中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2013年
7期
554-557
,共4页
王蓬莲%赵性泉%王伊龙%杨中华%王安心%王拥军
王蓬蓮%趙性泉%王伊龍%楊中華%王安心%王擁軍
왕봉련%조성천%왕이룡%양중화%왕안심%왕옹군
脑梗死%肺炎%预后
腦梗死%肺炎%預後
뇌경사%폐염%예후
Brain infarction%Pneumonia%Outcome
目的 探讨急性脑梗死患者住院期间患肺炎与其近期及远期预后的关系.方法 收集2007年9月至2008年8月中国多省市132家研究中心所有＞18岁急性脑梗死入组患者有关肺炎、出院结局、发病后3、6和12个月结局,其他相关信息由纸质登记表获得.采用多元logistic回归分析住院期间肺炎与急性脑梗死患者预后的关系.结果 11 560例急性脑梗死患者中1373例(11.88％)患者发生住院期间肺炎,急性脑梗死患者发病后12个月总病死率为14.4％(1664例),罹患肺炎患者病死率高于未患肺炎患者；住院期间肺炎是患者住院期间(OR 5.916,95％ CI4.470～7.831)、发病后3个月(OR3.641,95％ CI 3.035 ～4.367)、6个月(OR 3.445,95％CI 2.905～4.086)和12个月(OR 3.543,95％ CI3.016 ～4.161)死亡的独立危险因素.结论 住院期间肺炎增加急性脑梗死患者近期及远期死亡的风险.
目的 探討急性腦梗死患者住院期間患肺炎與其近期及遠期預後的關繫.方法 收集2007年9月至2008年8月中國多省市132傢研究中心所有＞18歲急性腦梗死入組患者有關肺炎、齣院結跼、髮病後3、6和12箇月結跼,其他相關信息由紙質登記錶穫得.採用多元logistic迴歸分析住院期間肺炎與急性腦梗死患者預後的關繫.結果 11 560例急性腦梗死患者中1373例(11.88％)患者髮生住院期間肺炎,急性腦梗死患者髮病後12箇月總病死率為14.4％(1664例),罹患肺炎患者病死率高于未患肺炎患者；住院期間肺炎是患者住院期間(OR 5.916,95％ CI4.470～7.831)、髮病後3箇月(OR3.641,95％ CI 3.035 ～4.367)、6箇月(OR 3.445,95％CI 2.905～4.086)和12箇月(OR 3.543,95％ CI3.016 ～4.161)死亡的獨立危險因素.結論 住院期間肺炎增加急性腦梗死患者近期及遠期死亡的風險.
목적 탐토급성뇌경사환자주원기간환폐염여기근기급원기예후적관계.방법 수집2007년9월지2008년8월중국다성시132가연구중심소유＞18세급성뇌경사입조환자유관폐염、출원결국、발병후3、6화12개월결국,기타상관신식유지질등기표획득.채용다원logistic회귀분석주원기간폐염여급성뇌경사환자예후적관계.결과 11 560례급성뇌경사환자중1373례(11.88％)환자발생주원기간폐염,급성뇌경사환자발병후12개월총병사솔위14.4％(1664례),리환폐염환자병사솔고우미환폐염환자；주원기간폐염시환자주원기간(OR 5.916,95％ CI4.470～7.831)、발병후3개월(OR3.641,95％ CI 3.035 ～4.367)、6개월(OR 3.445,95％CI 2.905～4.086)화12개월(OR 3.543,95％ CI3.016 ～4.161)사망적독립위험인소.결론 주원기간폐염증가급성뇌경사환자근기급원기사망적풍험.
Objective To observe the short-term and long-term impacts of in-hospital pneumonia on outcomes of patients hospitalized with acute ischemic stroke.Methods All consecutive patients older than 18 years with acute ischemic stroke were prospectively recruited to this study,including 132 clinical centers in 32 provinces and 4 municipalities (including Hong Kong region) in China from September 2007 to August 2008.Case report form was designed.Data of pneumonia and survival outcomes at baseline ; discharge ; 3,6 and 12 months after admission were recorded.Multivariable logistic regression was used for statistical correlation analysis.Results A total of 1373 (11.88％) patients from 11 560 acute ischemic stroke patients were notified with in-hospital pneumonia.The case fatality rate was 14.4％ (1664 patients) within 12 months after stroke onset.The fatality rate in patients with pneumonia was higher than that of patients without pneumonia.In-hospital pneumonia was an independent risk factor for death at discharge (adjusted OR =5.916 ; 95％ CI 4.470-7.831),at 3 months (adjusted OR =3.641 ; 95％ CI 3.035-4.367),6 months (adjusted OR =3.445 ; 95％ CI 2.905-4.086),and 12 months (adjusted OR =3.543 ; 95％ CI 3.016-4.161) after onset.Conclusion In-hospital pneumonia is an adverse factor for the short-term and longterm survival of acute ischemic patients in China.
