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Journal Articles Journal of Infection Year : 2019

Pneumonia in acute ischemic stroke patients requiring invasive ventilation: Impact on short and long-term outcomes

J. Bourenne , N. Brule , C. Bretonniere , C. Cheval , J. Carvelli , E. Coupez , M. Cour (1) , L. Dopeux , A. S. Dumenil , C. Dupuis (2) , J. M. Forel , C. Garret , S. Grange (3, 4, 5) , A. Gros , A. Haouache , T. Hissem , V. H. T. Ha , S. Jochmans , J. B. Joffredo , H. Kallel (6) , G. Lacave , A. Lautrette (7) , V. Lemiale (8) , M. Lermuzeaux , J. Lebut , M. Lugosi , E. Magalhaes , S. Merceron , B. Mourvillier (9, 10) , B. Misset (11) , M. Neuville (12) , L. Nicolet , J. Oziel (13) , L. Papazian (14) , B. Planquette , J. P. Quenot (15, 16) , A. Radjou , M. Simon (17) , J. Reignier (18) , B. Souweine (19) , R. Smonig , G. Troche , M. Thuong , G. Thierry (20) , D. Toledano , G. van Der Meersch , M. Venot , O. Zambon , J. Fournier (21) , C. Tournegros , S. Bagur , M. Adda , V. Vindrieux , S. de La Salle , P. Enguerrand , L. Ferrand (22) , V. Gobert (23) , S. Guessens , H. Merle , N. Kaddour , B. Berthe , S. Bekkhouche , K. Mellouk , M. Lebrazic , C. Ouisse , D. Maugars , C. Aparicio , I. Theodose (8) , M. Nouacer , V. Deiler , M. Moussa , A. Mouaci , N. Viguier , F. Lamara , S. Letrou , S. Siami , Outcomerea Study Grp , E. De Montmollin , S. Ruckly (24) , C. Schwebel , F. Philippart , C. Adrie , E. Mariotte , G. Marcotte , Y. Cohen , B. Sztrymf , D. Da Silva , F. Bruneel (25) , M. Gainnier , M. Garrouste-Orgeas , R. Sonneville , J. F. Timsit , E. Azoulay (24) , J. R. Zahar , M. Darmon (26) , C. Clec'H , C. Alberti (27) , A. Francais , A. Vesin , S. Bailly (9) , F. Lecorre , D. Nakache , A. Van-Nieuwenhuyze , R. Hernu , C. Agasse , B. Allaouchiche (28) , O. Andremont , P. Andreu (16) , L. Argaud (29, 1) , C. Ara-Somohano , F. Barbier , D. Boyer (30) , J. P. Bedos , T. Baudry , J. Bedel , J. Bohe (31) , L. Bouadma (32)
1 CarMeN - Cardiovasculaire, métabolisme, diabétologie et nutrition
2 Department of Geology and Applied Geology
3 M2S - Mécanique des Matériaux et des Structures
4 INSA Lyon - Institut National des Sciences Appliquées de Lyon
5 GEOMAS - Géomécanique, Matériaux et Structures
6 Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
7 CHU Gabriel Montpied [Clermont-Ferrand]
8 Medical Intensive Care Unit, APHP, Hôpital St-Louis, Paris, France.
9 IAME (UMR_S_1137 / U1137) - Infection, Anti-microbiens, Modélisation, Evolution
10 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
11 Service d'Hépato-gastro-entérologie et Nutrition [CHU Dupuytren 1, Limoges]
12 ObAS - Observatoire astronomique de Strasbourg
13 CHU Avicenne
14 AMU - Aix Marseille Université
15 LIPNESS - Equipe LIPNESS (LNC - U1231)
16 Service de Réanimation Médicale (CHU de Dijon)
17 LCPMR - Laboratoire de Chimie Physique - Matière et Rayonnement
18 CHU Nantes - Centre hospitalier universitaire de Nantes
19 LMGE - Laboratoire Microorganismes : Génome et Environnement
20 ESI S.A.
21 SCDV - Service de Conditionnement des Déchets et Vitrification
22 CMI Green Line
23 LEFE - Laboratoire Ecologie Fonctionnelle et Environnement
24 UPD7 - Université Paris Diderot - Paris 7
25 CHV - Centre Hospitalier de Versailles André Mignot
26 CHU Pitié-Salpêtrière [AP-HP]
27 Département de Biostatistiques [Paris]
28 Hôpital Edouard Herriot, Service Anesthésie Réanimation
29 Hôpital Edouard Herriot, Service Anesthésie Réanimation
30 ICCF - Institut de Chimie de Clermont-Ferrand
31 CHLS - Centre Hospitalier Lyon Sud [CHU - HCL]
32 CIC - CHU Bichat
J. Bourenne
  • Function : Author
N. Brule
  • Function : Author
C. Bretonniere
  • Function : Author
C. Cheval
  • Function : Author
J. Carvelli
  • Function : Author
E. Coupez
  • Function : Author
L. Dopeux
  • Function : Author
A. S. Dumenil
  • Function : Author
J. M. Forel
  • Function : Author
C. Garret
  • Function : Author
A. Gros
  • Function : Author
A. Haouache
  • Function : Author
T. Hissem
  • Function : Author
V. H. T. Ha
  • Function : Author
S. Jochmans
  • Function : Author
J. B. Joffredo
  • Function : Author
G. Lacave
  • Function : Author
M. Lermuzeaux
  • Function : Author
J. Lebut
  • Function : Author
M. Lugosi
  • Function : Author
E. Magalhaes
  • Function : Author
S. Merceron
  • Function : Author
L. Nicolet
  • Function : Author
J. Oziel
  • Function : Author
B. Planquette
  • Function : Author
A. Radjou
  • Function : Author
R. Smonig
  • Function : Author
G. Troche
  • Function : Author
M. Thuong
  • Function : Author
G. Thierry
  • Function : Author
D. Toledano
  • Function : Author
G. van Der Meersch
  • Function : Author
M. Venot
  • Function : Author
O. Zambon
  • Function : Author
C. Tournegros
  • Function : Author
S. Bagur
  • Function : Author
M. Adda
  • Function : Author
V. Vindrieux
  • Function : Author
S. de La Salle
  • Function : Author
P. Enguerrand
  • Function : Author
L. Ferrand
  • Function : Author
S. Guessens
  • Function : Author
H. Merle
  • Function : Author
N. Kaddour
  • Function : Author
B. Berthe
  • Function : Author
S. Bekkhouche
  • Function : Author
K. Mellouk
  • Function : Author
M. Lebrazic
  • Function : Author
C. Ouisse
  • Function : Author
D. Maugars
  • Function : Author
C. Aparicio
  • Function : Author
M. Nouacer
  • Function : Author
V. Deiler
  • Function : Author
M. Moussa
  • Function : Author
A. Mouaci
  • Function : Author
N. Viguier
  • Function : Author
F. Lamara
  • Function : Author
S. Letrou
  • Function : Author
S. Siami
  • Function : Author
Outcomerea Study Grp
  • Function : Author
E. De Montmollin
  • Function : Author
C. Schwebel
  • Function : Author
F. Philippart
  • Function : Author
C. Adrie
  • Function : Author
E. Mariotte
  • Function : Author
G. Marcotte
  • Function : Author
Y. Cohen
  • Function : Author
B. Sztrymf
  • Function : Author
D. Da Silva
  • Function : Author
M. Gainnier
  • Function : Author
M. Garrouste-Orgeas
  • Function : Author
R. Sonneville
  • Function : Author
J. F. Timsit
  • Function : Author
J. R. Zahar
  • Function : Author
C. Clec'H
  • Function : Author
A. Francais
  • Function : Author
A. Vesin
  • Function : Author
F. Lecorre
  • Function : Author
D. Nakache
  • Function : Author
A. Van-Nieuwenhuyze
  • Function : Author
R. Hernu
  • Function : Author
C. Agasse
  • Function : Author
O. Andremont
  • Function : Author
C. Ara-Somohano
  • Function : Author
F. Barbier
  • Function : Author
J. P. Bedos
  • Function : Author
T. Baudry
  • Function : Author
J. Bedel
  • Function : Author
L. Bouadma
  • Function : Author

