Table 5.4 Criteria for Defining Aspiration Pneumonia in Stroke

by Camila | Dec 6, 2018

Table 5.4 Criteria for Defining Aspiration Pneumonia in Stroke

Author / Year Country	Criteria
Dziewas et al. (2008) Germany	Pneumonia was diagnosed on the basis of 3 of the following indicators: temp >38°C, productive cough with purulent sputum, abnormal respiratory exam including tachypnea, (>22 breaths/min), tachycardia, inspiratory crackles, bronchial breathing, abnormal chest x-ray, arterial hypoxemia (PO2 <9.3 kPa) and a positive gram stain.
Carnaby et al. (2006) USA; Dziewas et al. (2004) Germany	Three of the following indicators: temp >38°C, productive cough with purulent sputum, abnormal respiratory exam including tachypnea, (>22 breaths/min), tachycardia, inspiratory crackles, bronchial breathing, abnormal chest x-ray, arterial hypoxemia (PO²<9.3 kPa) and positive chest radiography.
Teasell et al. (1996) Canada	Radiological evidence of consolidation, and at least one other clinical feature including granulocytosis, temp >38°C and/or shortness of breath.
Smithard et al. (1996) UK	Presence of at least two of the following: tachypnea (>22/min), tachycardia, aspiratory crackles, bronchial breathing or antibiotic usage.
Kidd et al. (1995) UK	Production of sputum in conjunction with the development of crackles on auscultation, with or without the presence of fever or leucocytosis.
DePippo et al. (1994); Holas et al. (1994) USA	A positive chest x-ray or the presence of at least three of the following: temp >100 °F, drop in PO² >10 torr, presence of WBC in sputum and/or positive sputum culture for pathogen.
Johnson et al. (1993) USA	Segmental consolidation or infiltrate on chest x-ray or clinical diagnosis which included an episode of respiratory difficulty with segmental moist rales on auscultation and two other symptoms including temp >100 °F, WBC >10,000 or hypoxia.