医学
冲程(发动机)
改良兰金量表
康复
物理疗法
格拉斯哥昏迷指数
吞咽困难
入射(几何)
肺炎
急诊医学
内科学
缺血性中风
外科
缺血
机械工程
工程类
物理
光学
作者
Rehab Elnemr,Tamer Abdullah Helmy,Mohamed Wahid Elsayed,Osama Saeed Hassan
标识
DOI:10.1615/critrevphysrehabilmed.2022042154
摘要
The current study aimed to investigate the effect of a pulmonary rehabilitation program (PRP) on stroke-related pneumonia, hospital mortality, and disability in patients with acute ischemic stroke. A cohort study of 80 patients with acute ischemic stroke was carried out. Baseline assessments included the Glasgow coma scale, stroke severity assessment using the National Institutes of Health Stroke Scale, stroke classification using the TOAST and Oxfordshire methods, and documentation of dysphagia. The patients were then randomized into two groups. Group 1 received traditional stroke management, while Group 2 received stroke management and pulmonary rehabilitation. The primary outcome was the occurrence of pneumonia within the first seven days and the secondary outcomes were in-hospital mortality and modified Rankin Scale at one month. When compared to Group 1, the incidence of pneumonia was significantly lower in Group 2 (p = 0.022). In contrast, hospital mortality and the unfavorable modified Rankin Scale (secondary outcomes) were lower in Group 2 than in Group 1, but with no statistically significant difference. A pulmonary rehabilitation program is safe and feasible in acute ischemic stroke patients, and it is likely to decrease the incidence of stroke-associated pneumonia. This study was registered at clinical trial.gov, ID NCT04110652, on September 28, 2019.
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