Volume 29 Issue 10
Oct.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(10): 1647-1649
ZHAO Kanglu, LI Xuesong, YE Weijiang, LIU Wenbing, CHEN Xiaoling, XIA Qiuhua. Risk factors for poststroke pneumonia in stroke patients[J]. Chinese Journal of General Practice, 2025, 23(10): 1647-1649. doi: 10.16766/j.cnki.issn.1674-4152.004196
Citation: ZHAO Kanglu, LI Xuesong, YE Weijiang, LIU Wenbing, CHEN Xiaoling, XIA Qiuhua. Risk factors for poststroke pneumonia in stroke patients[J]. Chinese Journal of General Practice, 2025, 23(10): 1647-1649. doi: 10.16766/j.cnki.issn.1674-4152.004196
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Risk factors for poststroke pneumonia in stroke patients

doi: 10.16766/j.cnki.issn.1674-4152.004196
  • 1.

    Zhejiang Rehabilitation Medical Center (Rehabilitation Hospital Area of the Third Affiliated Hospital of Zhejiang Chinese Medical University), Hospital Infection Management Department, Hangzhou, Zhejiang 310051, China

Funds:

 2222

 ZKXZ2403

  • Received Date: 2025-05-21
    Abstract
  •   Objective  This study aimed to analyze the risk factors for poststroke pneumonia in stroke patients to enable early intervention, reduce its incidence, and improve patient outcomes.  Methods  A total of 441 stroke patients who received treatment at Zhejiang Rehabilitation Medical Center from January 2023 to October 2023 were selected. The demographic data (gender, age), clinical variables (consciousness disorder, dysphagia, whether invasive procedures), complications (coronary heart disease, hypertension, hyperlipidemia), and laboratory parameters (white blood cells, red blood cells, platelets, serum potassium, serum sodium, and glycosylated hemoglobin) were recorded. Based on the occurrence of poststroke pneumonia within 3 weeks of admission, they were divided into the pneumonia group and the non-pneumonia group. The occurrence of poststroke pneumonia was statistically analyzed, and the risk factors for poststroke pneumonia in stroke patients were analyzed.  Results  Among 441 patients including 293 males and 148 females, with an average age of (58.58±13.60) years. The incidence of poststroke pneumonia was 16.10% (71/441). Univariate analysis of poststroke pneumonia identified age, consciousness disorder, dysphagia, invasive procedures, and glycosylated hemoglobin as influencing factors for poststroke pneumonia in stroke patients (P<0.05). Unconditional multivariate logistic regression model analysis demonstrated that age >60 years, presence of consciousness disorder, dysphagia, and glycosylated hemoglobin >7.5% were independent risk factors for poststroke pneumonia in stroke patients (P<0.05).  Conclusion  The occurrence of poststroke pneumonia in stroke patients is correlated with age, consciousness disorder, dysphagia, and elevated glycosylated hemoglobin. Early identification and targeted management of these factors are necessary to reduce the risk of poststroke pneumonia in stroke patients and improve the prognosis of patients.

     

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