Comparison of Current Methods with Neutrophil-to-Lymphocyte Ratio in Predicting Stroke-Associated Pneumonia [Letter]

Zou, Jingfang; Qiu, Guangyu

doi:10.2147/ndt.s355854

Cited by 1 publication

(2 citation statements)

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“…As one of the most common complications in stroke patients, the incidence of SAP is 6.7% to 37.98% ( 5 – 8 ). SAP is considered an important risk factor for death after stroke because stroke patients have a worse prognosis if SAP is diagnosed ( 9 ). Studies have shown that the presence of SAP is associated with increased risk of morbidity, increased 30-day incidence, and increased 1-year mortality, making patients experience an extended length of hospitalization and more medical expenditures ( 10 – 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Patient's care bundle benefits to prevent stroke associated pneumonia: A meta-analysis with trial sequential analysis

Guo¹,

Fan²,

Liu³

et al. 2022

Front. Neurol.

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BackgroundPatient's care bundle has been found to have a beneficial effect on refractory diseases, but the preventive effect of this strategy on stroke-associated pneumonia (SAP) remains unclear. The purpose of this meta-analysis was to determine the role of the patient's care bundle in the prevention of SAP.MethodsA systematic search was conducted in five electronic databases to identify randomized controlled trials (RCTs) published before January 31, 2022. The incidence of SAP and aspiration and the length of hospital stay were assessed. Random pair-wise meta-analysis was conducted using Review Manager 5.4, and trial sequential analysis (TSA) was also performed.ResultsTwenty eligible RCTs involving 1916 patients were included for data analysis. Pooled results suggested that patient's care bundle was associated with significantly lower incidence of SAP (risk ratio [RR], 0.37; 95% CI, 0.29–0.46; p < 0.001; I2 = 0%) and aspiration (RR, 0.23; 95% CI, 0.15–0.35; p < 0.001; I2 = 0%). Meanwhile, patient's care bundle also significantly shortened the length of hospital stay for general patients (mean difference [MD], −3.10; 95% CI, −3.83 to −2.37; p < 0.001; I2 = 16%) and the length of intensive care unit (ICU) stay for patients with severe stoke (MD, −4.85; 95% CI, −5.86−3.84; p < 0.001; I2 = 0%). Results of TSA confirmed that none of the findings could be significantly reversed by future studies.ConclusionsThe patient's care bundle effectively prevents the occurrence of SAP and aspiration and shortens the hospital stay of stroke patients. However, it is necessary to design more high-quality studies to further validate our findings and investigate their applicability in other geographical regions.

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Section: Introductionmentioning

confidence: 99%

“…patients have a worse prognosis if SAP is diagnosed (9). Studies have shown that the presence of SAP is associated with increased risk of morbidity, increased 30-day incidence, and increased 1year mortality, making patients experience an extended length of hospitalization and more medical expenditures (10)(11)(12).…”

mentioning

confidence: 99%