Publication:
Chest Computed Tomography Findings and Validation of Clinical Criteria of Stroke Associated Pneumonia.

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Date

2019-04-17

Authors

Zapata-Arriaza, Elena
Serrano-Gotarredona, Pilar
Navarro-Herrero, Silvia
Moniche, Francisco
Pardo-Galiana, Blanca
Pallisa, Esther
Vega-Salvatierra, Angela
Mancha, Fernando
Escudero-Martinez, Irene
Bustamante, Alejandro

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Abstract

Multiple terms have been used to describe chest infection in stroke patients . Pneumonia in Stroke Consensus (PISCES) Group has set stroke associated pneumonia (SAP) diagnostic criteria consensus [1] as a starting point in the identification of this pathology . However, SAP assessment still involves a particular challenge [2], especially if chest radiography is taken into account, due to significant interobserver variability in interpretation and its limited use in the early stages [3]. In fact, the wide SAP incidence range in stroke units (3.9% to 44% [4]) reflects the insufficient evidence about diagnostic accuracy of clinical symptoms or laboratory tests for SAP [2]. Thorax high resolution computed tomography (THRCT) is a useful adjunct to conventional radiography and an accurate study to identify underlying findings in stroke patients , which could serve as a guide in risk score or diagnostic criteria validation.

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MeSH Terms

Consensus
Evidence Gaps
Pneumonia
Radiography
Risk Factors

DeCS Terms

Accidente cerebrovascular
Tórax
Pacientes
Neumonía
Consenso
Radiografía
Infecciones
Tomografía

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Keywords

Humans, Incidence, Observer Variation, Respiratory Tract Infections, Stroke, Tomography

Citation

Zapata-Arriaza E, Serrano-Gotarredona P, Navarro-Herrero S, Moniche F, Pardo-Galiana B, Pallisa E, et al. Chest Computed Tomography Findings and Validation of Clinical Criteria of Stroke Associated Pneumonia. J Stroke. 2019 May;21(2):217-219.