xuan Zhu, Minmin Zhang, Tao Wu, Benqiang Deng, Pengfei Yang, Yongwei Zhang, Jianmin LiuList of authors in order
- Landing page
-
https://doi.org/10.3389/fneur.2023.1023475Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fneur.2023.1023475/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fneur.2023.1023475/pdfDirect OA link when available
- Concepts
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Medicine, Internal medicine, Modified Rankin Scale, Odds ratio, Confidence interval, Stroke (engine), Logistic regression, Body mass index, Dysphagia, Pneumonia, Surgery, Ischemic stroke, Ischemia, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
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2025: 3, 2024: 4Per-year citation counts (last 5 years)
- References (count)
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26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.predictors | 102 |
| abstract_inverted_index.prevention | 270 |
| abstract_inverted_index.regression | 94, 130 |
| abstract_inverted_index.Consecutive | 40 |
| abstract_inverted_index.[unadjusted | 138 |
| abstract_inverted_index.association | 18 |
| abstract_inverted_index.independent | 101, 185 |
| abstract_inverted_index.intubation, | 244 |
| abstract_inverted_index.associations | 107 |
| abstract_inverted_index.independence | 203 |
| abstract_inverted_index.thrombectomy | 37 |
| abstract_inverted_index.0.041–0.260; | 212 |
| abstract_inverted_index.1.000–1.002; | 159 |
| abstract_inverted_index.1.038–1.387; | 147 |
| abstract_inverted_index.1.068–8.489; | 225 |
| abstract_inverted_index.identification | 272 |
| abstract_inverted_index.1.166–15.581; | 180 |
| abstract_inverted_index.3.217–28.041; | 168 |
| abstract_inverted_index.retrospectively. | 62 |
| abstract_inverted_index.immune-inflammation | 152 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5078953626, https://openalex.org/A5100675811 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I177933477, https://openalex.org/I4210115928 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.85024452 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |