عفونت های پس از سکته مغزی و پیامد آن در بیماران بستری در بیمارستان رازی تبریز

Post-stroke infections and their outcome in patients admitted to Razi hospital, Tabriz


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نویسندگان: آیتک خباز , آلکا حسنی , مهدی فرهودی , سمیه احمدی

عنوان کنگره / همایش: دهمین کنگره علوم اعصاب پایه و بالینی , , تهران , 2021

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نویسنده ثبت کننده مقاله آیتک خباز
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات علوم اعصاب
کد مقاله 77829
عنوان فارسی مقاله عفونت های پس از سکته مغزی و پیامد آن در بیماران بستری در بیمارستان رازی تبریز
عنوان لاتین مقاله Post-stroke infections and their outcome in patients admitted to Razi hospital, Tabriz
نوع ارائه پوستر
عنوان کنگره / همایش دهمین کنگره علوم اعصاب پایه و بالینی
نوع کنگره / همایش ملی
کشور محل برگزاری کنگره/ همایش
شهر محل برگزاری کنگره/ همایش تهران
سال انتشار/ ارائه شمسی 1400
سال انتشار/ارائه میلادی 2021
تاریخ شمسی شروع و خاتمه کنگره/همایش 1400/10/01 الی 1400/10/03
آدرس لینک مقاله/ همایش در شبکه اینترنت www.bcnc.ir
آدرس علمی (Affiliation) نویسنده متقاضی Aytak Khabbaz Neurosciences Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

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نویسنده نفر چندم مقاله
آیتک خبازاول
آلکا حسنیدوم
مهدی فرهودیسوم
سمیه احمدیچهارم

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عنوان متن
خلاصه مقالهBackground The complex interplay among infectious diseases and stroke is a matter of growing concern and an ongoing research. Infections either leading to develop stroke or present as post stroke infections, both are attributed as a major neurological apprehension of long-term morbidity and mortality. Certain pathogens are well established either as an etiology or as predisposing factor of stroke. Though many researchers have concentrated on relationship between infections and stroke nevertheless, focusing on the risk factors and relationship of infection to timing of acute stroke is a necessity. Aim To study the biomarkers associated with stroke and estimate their impact on outcome. Materials and methods This study was conducted on stroke patients (n=33) admitted to Razi Hospital, a University based hospital under the auspices of Tabriz University of Medical Sciences, Tabriz. Patients’ were observed for predefined infections until discharge: urinary tract infection (UTI), pneumonia, sepsis or any other infections e.g. Covid-19. Hypertension, smoking, diabetes mellitus, atrial fibrillation, chronic heart disease, BMI dysfunction and mRS were studied as the biomarkers. Results Thirty-three patients admitted to neurology ward and ICU were enrolled in the study. Patients of all age groups and both genders were taken into the study. Those patients who were clinically diagnosed not been afflicted by the stroke on the admission were excluded from the study. Of 33 stroke patients, 18 (54.5%) had ischemic stroke while, 12 (36.4%) suffered hemorrhagic stroke. Only 3 (9.1%) patients had transient ischemic attack. The overall pooled infection rate was 51.5%; rates of pneumonia and UTI and Covid-19 positive were 15.2%, 21.2%, and 12.1% respectively. Patients with ischemic stroke were more likely to be afflicted with UTI, pneumonia, sepsis and other infections with rates of these infections ranged from 5.5% -27.7% in these patients group as compared with hemorrhagic stroke patients (range of pooled infection varied from 8.35 to 16.6%). Older age group (60-75 years) and more male (72.7%) showed stroke. The modified Rankin Scale (mRS) calculated furnished following data in post stroke patients: 6.1% dead (mRS 6), 18.2% severe disability (mRS 5), 12.1% moderately severe disability (mRS 4), while 36.4% patients had slight disability (mRS3). Five patients did not show any disability. Pre-stroke mRS score showed major (90.9%) patients did not possess any disability (mRS 0). Patients with stroke were characterized by hypertension however, atrial fibrillation, chronic heart disease, diabetes had partial effect in some patients only. Conclusion Patients with higher age, male gender and having clinical background of hypertension are some of the predisposing factors of stroke. Ischemic stroke patients are more prone to get pneumonia, UTI, sepsis and other infections in comparison to hemorrhagic stroke patients.
کلمات کلیدیIschemic stroke; Hemorrhagic stroke; Infections; Sepsis; Urinary Tract Infection; Covid-19

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