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Predictive Value of Serum Inflammatory Factors and FT3 for Stroke-Associated Pneumonia in Patients With Acute Ischemic Stroke

医学 逻辑回归 内科学 冲程(发动机) 心房颤动 肺炎 吞咽 预测值 多元分析 接收机工作特性 胃肠病学 外科 机械工程 工程类
作者
Xin Li,Xiaomei Xie,Shenju Cheng,Shan Luo,Yancui Zhu,Kun Wu
出处
期刊:The Neurologist [Ovid Technologies (Wolters Kluwer)]
被引量:1
标识
DOI:10.1097/nrl.0000000000000570
摘要

Objective: The ability of serum inflammatory factors and free triiodothyronine (FT 3 ) in predicting the occurrence of stroke-associated pneumonia (SAP) in patients with acute ischemic stroke (AIS) was assessed in this study. Methods: A retrospective analysis was conducted on 285 consecutive patients with AIS initially diagnosed and admitted to our hospital from January to December 2022. Patients were categorized into SAP and non-SAP groups based on the presence of SAP. Both groups were compared in terms of baseline characteristics, including National Institute of Health Stroke Scale (NIHSS) score, SAP risk assessment (A 2 DS 2 ), TOAST classification. Independent risk factors for SAP were identified using multivariate logistic regression analysis, and the predictive value of inflammatory markers was evaluated through ROC curves. Results: Among 285 patients with AIS, 40 (14.03%) were found to have developed SAP. Higher NIHSS and A 2 DS 2 scores, elevated serum IL-1β, IL-8, and IL-33 levels, increased age, atrial fibrillation, swallowing difficulties, and a higher proportion of patients with low FT 3 levels were observed in the SAP group compared with the non-SAP group (all P <0.05). Significant risk factors for SAP in patients with AIS were identified through multivariate logistic regression analysis, including age, swallowing difficulties, NIHSS, A 2 DS 2 , IL-1β , IL-8 , IL-33, and FT 3 ( P <0.05). The highest predictive values were observed for A 2 DS 2 , FT 3 , and IL-8 with AUC values of 0.854, 0.844, and 0.823, respectively. Conclusion: SAP can be highly predicted by A 2 DS 2 , FT 3 , and IL-8, enabling the early identification of patients with high-risk SAP and facilitating timely intervention and treatment.
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