Melola Discovery

← Melola Discovery

Akses terbuka Jurnal SINTA 1

Stroke-Associated Pneumonia: Risk Factors and Discharge Status

Nurse Media Journal of Nursing · Vol. 14 No. 3 (2025) · hlm. 344–355

DOI
10.14710/nmjn.v14i3.56841
ISSN
2406-8799, 2087-7811
Terbit
2025-04-30
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.

Kata kunci

Jaringan kolaborasi para penulis

40 penulis · 143 tautan kepenulisan bersama · 50 lintas organisasi · menampilkan 40 yang paling banyak terhubung

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

  • Universitas Airlangga
  • Universitas Nahdlatul Ulama Surabaya
  • University of Brawijaya
  • Universitas Karya Husada Semarang
  • Tanjungpura University
  • Hasanuddin University
  • Universitas Muhammadiyah Malang
  • Organisasi lain
  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
  • Afiliasi tidak diketahui
  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Rizki FitryasariAfiliasi tidak diketahui8
Rr Dian TristianaUniversitas Airlangga7
Hanik Endang NihayatiUniversitas Airlangga5
Khoridatul BahiyahUniversitas Airlangga5
Chilyatiz ZahrohUniversitas Nahdlatul Ulama Surabaya5
Ahsan AhsanUniversity of Brawijaya4
Kusnanto KusnantoUniversitas Airlangga4
Nursalam NursalamUniversitas Airlangga4
Joko Prayitno SusantoUniversitas Airlangga3
Makhfudli MakhfudliUniversitas Airlangga3
Dwi Indah IswantiUniversitas Karya Husada Semarang3
Rachmat HargonoUniversitas Airlangga3
Ika Nur PratiwiUniversitas Airlangga3
Nursalam NursalamUniversitas Airlangga2
Iswatun IswatunUniversitas Airlangga2
Muhammad SuhronUniversitas Airlangga2
Rika SubarniatiUniversitas Airlangga2
Nia AgustiningsihUniversitas Airlangga2
I Made Moh. Yanuar SaifudinTanjungpura University2
Ilkafah IlkafahHasanuddin University2
Anestasia Pangestu Mei TyasUniversitas Airlangga2
Abu BakarUniversitas Airlangga2
Bhakti PermanaUniversitas Airlangga2
Dianis Wulan SariUniversitas Airlangga2
Ira SuarilahUniversitas Airlangga2
Harmayetty HarmayettyUniversitas Airlangga2
Ni Ketut Alit ArminiUniversitas Airlangga2
Retno LestariUniversity of Brawijaya1
Febri Endra Budi SetyawanUniversitas Muhammadiyah Malang1
Dita Dwi OktavUniversitas Airlangga1
Erna Dwi WahyuniUniversitas Airlangga1
Nor Aziyan YahayaUniversity of Malaya1
Anik GhufronYogyakarta State University1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Stroke-Associated Pneumonia: Risk Factors and Discharge Status</dc:title>
	<dc:creator>Septianingrum, Yurike</dc:creator>
	<dc:creator>Sari, Ratna Yunita</dc:creator>
	<dc:creator>Martining Wardani, Erika</dc:creator>
	<dc:creator>Ainiyah, Nur</dc:creator>
	<dc:creator>Faizah, Imamatul</dc:creator>
	<dc:creator>Yusuf, Ah.</dc:creator>
	<dc:creator>Yuni Widyawati, Ika</dc:creator>
	<dc:subject xml:lang="en-US">Incidence; stroke; pneumonia; prognosis</dc:subject>
	<dc:description xml:lang="en-US">Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:date>2025-04-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US"></dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/56841</dc:identifier>
	<dc:identifier>10.14710/nmjn.v14i3.56841</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 14, No 3 (2024): (December 2024); 344-355</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/56841/28310</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>