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ORIGINAL ARTICLE
Year : 2003  |  Volume : 6  |  Issue : 1  |  Page : 22-25

Aspiration pneumonia in acute stroke


Department of Medicine, University of IIorin Teaching Hospital, PMB 1459, IIorin, Kwara State, Nigeria

Correspondence Address:
A K SALAMI
Department of Medicine, University of IIorin Teaching Hospital, PMB 1459, IIorin, Kwara State
Nigeria
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This was a prospective study that was conducted between July 2000 and September- 2001 . It was designed to determine the incidence and the risk factor(s) of aspiration pneumonia in patients with acute cerebrovascular accident. . . .\1- : Aspiration pneumonia was recorded' In 23.5% of the · 68 patients that :were recrulted . . The major predisposing factors ldentlfled were disorder of swallowing which Increased the risk of aspiration pneumonia by more than 4 times. The relative risk ( RR ) was 4 .5 and th9e5;confldence Interval ( 95%C I) was 1.25-16.25. Abnormal voluntary cough increased the risk by ·3:'f : ' RR was 3 and (95%CI) was 0.85-10.63. And depressed level of consciousness had 2.3 times rlsiC"' wlth RR of 2.33 and ( 95%Cl) of 0.83-6.54 . Combination of abnormal gag reflex and facial palsy ·;vas another significant risk factor; the RR was 2 and ( 95%CI) was 0.71 - 5.62. .. .


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