Abstract

Objectives: To describe the epidemiology and prognostic impact of pneumonia in acute ischemic stroke patients requiring invasive mechanical ventilation. Methods: Retrospective analysis from a prospective multicenter cohort study of critically ill patients with acute ischemic stroke requiring invasive mechanical ventilation at admission. Impact of pneumonia was investigated using Cox regression for 1-year mortality, and competing risk survival models for ICU mortality censored at 30-days. Results: We included 195 patients. Stroke was supratentorial in 62% and 64% of patients had a Glasgow coma scale score \textless8 on admission. Mortality at day-30 and 1 year were 56%, and 70%, respectively. Post-stroke pneumonia was identified in 78 (40%) patients, of which 46/78 (59%) episodes were present at ICU admission. Post-stroke pneumonia was associated with an increase in 1-year mortality (adjusted HR 1.49, 95% CI [1.01-2.20]). Post-stroke pneumonia was not associated with ICU mortality but was associated with a 1.6-fold increase in ICU length of stay (CSHR 0.62 [0.39-0.99], p = 0.06). Conclusions: In ischemic stroke patients requiring invasive ventilation, pneumonia occurred in 40% of cases and was associated with a 49% increase in 1-year mortality. Post-stroke pneumonia did not impact day-30 mortality but increased ICU length of stay. (C) 2019 The British Infection Association. Published by Elsevier Ltd. All rights reserved.
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hal-02466193 , version 1 (25-10-2021)

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Attribution - NonCommercial

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J. Bourenne, N. Brule, C. Bretonniere, C. Cheval, J. Carvelli, et al.. Pneumonia in acute ischemic stroke patients requiring invasive ventilation: Impact on short and long-term outcomes. Journal of Infection, 2019, 79 (3), pp.220--227. ⟨10.1016/j.jinf.2019.06.012⟩. ⟨hal-02466193⟩
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