Risk factors for the development of chest infections in acute stroke: a systematic review

Topics in Stroke Rehabilitation
Chantelle ChapmanNadine E Andrew

Abstract

Chest infections occur in approximately one-third of patients following acute stroke, and are associated with poor outcomes. Limitations in previous reviews restricted the accuracy of results. To perform a systematic review to reliably identify modifiable risk factors for chest infections following acute stroke. Ovid Medline, CINAHL, Cochrane, EMBASE and AMED were searched from 1946 to April 2017 for observational studies where risk factors for chest infections in patients hospitalized with acute stroke were reported. Key words used to identify included chest infection or pneumonia. Included studies were evaluated based on methodological criteria and scientific quality. Results were collated and separate meta-analyses were performed for risk factors examined in three or more studies where quality and homogeneity criteria were met. 3172 studies were identified, 15 were eligible for inclusion. Data collection methods included primary data collection, medical record audit and registry data. Chest infections were diagnosed 2-30 days following acute stroke in ten studies. Of the 39 risk factors identified, four were included in the meta-analysis. These were mechanical ventilation: 4 studies, OR: 3.83, 95%CI: 3.21, 4.57; diabetes: 4 ...Continue Reading

References

Dec 1, 1995·Archives of Physical Medicine and Rehabilitation·I R OddersonB S McKenna
Apr 1, 1997·Stroke; a Journal of Cerebral Circulation·T SteinerW Hacke
Jul 18, 2002·Intensive Care Medicine·G NtoumenopoulosJ F Cade
Mar 15, 2003·Stroke; a Journal of Cerebral Circulation·Ruediger HilkerWolf-Dieter Heiss
Apr 5, 2003·Stroke; a Journal of Cerebral Circulation·Deborah J C RamseyLalit Kalra
Apr 20, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marc J M BontenJesse B Hall
Sep 15, 2004·Archives of Internal Medicine·Peter U HeuschmannUNKNOWN German Stroke Registers Study Group
Aug 10, 2005·Seminars in Respiratory and Critical Care Medicine·Carolyn L Rochester, Vahid Mohsenin
Aug 20, 2005·Stroke; a Journal of Cerebral Circulation·Judith A HincheyUNKNOWN Stroke Practice Improvement Network Investigators
Feb 24, 2006·American Journal of Infection Control·Hyung-Min KwonByung-Woo Yoon
Jun 16, 2007·Stroke; a Journal of Cerebral Circulation·Cameron SellarsDavid J Stott
Dec 1, 2007·Epidemiology·Jan P VandenbrouckeUNKNOWN STROBE Initiative
Jul 18, 2009·Cerebrovascular Diseases·Tobias WarneckeRainer Dziewas
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Sep 23, 2010·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Renu B Pattanshetty, G S Gaude
Jun 15, 2011·Neurological Research·Rubo Sui, Lei Zhang
Sep 24, 2011·Neurology·O FinlaysonUNKNOWN Stroke Outcome Research Canada (SORCan) Working Group
Jan 12, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Shihab MasrurLee H Schwamm
Mar 14, 2013·Stroke; a Journal of Cerebral Circulation·Ruijun JiUNKNOWN China National Stroke Registry Investigators
Apr 1, 2011·The Neurohospitalist·John R Armstrong, Benjamin D Mosher
May 29, 2015·Arquivos de neuro-psiquiatria·Sara R M AlmeidaLi Min Li
Sep 12, 2015·Expert Review of Anti-infective Therapy·Mei-Zhen YuanGuang-Wei Liu
Jul 20, 2016·BMC Neurology·Karl MatzUNKNOWN MD for the Austrian Stroke Unit Registry Collaborators
Jul 21, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yi-Jing YuWen-Yi Huang
Feb 24, 2017·Stroke; a Journal of Cerebral Circulation·Fadar Oliver OtiteJose G Romano

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