Scoring Of Post Stroke Pneumonia In Uttaradit Hospital

Figures & data

Table 1 General Characteristics Of Stroke Patients With Pneumonia Versus Without Pneumonia

General Characteristics	Stroke Patients With Pneumonia		Stroke Patients Without Pneumonia		p-value
	n	%	n	%
Age group
Less than 40 years	3	2.8	10	4.6	0.637
40–80 years	87	80.6	176	81.5
More than 80 years	18	16.6	30	13.9
Mean (SD)	67.2	(13.1)	65.3	(14.3)
Sex
Female	52	48.2	89	41.2	0.235
Male	56	51.8	127	58.8
Length of stay, median (interquartile range)	24	(27)	3	(4)	<0.001
Lesion
Left hemisphere	28	26.0	80	37.0	0.046
Right hemisphere	26	24.0	61	28.2	0.425
Both hemisphere	5	4.6	14	6.5	0.504
Brainstem or Cerebellum	8	7.4	27	12.5	0.164
Basal ganglion and thalamus	39	36.1	33	15.3	<0.001
Ventricle and sinus	2	1.9	1	0.5	0.259
Hypertension
No	26	24.0	0	37.0	0.019
Yes	82	76.0	136	63.0
Diabetes mellitus
No	89	82.4	177	81.9	0.918
Yes	19	17.6	39	18.1
Atrial fibrillation
No	96	88.9	196	90.4	0.598
Yes	12	11.1	20	9.3
Cardiovascular disease
No	102	94.4	212	98.1	0.069
Yes	6	5.6	4	1.9
Hyperlipidemia
No	71	65.7	118	54.6	0.056
Yes	37	34.3	98	45.4
COPD
No	106	98.2	216	100	0.110
Yes	2	1.8	0	0

Table 2 Medical Treatment Of Stroke Patients With Pneumonia Versus Without Pneumonia

Medical Treatment	Stroke Patients With Pneumonia		Stroke Patients Without Pneumonia		p-value
	n	%	n	%
Endotracheal intubation
No	18	16.7	170	78.7	<0.001
Yes	90	83.3	46	21.3
Nasogastric tube
No	8	7.4	171	79.2	<0.001
Yes	100	92.6	45	20.8
Urinary catheter
No	12	11.1	176	81.5	<0.001
Yes	96	88.9	40	18.5

Table 3 Other Complications Of Stroke Patients With Pneumonia Versus Without Pneumonia

Other Complications	Stroke Patients With Pneumonia		Stroke Patients Without Pneumonia		p-value
	n	%	n	%
Seizure
No	89	82.4	209	96.8	<0.001
Yes	19	18.6	7	3.2
Sepsis
No	82	75.9	212	98.2	<0.001
Yes	26	24.1	4	1.8
Urinary tract infection
No	86	79.6	213	98.6	<0.001
Yes	22	20.4	3	1.4
Heart failure
No	100	92.6	213	98.6	0.008
Yes	8	7.4	3	1.4
Arrhythmia
No	99	91.7	207	95.8	0.130
Yes	9	8.3	9	4.2

Table 4 Odd Ratio Of Developing Pneumonia In Stroke Patients

	OR	Univariate Analysis		Multivariate Analysis
		95% CI	p-value	95% CI	p-value
Age group
<40 years	1.00
40–80 years	1.6	0.410–9.536	0.453	1.355–251.994	0.029
>80 years	2	0.430–12.664	0.332	0.821–244.213	0.068
Sex
Female	0.8	0.462–1.234	0.235	0.361–2.518	0.922
Male	1.00
Length of stay
0–10 days	1.00
11–20 days	11.5	4.930–26.637	<0.001	1.670–17.074	0.005
>20 days	141.8	45.027–567.248	<0.001	13.723–504.628	<0.001
Lesion
Left hemisphere	0.2	0.003–3.548	0.117	0.536–253.647	0.118
Right hemisphere	0.2	0.004–4.343	0.176	0.410–205.328	0.162
Both hemispheres	0.2	0.003–4.514	0.163	0.034–22.203	0.935
Brainstem or Cerebellum	0.1	0.002–3.392	0.098	0.247–151.984	0.269
Basal ganglion and thalamus	0.6	0.010–11.907	0.670	0.771–428.300	0.072
Ventricle and sinus	1.00
Hypertension
No	1.00
Yes	1.9	1.074–3.259	0.019	0.241–2.007	0.503
Diabetes mellitus
No	1.00
Yes	1.0	0.498–1.836	0.918	0.353–4.398	0.733
Atrial fibrillation
No	1.00
Yes	1.2	0.523–2.758	0.598	0.075–1.843	0.225
Cardiovascular disease
No	1.00
Yes	3.1	0.719–15.302	0.069	1.342–157.205	0.028
Hyperlipidemia
No	1.00
Yes	0.6	0.376–1.039	0.056	0.392–2.852	0.912
Endotracheal intubation
No	1.00
Yes	18.5	9.777–35.640	<0.001	0.117–4.590	0.739
Nasogastric tube
No	1.00
Yes	47.5	20.842–119.571	<0.001	3.361–36.966	<0.001
Urinary catheter
No	1.00
Yes	35.2	16.985–76.290	<0.001	0.379–16.424	0.342
Seizure
No	1.00
Yes	6.4	2.443–18.482	<0.001	0.660–24.484	0.131
Sepsis
No	1.00
Yes	16.8	5.539–67.661	<0.001	0.570–15.476	0.197
Urinary tract infection
No	1.00
Yes	18.2	5.208–96.311	<0.001	1.496–79.564	0.018
Heart failure
No	1.00
Yes	5.7	1.320–33.741	0.005	0.490–97.905	0.152
Arrhythmia
No	1.00
Yes	2.1	0.709–6.135	0.123	0.213–9.380	0.719

Table 5 Score For Predicting Post-Stroke Pneumonia Infection

Probability Categories	Score	Case (n=108)		Control (n=216)		LHR+	95% CI	p-value
		n	%	n	%
Low	0-2	20	18.5	201	93.1	0.20	0.134–0.300	<0.001
Moderate	2.5-4	20	18.5	12	5.6	3.33	1.693–6.562	0.005
High	4.5–7.5	68	63.0	3	1.3	45.33	14.601–140.754	<0.001
Mean±SD		3.9±1.6		0.6±1.1				<0.001