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  • Stroke can cause unilateral paresis of the diaphragm. It is, however, unknown if diaphragm paresis can lead to post-stroke pneumonias. We aimed to evaluate whether the location of post-stroke paresis influenced the location of pneumonia. Methods: This is a retrospective study of all patients admitted to stroke unit in 2006-2009 with a diagnosis of acute ischemic stroke or intracerebral hemorrhage who had hemiparesis or hemiplegia, and who were diagnosed with unilateral pneumonia based on chest radiogram. Results: Of 1394 patients with a diagnosis of stroke, 64 (5%) patients met the study criteria. Of 35 patients with motor deficit on the left side, 18 (51%) developed pneumonia on the left and 17 (49%) on the right side (p=0.90). Of 29 patients with motor deficit on the right side, 17 (59%) developed pneumonia on the right and 12 (41 %) on the left side (p=0.51). Thus, of all 64 patients, 35 (55%) had pneumonia on the same side as the paresis and 29 (45%) on the contralateral side (p=0.60). Conclusions: There was no significant occurrence of pneumonia on the side of paresis. Therefore, the side of paresis is not likely to be a helpful clinical marker of diaphragm paresis.
  • Stroke can cause unilateral paresis of the diaphragm. It is, however, unknown if diaphragm paresis can lead to post-stroke pneumonias. We aimed to evaluate whether the location of post-stroke paresis influenced the location of pneumonia. Methods: This is a retrospective study of all patients admitted to stroke unit in 2006-2009 with a diagnosis of acute ischemic stroke or intracerebral hemorrhage who had hemiparesis or hemiplegia, and who were diagnosed with unilateral pneumonia based on chest radiogram. Results: Of 1394 patients with a diagnosis of stroke, 64 (5%) patients met the study criteria. Of 35 patients with motor deficit on the left side, 18 (51%) developed pneumonia on the left and 17 (49%) on the right side (p=0.90). Of 29 patients with motor deficit on the right side, 17 (59%) developed pneumonia on the right and 12 (41 %) on the left side (p=0.51). Thus, of all 64 patients, 35 (55%) had pneumonia on the same side as the paresis and 29 (45%) on the contralateral side (p=0.60). Conclusions: There was no significant occurrence of pneumonia on the side of paresis. Therefore, the side of paresis is not likely to be a helpful clinical marker of diaphragm paresis. (en)
Title
  • Influence of location of paresis on site of pneumonia in stroke
  • Influence of location of paresis on site of pneumonia in stroke (en)
skos:prefLabel
  • Influence of location of paresis on site of pneumonia in stroke
  • Influence of location of paresis on site of pneumonia in stroke (en)
skos:notation
  • RIV/00159816:_____/12:#0000945!RIV13-MSM-00159816
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
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  • P(ED1.100/02/0123)
http://linked.open...iv/cisloPeriodika
  • 3
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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  • 141471
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  • RIV/00159816:_____/12:#0000945
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  • ACUTE ISCHEMIC-STROKE (en)
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  • PL - Polská republika
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  • [FA0A26580383]
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  • CENTRAL EUROPEAN JOURNAL OF MEDICINE
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  • 7
http://linked.open...iv/tvurceVysledku
  • Mikulík, Robert
http://linked.open...ain/vavai/riv/wos
  • 000304396200009
issn
  • 1895-1058
number of pages
http://bibframe.org/vocab/doi
  • 10.2478/s11536-011-0156-4
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