Predictors for Acute Stroke Associated Pneumonia and Its’ Outcomes among Acute Stroke Patients

Document Type : Original Article

Authors

1 Demonstrator at Nursing Critical Care and Emergency Department, Faculty of Nursing, Assuit University, Egypt

2 Professor of Critical Care Nursing and Emergency Department, Faculty of Nursing , Assuit University , Egypt

3 Professor of Neuro Surgery-Faculty of Medicine- Assuit University , Egypt

4 Assistant Professor of Critical Care &Emergency Nursing Faculty of Nursing- Assuit University , Egypt

Abstract

Background: The most common respiratory complication after acute stroke was stroke-associated pneumonia, which raised the morbidity and mortality rates among stroke patients. predict incidence stroke associated pneumonia. Aim of study: to assess the predictors for acute stroke Associated Pneumonia and Its Outcomes Among Acute Stroke Patients. Research design: Descriptive research design was utilized. Setting: This study was conducted in stroke unit at Neuro-Psychiatry and Neuro Surgery Hospital - Assuit university. Sample: convenience sample of both adult male and female patients with acute stroke admitted to stroke unit, with age groups ranging from 18–65 years. Tools: three tools utilized, Tool (I): Patient's assessment sheet, Tool (II): predictors for acute stroke Associated Pneumonia by A2DS2 scale, Tool (III): Clinical outcomes assessment tool. Results: Among stroke-associated pneumonia patients mortality rate was half of patients (50%), 47.5% connected on mechanical ventilation and had a lengthy hospital stay with Mean± SD (11.23±3.438) and A2DS2 score is a reliable method for prediction of stroke-associated pneumonia. Conclusion: stroke-associated pneumonia is one of the most common infections that develops after a stroke. Which correlates with elevated mortality rates, prolonged length of stay and used of mechanical ventilation. Recommendation: Nursing protocol must be implemented for nurses, who are integral in patient care, for early recognition and management of complications associated with acute stroke.

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