ArticleStroke and vascular neurology2022
Predictors of dysphagia screening and pneumonia among patients with acute ischaemic stroke in China: findings from the Chinese Stroke Center Alliance (CSCA).
Article in Stroke and vascular neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated analysis of the prevalence and influencing factors of poststroke dysphagia.European journal of medical research · 2025Pooled it
- Effect of modified air-pulse stimulation on tracheotomised patients with dysphagia after stroke: A randomized clinical trial.Medicine · 2026Trial
- Human-AI collaboration for dysphagia rehabilitation from effectiveness to implementation complexity: a systematic review.NPJ digital medicine · 2026Article
- Swallow Strength and Skill Training with biofeedback In acute Post stroke dysphagia (ssSIP): a protocol for a multi-centre feasibility trial.Pilot and feasibility studies · 2026Article
- Machine learning for dysphagia risk prediction in older adults after acute ischemic stroke.BMC medical informatics and decision making · 2026Article
- Establishment and validation of early prediction model for post-stroke dysphagia.Aging clinical and experimental research · 2025Article
- Interpretable machine learning for early predicting the risk of ventilator-associated pneumonia in ischemic stroke patients in the intensive care unit.Frontiers in neurology · 2025Article
- Atrial fibrillation is associated with increased in-hospital mortality and complications after IV t-PA in acute ischemic stroke: evidence from the China Stroke Center Alliance (CSCA).Frontiers in neurology · 2025Article
- Association Between Serum Uric Acid to High-Density Lipoprotein Cholesterol Ratio and Pneumonia After Endovascular Treatment of Vertebrobasilar Artery Occlusion.Journal of inflammation research · 2025Article
- Factors Influencing Early Diagnosis and Poor Prognosis of Dysphagia After Senile Ischemic Stroke.Journal of molecular neuroscience : MN · 2024Article
- Risk Factors for the Development of Pneumonia in Stroke Patients: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Risk factors for dysphagia in patients with acute and chronic ischemic stroke: A retrospective cohort study.Heliyon · 2024Article
- Article
- Factors associated with an increased risk of developing pneumonia during acute ischemic stroke hospitalization.PloS one · 2024Observational
- Costs of post-stroke dysphagia during acute hospitalization from a health-insurance perspective.European stroke journal · 2023Article
- Relationship between post-stroke dysphagia and pharyngeal sensory impairment.Neurological research and practice · 2023Article
- Exploring the Influence of Dysphagia and Tracheostomy on Pneumonia in Patients with Stroke: A Retrospective Cohort Study.Brain sciences · 2022Article
- Predictive value of water swallow test score, serum albumin, and systemic immune-inflammation index for stroke-associated pneumonia in patients with acute isolated pontine infarction.Frontiers in neurologyArticle
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
background and purposeGuidelines 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.
methodsUsing 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.
resultsOf 790 811 patients admitted to 1476 hospitals, 622 718 (78.7%) underwent dysphagia screening, and 64 398 (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.
conclusionsDysphagia 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.
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