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Influence of location of paresis on site of pneumonia in stroke

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VÍCHOVÁ Hana VAŠKOVÁ Zuzana GOLDEMUND David MATUŠKA Pavel MIKULÍK Robert

Rok publikování 2012
Druh Článek v odborném periodiku
Časopis / Zdroj Central European Journal of Medicine
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://springerlink3.metapress.com/content/qw67568n4713n324/resource-secured/?target=fulltext.pdf&sid=lxz0yurxz1vmyvedil51vcs2&sh=www.springerlink.com
Doi http://dx.doi.org/13n324/
Obor Neurologie, neurochirurgie, neurovědy
Klíčová slova Complications of stroke; Infection; Intensive care; Pneumonia; Stroke
Popis Introduction: Stroke can cause unilateral paresis of the diaphragm. It is, however, unknown if diaphragm paresis can lead to post-stroke pneumonias. We aimed to evaluate whether the location of post-stroke paresis influenced the location of pneumonia. Methods: This is a retrospective study of all patients admitted to stroke unit in 2006- 2009 with a diagnosis of acute ischemic stroke or intracerebral hemorrhage who had hemiparesis or hemiplegia, and who were diagnosed with unilateral pneumonia based on chest radiogram. Results: Of 1394 patients with a diagnosis of stroke, 64 (5%) patients met the study criteria. Of 35 patients with motor deficit on the left side, 18 (51%) developed pneumonia on the left and 17 (49%) on the right side (p=0.90). Of 29 patients with motor deficit on the right side, 17 (59%) developed pneumonia on the right and 12 (41 %) on the left side (p=0.51). Thus, of all 64 patients, 35 (55%) had pneumonia on the same side as the paresis and 29 (45%) on the contralateral side (p=0.60). Conclusions: There was no significant occurrence of pneumonia on the side of paresis. Therefore, the side of paresis is not likely to be a helpful clinical marker of diaphragm paresis.

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