ArticleRevista da Associacao Medica Brasileira (1992)2025
Chest computed tomography and multi-criteria decision analysis-guided interventions for stroke-associated pneumonia in acute ischemic stroke.
Article in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Opacity in ground glass: remember the gravity-dependent atelectasis.Revista da Associacao Medica Brasileira (1992) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStroke-associated pneumonia is a common complication of acute cerebral infarction, worsening prognosis and prolonging hospitalization. Early detection and timely intervention are critical to improving outcomes. The aim of this study was to evaluate the effectiveness of a multi-criteria decision analysis-based intervention in preventing stroke-associated pneumonia and examine the role of chest computed tomography in guiding early interventions.
methodsA total of 77 patients with acute cerebral infarction were divided into a control group (n=38) receiving standard care and an intervention group (n=39) receiving an multi-criteria decision analysis-guided bundled intervention. Chest computed tomography identified early pulmonary infections, and interventions such as anti-infective and respiratory support were adjusted accordingly. Stroke-associated pneumonia incidence, hospital stay, and functional recovery were compared, and multivariate logistic regression analysis identified independent stroke-associated pneumonia risk factors.
resultsThe intervention group showed a statistically significantly lower stroke-associated pneumonia incidence (12.8 vs. 31.6%, p=0.034), shorter hospital stays (14.1 vs. 16.8 days, p=0.027), and better improvements in Barthel Index for Activities of Daily Living (50.3 vs. 35.7, p=0.005) and Glasgow Coma Scale scores (14.1 vs. 12.7, p=0.041). Independent stroke-associated pneumonia risk factors included age (OR 1.03, 95%CI 1.01-1.06, p=0.029), Glasgow Coma Scale score (OR 0.83, 95%CI 0.73-0.94, p=0.014), and smoking history (OR 2.11, 95%CI 1.08-4.02, p=0.031). The intervention statistically significantly reduced stroke-associated pneumonia risk (OR 0.39, 95%CI 0.17-0.92, p=0.032).
conclusionMulti-criteria decision analysis-guided interventions, supported by chest computed tomography for early detection, significantly reduce stroke-associated pneumonia incidence, improve recovery, and shorten hospital stays in acute cerebral infarction patients. Chest computed tomography is crucial for optimizing early interventions and treatment strategies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.