THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES

Study Objective. To assess predictors of pneumonia in patients with acute myocardial infarction and acute ischemic stroke. Study Design: A retrospective analysis.Materials and methods. We reviewed archive data of 140 autopsy reports and medical histories of patients died from cardiovascular events t...

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Main Authors: D. V. Odintsova, A. G. Malyavin, O. V. Zairatyants
Format: Article
Language:Russian
Published: SINAPS LLC 2017-03-01
Series:Архивъ внутренней медицины
Subjects:
Online Access:https://www.medarhive.ru/jour/article/view/624
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author D. V. Odintsova
A. G. Malyavin
O. V. Zairatyants
author_facet D. V. Odintsova
A. G. Malyavin
O. V. Zairatyants
author_sort D. V. Odintsova
collection DOAJ
description Study Objective. To assess predictors of pneumonia in patients with acute myocardial infarction and acute ischemic stroke. Study Design: A retrospective analysis.Materials and methods. We reviewed archive data of 140 autopsy reports and medical histories of patients died from cardiovascular events to determine the frequency of pneumonia. The statistical analysis was used to derterman the connection between gender, age, duration of hospitalization, use of mechanical ventilation, central venous catheterization, presence of diabetes and COPD with the rate of pneumonia.Results and discussion. The study included 140 patients, of whom 84 (60,0%) with stroke in ischemic type 33 (23,6%) with stroke hemorrhagic type, and 23 (16.4%) with acute myocardial infarction. We examined the relationship of pneumonia with age, sex, duration of hospital stay, ventilator use, central venous catheterization, presence of diabetes and COPD. The average age of patients with pneumonia was 77±9 years, and without pneumonia 75±12 years. The average duration of hospitalization of the patients who died with pneumonia, was 13 (7,25; 25) days, and without pneumonia 3 (1; 10, and 25). Pneumonia developed in 39 (72,2%) males and 57 (66,3%) women. COPD was diagnosed in 98 (70%) patients. 19 patients (13,6%) patients have diabetes mellitus of the second type. CV catheterization was performed in 108 (77.1%) of the patient. In 83 (59.3%) patients during hospital treatment were on a artificial ventilation.Conclusion. The incidence of pneumonia increases depending on the duration of hospitalization, age, use of artificial ventilation. Gender, diabetes and COPD, central venous catheterization are not associated with the risk of pneumonia.
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spelling doaj.art-72d23628d4eb4805aac8d2dc507803002025-03-02T12:48:58ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642017-03-0171555910.20514/2226-6704-2017-7-1-55-59576THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASESD. V. Odintsova0A. G. Malyavin1O. V. Zairatyants2A.I. Evdokimov Moscow State University of Medicine and DentistryA.I. Evdokimov Moscow State University of Medicine and DentistryA.I. Evdokimov Moscow State University of Medicine and DentistryStudy Objective. To assess predictors of pneumonia in patients with acute myocardial infarction and acute ischemic stroke. Study Design: A retrospective analysis.Materials and methods. We reviewed archive data of 140 autopsy reports and medical histories of patients died from cardiovascular events to determine the frequency of pneumonia. The statistical analysis was used to derterman the connection between gender, age, duration of hospitalization, use of mechanical ventilation, central venous catheterization, presence of diabetes and COPD with the rate of pneumonia.Results and discussion. The study included 140 patients, of whom 84 (60,0%) with stroke in ischemic type 33 (23,6%) with stroke hemorrhagic type, and 23 (16.4%) with acute myocardial infarction. We examined the relationship of pneumonia with age, sex, duration of hospital stay, ventilator use, central venous catheterization, presence of diabetes and COPD. The average age of patients with pneumonia was 77±9 years, and without pneumonia 75±12 years. The average duration of hospitalization of the patients who died with pneumonia, was 13 (7,25; 25) days, and without pneumonia 3 (1; 10, and 25). Pneumonia developed in 39 (72,2%) males and 57 (66,3%) women. COPD was diagnosed in 98 (70%) patients. 19 patients (13,6%) patients have diabetes mellitus of the second type. CV catheterization was performed in 108 (77.1%) of the patient. In 83 (59.3%) patients during hospital treatment were on a artificial ventilation.Conclusion. The incidence of pneumonia increases depending on the duration of hospitalization, age, use of artificial ventilation. Gender, diabetes and COPD, central venous catheterization are not associated with the risk of pneumonia.https://www.medarhive.ru/jour/article/view/624predictors of pneumoniastrokemyocardial infarction
spellingShingle D. V. Odintsova
A. G. Malyavin
O. V. Zairatyants
THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
Архивъ внутренней медицины
predictors of pneumonia
stroke
myocardial infarction
title THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
title_full THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
title_fullStr THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
title_full_unstemmed THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
title_short THE PREDICTORS OF PNEUMONIA IN PATIENTS WITH ACUTE VASCULAR DISEASES
title_sort predictors of pneumonia in patients with acute vascular diseases
topic predictors of pneumonia
stroke
myocardial infarction
url https://www.medarhive.ru/jour/article/view/624
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AT agmalyavin predictorsofpneumoniainpatientswithacutevasculardiseases
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