Original articleFrequency and Determinants of Pneumonia and Urinary Tract Infection During Stroke Hospitalization
Section snippets
Methods
Data from the California Acute Stroke Prototype Registry (CASPR) were analyzed. CASPR’s study methods have been previously described.15 CASPR collected prospective data on acute stroke care in individuals with a diagnosis of suggested stroke or transient ischemic attack, in 11 hospitals in 5 major population regions of California from November 1, 2002, through January 31, 2003, and from November 1, 2003, though January 31, 2004. CASPR hospitals comprised 4 university hospitals, 4 community
Results
Overall, 663 patients were diagnosed with ischemic stroke at the 11 CASPR hospitals. Complete data regarding presence or absence of UTI were available for all 663 CASPR patients, and complete pneumonia data for 660 patients. Men constituted 45.0% of the cohorts and 56.1% were white. During stroke hospitalization, pneumonia occurred in 66 patients (10%), whereas UTI occurred in 84 patients (13%). Seventeen patients (2.6%) had both pneumonia and UTI. Rates of infection varied significantly among
Discussion
This study shows that at representative hospitals in California, almost 1 of every 8 individuals discharged from the hospital after an ischemic stroke or transient ischemic attack develops either a UTI or pneumonia, and it confirms that the incidence of UTI tends to be more common than pneumonia.3, 16 A major advantage of our study over previously conducted analyses of hospital infection during stroke is the evaluation of routine stroke practice at multiple hospitals operating within different
References (21)
Prevention and management of medical complications of the hospitalized elderly stroke patient
Clin Geriatr Med
(1991)- et al.
A prospective study of predictors of prolonged hospital stay and disability after stroke
J Clin Neurosci
(2003) - et al.
Fever and infection early after ischemic stroke
J Neurol Sci
(1999) - et al.
Body temperature in acute stroke: Relation to stroke severity, infarct size, mortality, and outcome
Lancet
(1996) - et al.
Predictors and consequences of pneumonia in critically ill patients with stroke
J Crit Care
(2004) - et al.
Impact of a clinical pathway for stroke patients [in Spanish]
Gac Sanit
(2004) - et al.
Nosocomial pneumonia after acute stroke: Implications for neurological intensive care medicine
Stroke
(2003) - et al.
Pneumonia and urinary tract infection after acute ischemic stroke: A tertiary analysis of the gain international trial
Eur J Neurol
(2004) - et al.
Respiratory infectious complications after acute ischemic stroke [in Japanese]
Rinsho Shinkeigaku
(2002) - et al.
Fever in acute stroke worsens prognosis: A prospective study
Stroke
(1995)
Cited by (0)
Supported by the Centers for Disease Control and Prevention (Dr. Johnston, U50 CCU920271), and in part by National Institutes of Health-National Institute of Neurological Disorders and Stroke (Dr. Saver, P50 NS044378).