|
|
Post-Stroke Pneumonia
|
|
Tarek Goda1, Wael Mahmoud1,
Sabry M. AbdelDayem2, Mohammed Taha Al Afifi3
|
|
Departments of Neurology, Zagazig University1, Tanta University2;
Anaesthesia3, Al-Azhar
University; Egypt
|
ABSTRACT
|
Background: Dysphagia is an important complication of acute
stroke. Aspiration pneumonia is the most important acute complication of stroke
related dysphagia. Objective: To estimate the frequency and risk factors
of pneumonia in acute stroke patients fed by nasogastric tube. Methods: This
prospective study was done on 50 consecutive patients with acute stroke who
were given tube feeding because of dysphagia. The study was done in Zagazig
university hospitals, over one year period (Sept 2012 to Sept 2013). All
patients were assessed daily for the presence pneumonia. Results:
Pneumonia was diagnosed in 44% of the tube fed patients. As measured by the
NIHSS score, patients who acquired pneumonia, were more severely affected than
patients without pneumonia. Patients with decreased consciousness and severe
facial palsy are at high risk of pneumonia. Conclusions: Decreased
consciousness and severe facial palsy are risk factors for development of
post-stroke pneumonia. [Egypt J Neurol
Psychiat Neurosurg. 2015; 52(1): 51-54]
Key
Words: Stroke, pneumonia
Correspondence to Tarek Goda, Department of Neurology, Zagazig University.
Tel: +201115606539 e-mail:
t-gouda@hotmail.com
|
|
|