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Predictors of dysphagia screening and pneumonia among patients with acute ischaemic stroke in China:findings from the Chinese Stroke Center Alliance(CSCA)

查看全文 作　　者：Jianshu [1]Liang;Zhike [1,2]Yin;Zixiao [3,4]Li;Hongqiu [5]Gu;Kaixuan [5]Yang;Yunyun [3]Xiong;Yongjun [3]Wang;Chunjuan [3]Wang 高影响力作者 机构地区：[1]Nursing Department,Beijing Tiantan Hospital,Capital Medical University,Beijing,China;[2]Department of Neurology,Vascular Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing,China;[3]Department of Neurology,Vascular Neurology,China National Clinical Research Center for Neurological Diseases,Beijing Tiantan Hospital,Capital Medical University,Beijing,China;[4]Research Unit of Artificial Intelligence in Cerebrovascular Disease,Chinese Academy of Medical Sciences,Beijing,China;[5]China National Clinical Research Center for Neurological Diseases,Beijing Tiantan Hospital,Capital Medical University,Beijing,China高影响力机构 出　　处：《Stroke & Vascular Neurology》索引2022年第7卷第4期,共12页高影响力期刊 基　　金：Funding The Ministry of Science and Technology of the People’s Republic of China(National Key R&D Programme of China,2017YFC1310901,2016YFC0901002,2017YFC1307905,2015BAI12B00);the National Natural Science Foundation of China(No.81801152);Beijing Talents Project(2018A13,2018000021223ZK03);the Youth Programme(QML20180501). 摘　　要：Background and purpose Guidelines recommend dysphagia screening to identify those at high risk of pneumonia.However,little is known about the prevalence and predictors of dysphagia screening and pneumonia among patients with acute ischaemic stroke in China.Methods Using data from the Chinese Stroke Center Alliance,which is a multicentre,prospective,consecutive patient enrolment programme,univariate and multivariate analyses were conducted to identify patient and hospital characteristics associated with dysphagia screening and pneumonia during acute hospitalisation.Results Of 790811 patients admitted to 1476 hospitals,622718(78.7%)underwent dysphagia screening,and 64398(8.1%)developed pneumonia.Patients in stroke units were more likely to be screened for dysphagia than those not in stroke units(OR 1.50;95%CI 1.48 to 1.52),while patients with a past history of stroke were less likely to be screened(OR 0.87;95%CI 0.86 to 0.88).Dysphagia screening(OR 1.46;95%CI 1.30 to 1.65),dysphagia(OR 7.31;95%CI 7.15 to 7.46),and admission to stroke units(OR 1.17;95%CI 1.14 to 1.19)were significantly associated with a greater risk of pneumonia.Conclusions Dysphagia was a critical factor in the development of pneumonia.Nearly one in five patients with acute ischaemic stroke in the Chinese Stroke Center Alliance were not screened for dysphagia.Pneumonia prevention during acute hospitalisation is dependent not only on dysphagia screening but also on the effectiveness of subsequent dysphagia management interventions.Further studies are needed to elucidate the relationship between dysphagia screening,stroke unit care and pneumonia in patients with acute ischaemic stroke. 关 键 词：PNEUMONIA prevention LIKELY
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