ArticleFrontiers in neurology
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.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To identify independent predictors of stroke-associated pneumonia (SAP) in patients with acute isolated pontine infarction (AIPI) and to investigate the association between SAP and short-term prognosis. Methods: This retrospective study included 179 consecutive patients with AIPI admitted between March 2021 and March 2024. Baseline clinical data, swallowing function, and serum biomarkers were analyzed. Independent predictors of SAP were determined using multivariate logistic regression, and predictive performance was assessed by receiver operating characteristic (ROC) curve analysis. Results: SAP occurred in 19 (10.61%) patients. Compared with patients without SAP, those who developed SAP were older and had higher Water Swallow Test (WST) scores, National Institutes of Health Stroke Scale (NIHSS) scores, fibrinogen, C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI), as well as lower serum albumin levels (all Conclusion: SAP is independently associated with a significantly increased risk of short-term poor functional outcome. WST score, serum albumin, and SII are independent predictors of SAP in patients with AIPI. Their combination provides a simple, cost-effective bedside model for early identification and prevention of post-stroke pneumonia.
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