I see nothing here that suggests that a protocol was written and distributed to all stroke hospitals in the world. So because we have no great stroke association with a database of all research and protocols and the means to distribute stroke research to all stroke medical professionals and every one of the 10 million yearly stroke survivors, this will fall by the wayside.
Clinical Interventions in Aging — Huang GQ, Cheng HR, Wu YM, et al. | January 02, 2020
By performing this study with 863
consecutive acute ischemic stroke patients, researchers examined the
potential link between serum vitamin D levels and stroke-associated
pneumonia (SAP). They defined in-hospital SAP as a complication that
happened following a stroke, during hospitalization, that was verified
radiographically. Within 24 hrs of admission, measurements of serum
vitamin D levels were obtained, and patients were classified as vitamin D
sufficient (> 50 nmol/L), insufficient (25–50 nmol/L), and
deficient. They detected significantly lower vitamin D levels in
patients with SAP vs those without SAP. Patients with vitamin D
deficiency vs those with vitamin D insufficiency or sufficiency
exhibited a significantly higher incidence of SAP. An independent link
of vitamin D deficiency and insufficiency with SAP was revealed
following adjustment for confounders. A linear relation to the risk of
SAP was demonstrated by vitamin D levels in multiple-adjusted spline
regression. Overall, decreased vitamin D was identified as a potential
risk factor of in-hospital SAP, which can assist clinicians to recognize
high-risk SAP patients.
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