Article Sidebar
Main Article Content
Abstract
Stroke associated pneumonia (SAP) is the most common complication after stroke and has a high mortality rate. SAP mortality profile among Neuro ICU patients has not been fully investigated. Knowledge of mortality profiles can help clinical decision making for patient management. The purpose of this study was to determine the mortality profile of SAP who were treated in the Neuro ICU National Brain Centre (NBC) Hospital. This was a retrospective cohort study of the patients were hospitalized in the Neuro ICU NBC Hospital, who were diagnosed with SAP during 2016-2017. Clinical and laboratory data and the patient's status during treatment are obtained from medical record data. A total of 197 stroke patients who were treated at the Neuro ICU NBC Hospital during 2016-2017, there were 130 (65.98%) patients diagnosed with SAP, with mortality during treatment of 77.7%. The highest SAP mortality was found in male patients (75%), in the age group ≥ 60 years (55.4%), GCS at admission ≤ 8 (88.3%), accompanied by hypertension (66.7%) and leukocytosis (74.8%). In bivariate analysis, the variables that were statistically significant (p <0.05) were hypertension, GCS, LoS, APACHE II score, and PMR.
Keywords
Article Details
Authors who publish with this journal agree to the following terms:
1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
de Castillo, L. L. C., Sumalapao, D. E. P. and Pascual, J. L. R. 2017. ‘Risk factors for pneumonia in acute stroke patients admitted to the emergency department of a tertiary government hospital’, National Journal of Physiology, Pharmacy and Pharmacology, 7(8), pp. 855–859. doi:10.5455/njppp.2017.7.0411008052017.
D. Handayani, N. Arief, B. Swidarmoko, P. Astowo, and M. S. D. 2006. ‘Sistem skor acute physiology and chronic health evaluation (APACHE) II sebagai prediksi mortalitas pasien rawat instalasi perawatan intensif’, J Pulmo, 34(1), pp. 36–45.
Finlayson, O. 2011. ‘Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke’.
Hannawi, Y. et al. 2013. ‘Stroke-associated pneumonia : Major advances and obstacles’, Cerebrovascular Diseases’, 35(5), pp. 430–443.
James PA, Oparil S, Carter BL, Cushman WC, Dennison C, Handler J, dkk. 2013. Evidence-based guideline for the management of high blood pressure in adults: Report from the panel member appointed to the eight joint national committee (JNC 8). JAMA; 18 Dec 2013
Katzan, I. L. et al. 2007. ‘The cost of pneumonia after acute stroke’, Neurology, 68(22), pp. 1938–1943. doi: 10.1212/01.wnl.0000263187.08969.45.
Nazarian DJ, Eddy OL, Lukens TW, Weingart SD, Decker WW. 2009. Clinical policy: Critical issue in the managenment of adult patients presenting to the emergency departement with community- acquired pneumonia. Ann Emerg Med;54(5):704-29
Ovbiagele B, Weir CJ, Saver JL, Muir KW. 2006. Effect of smoking status on outcome after acute ischemic stroke. Cerebrovasc Dis.;21:260–5
Smith, C. J. et al. 2015. ‘Diagnosis of Stroke-Associated Pneumonia: Recommendations From the Pneumonia in Stroke Consensus Group’, Stroke; a journal of cerebral circulation, 46(8), pp. 2335–2340. doi: 10.1161/STROKEAHA.115.009617.
Wandira RD, Amalia L., Fuadi I. 2018. Hubungan antara derajat keparahan stroke dengan kejadian stroke-associated pneumonia. Neurona ; 35(2)
Zalacain R, Torres A, Celis R, Blanquer J, Aspa J, Esteban L, et al. 2003. Community-acquired pneumonia in the elderly: Spanish multicentre study. Eur Respir J.;21(2):294-302.