Deans' stroke musings: The impact of airway management guided by Protection Motivation Theory on the prevention and prognosis of post-stroke pneumonia

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, September 26, 2025

The impact of airway management guided by Protection Motivation Theory on the prevention and prognosis of post-stroke pneumonia

Didn't your competent? doctor already have protocols to prevent pneumonia? NO? So COMPLETELY FUCKING INCOMPETENT THEN?

For pneumonia maybe you want the vaccine if your doctor is competent enough to know about it.

You've known about this problem for a long time. SOLVE IT!

Just maybe this vaccine!

Pneumonia Vaccine (3 posts to July 2020)

11% Stroke-associated pneumonia (2 posts to October 2020)

The impact of airway management guided by Protection Motivation Theory on the prevention and prognosis of post-stroke pneumonia

Qiaoyun Liu¹^†

Liuqing Wang¹^†

Pan Xia¹

Lanjuan Li¹

Chen Zhao²

Siqi Liu¹

Shanshan Xu¹^*

¹Department of Neurology, The Affiliated Gaochun Hospital of Jiangsu University, Jiangsu, China
²Department of SCience and Education, The Affiliated Gaochun Hospital of Jiangsu University, Jiangsu, China

Background: Stroke remains a leading cause of morbidity and mortality worldwide, with post-stroke pneumonia significantly impacting patient outcomes. Despite progress in stroke management, there was a lack of emphasis on targeted preventive measures for pneumonia. This study evaluates the impact of airway management guided by Protection Motivation Theory (PMT) on preventing post-stroke pneumonia.

Methods: A retrospective study was conducted with 100 stroke patients admitted to the general neurology ward between January and December 2023. Patients were divided into two groups based on chronological admission order: 50 received standard airway management (January–June 2023), and 50 received PMT-guided intervention (July–December 2023). The PMT group engaged in structured educational sessions (30 min daily for 7 days) and actionable coping strategies to enhance adherence to airway management. Outcomes assessed included incidence of post-stroke pneumonia (diagnosed by chest CT within 7 days post-admission), respiratory function, length of hospital stay, and cognitive and psychological measures.

Results: The PMT group showed a lower incidence of pneumonia (16% vs. 34%, p = 0.038) and reduced hospital stay (13.47 ± 3.86 days vs. 15.72 ± 4.36 days, p = 0.007). The absolute risk reduction was 18% with a number needed to treat (NNT) of 5.6. Improvements were noted in respiratory function, with higher forced vital capacity (2.46 ± 0.68 L vs. 2.15 ± 0.56 L, p = 0.013). Cognitive function, as measured by the Montreal Cognitive Assessment, was enhanced (23.58 ± 4.06 vs. 21.35 ± 3.84, p = 0.006), with both groups remaining below the normal threshold of 26 points. Depression levels were reduced (PHQ-9: 12.05 ± 3.12 vs. 13.46 ± 3.56, p = 0.038).

Conclusion: PMT-guided airway management significantly enhances post-stroke outcomes through improved respiratory function, reduced pneumonia incidence, and better cognitive and psychological wellbeing. Future prospective studies with larger sample sizes are warranted to validate these findings.