| Objective To investigate the risk factors of hypostatic pneumonia in the bedridden stroke patients.Methods The clinical data and prognosis of 220 cases of bedridden stroke patients, hospitalized in our hospital from Jan 2011 to Aug 2015, were retrospectively studied, and the occurrence of hypostatic pneumonia was recorded. The univariate and logistic regression analysis for the risk factors of hypostatic pneumonia were performed. Results There were 40 patients with hypostatic pneumonia in the 220 bedridden stroke patients, with incidence rate of 18.2%. The univariate analysis showed that age, stroke classification, diabetes, smoking, dysphagia, prophylactic use of antibiotics and bedridden time were related to hypostatic pneumonia in those patients. The logistic regression analysis further showed that age, diabetes, dysphagia, prophylactic use of antibiotics and bedridden time were the risk factors of hypostatic pneumonia (P<0.05). The NIHSS score of the patients with hypostatic pneumonia at 21 days after admission was 11.23±3.45, whereas the NIHSS score of other patients was 4.19±3.10, and the difference between them was statistically significant (P<0.05). Meanwhile, the incidence of other complications and the mortality in these patients with hypostatic pneumonia at 21 days after admission were also significantly higher than those in the patients without hypostatic pneumonia (P<0.05). Conclusion In those bedridden stroke patients, occurrence of hypostatic pneumonia is common, and its primary risk factors include age, diabetes, dysphagia, prophylactic use of antibiotics and bedridden time, which would worsen their prognosis and call for great concern and active prevention of the clinicians. |
