Department of Medicine, University of IIorin Teaching Hospital, PMB 1459, IIorin, Kwara State, Nigeria
A K SALAMI Department of Medicine, University of IIorin Teaching Hospital, PMB 1459, IIorin, Kwara State Nigeria
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. .. .