AND score: a simple tool for predicting infection in acute ischemic stroke patients without a ventilator in the Chinese population

AND score: a simple tool for predicting infection in acute ischemic stroke patients without a ventilator in the Chinese population
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DOI:
10.1177/0300060519888303
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发表时间:
2019
期刊:
Journal of International Medical Research
影响因子:
--
通讯作者:
Wenli Sheng
Wenli Sheng
中科院分区:
--
文献类型:
--
作者:
Jiaoxing Li;Yufang Wang;Xunsha Sun;Jing Lin;Rong Lai;Jie Liang;Xiaoxin Wu;Wenli Sheng

文献摘要

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Objective: We aimed to develop a simple and user-friendly scoring system to predict all-cause.hospital-acquired infections (HAIs) after acute ischemic stroke (AIS) in the Chinese population..Methods: AIS patients from a retrospective cohort study at our center were included from.January 2016 to December 2018. HAIs were diagnosed based on the current criteria from.Ministry of Health of the People’s Republic of China. Stepwise logistic regression models were.performed to screen independent predictors of HAI after AIS. A scoring system was developed.by including each of the above significant predictors..Results: Among 1211 patients, 76 patients (6.28%) developed HAI. Age, baseline National.Institute of Health stroke scale (NIHSS) score, and dysphagia were independent predictors of.HAI. For the AND score, A refers to age, N refers to NIHSS, and D refers to dysphagia..The AND score showed a high area under the receiver operating characteristics (AUROC).curve (0.679), which comprised age (65–74 years was 4 points, 75–84 years was 6 points,.85 years was 8 points), NIHSS score 10 (5 points), and dysphagia (6 points)..Conclusions: We developed a simple scoring system to predict all-cause infections after AIS.patients without a ventilator in the Chinese population.