tailieunhanh - Báo cáo y học: "Effect of stroke location on the laryngeal cough reflex and pneumonia risk"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Effect of stroke location on the laryngeal cough reflex and pneumonia risk. | Cough BioMed Central Research Open Access Effect of stroke location on the laryngeal cough reflex and pneumonia risk W Robert Addington 1 Robert E Stephens2 John G Widdicombe3 and Kamel Rekab4 Address 1Brevard Rehabilitation Medicine 200 Ocean Avenue Suite 201 Melbourne Beach Florida 32951 USA 2Chair Department of Anatomy Kansas City University of Medicine and Biosciences 1750 Independence Avenue Kansas City Missouri 64106 USA 3Emeritus Professor University of London 116 Pepys Road London SW20 8NY UK and 4Chair Department of Mathematics and Statistics University of Missouri-Kansas City Kansas City Missouri USA Email W Robert Addington - wraddington@ Robert E Stephens - rstephens@ John G Widdicombe - JohnWiddicombeJ@ Kamel Rekab - krekab@ Corresponding author Published 04 August 2005 Received 01 July 2005 Cough 2005 1 4 doi 1745-9974-1-4 Accepted 04 August 2005 This article is available from http content 1 1 4 2005 Addington et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The purpose of this study was to evaluate the risk of developing pneumonia in acute stroke patients comparing the early anatomical stroke location and laryngeal cough reflex LCR testing. Methods A prospective study of 818 consecutive acute stroke patients utilizing a reflex cough test RCT which assesses the neurological status of the LCR compared to magnetic resonance imaging or computerized tomography for stroke location and subsequent pneumonia outcome. Stroke diagnosis and stroke location were made by a neurologist and clinical radiologist respectively both were blinded to the RCT results. Results Brainstem p-value .007 and cerebral strokes p-value .005 correlated .