By a News Reporter-Staff News Editor at Hematology Week Investigators publish new report on Cerebrovascular Diseases and Conditions - Hemorrhagic Stroke. According to news reporting from Cleveland, Ohio, by NewsRx journalists, research stated, "Dysphagia is a common problem for patients after an acute stroke which can lead to hospital acquired pneumonia (HAP) increasing morbidity and mortality. The Joint Commission has directed that stroke certified hospitals perform a dysphagia screen at the time of initial presentation."
The news correspondents obtained a quote from the research from MetroHealth Medical Center, "We sought to evaluate if our ED dysphagia screen was correlated with lower rates of pneumonia in acute stroke patients. We conducted a pre-post trial evaluating rates of pneumonia in patients with ischemic and hemorrhagic stroke both before and after the use of our ED dysphagia screen. We defined HAP as a new infiltrate treated with antibiotics. Rates of HAP were compared using the chi(2) test. Any patients transferred out of our health system were excluded. We evaluated 419 and 469 preintervention hemorrhagic strokes and 1022 and 462 post screen ischemic strokes respectively. In the hemorrhagic groups rates of dysphagia were similar but rates of HAP decreased from 19% to 15% (P < 0.001) in the pre- post groups respectively. In the ischemic stroke groups rates of HAP decreased from 13.8% to 8% in the pre-post groups respectively. (P - 0.007). Rates of intubation were similar in the hemorrhagic groups and were higher in the post screen ischemic stroke cohort. The use of our ED dysphagia screen was associated with a significant reduction in the rates of HAP in both ischemic and hemorrhagic stroke patients."
According to the news reporters, the research concluded: "Given the high rates of dysphagia and significant comorbidity and complications for these stroke patients, the use of a screen is warranted."
For more information on this research see: The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes. American Journal of Emergency Medicine, 2018;36(12):2152-2154. American Journal of Emergency Medicine can be contacted at: W B Saunders Co-Elsevier Inc, 1600 John F Kennedy Boulevard, Ste 1800, Philadelphia, PA 19103-2899, USA. (Elsevier - www.elsevier.com; American Journal of Emergency Medicine - www.journals.elsevier.com/american-journal-of-emergency-medicine/)
Our news journalists report that additional information may be obtained by contacting J.W. Schrock, MetroHlth Med Center, Cleveland, OH 44109, United States. Additional authors for this research include L.D. Lou, B.A.W. Ball and J. Van Etten (see also Cerebrovascular Diseases and Conditions - Hemorrhagic Stroke).
The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.ajem.2018.03.046. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.
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