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Malnutrition is frequently observed in patients after stroke and is associated with poor outcomes. Patients at risk of malnutrition may be identified with several nutrition screening tools, but no nutritional screening tool has been validated for use with stroke patients. The aim of this study was to explore the ability of the Controlling Nutritional Status (CONUT) score to predict 3-month mortality in stroke patients. Method: Patients were recruited from consecutive admissions at a hyperacute stroke unit and were screened for risk of malnutrition (light, moderate, or severe) using CONUT scores. At the next visit, 3-month outcomes were obtained. Results: Of the 164 recruited patients, 51.2% were male. Mean patient age was 77.7 ( SD = 7.0) years, and 85.8% of patients had an ischemic stroke. There was a significant difference in the survival rate ( p < .001) at 3 months between patients with moderate risk for malnourishment compared to the other patients. The multivariate regression Cox model showed that moderate risk of malnourishment, according to the CONUT score, increased the risk for death at 3 months (hazard ratio = 1.086; 95% CI [1.057, 8.305]; p < .039). Conclusion: The CONUT score has predictive validity for all-cause mortality in stroke patients after 3 months, both in hospital and after discharge. Further prospective multicenter studies with larger samples are needed to clarify the usefulness of the CONUT score in the prognosis of all-cause mortality in stroke patients.

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Palabras clave:Ictus. Mini Nutritional Assessment. Malnutrición. Dependencia. ResumenObjetivo: valorar el estado nutricional (EN) del paciente a los tres meses de sufrir un ictus y establecer la relación del EN con la recuperación funcional y las complicaciones en este periodo. Material y métodos: estudio observacional y transversal que evaluó el EN de pacientes mayores de 65 años a los tres meses de presentar un ictus. El EN se valoró mediante el Mini Nutritional Assessment (MNA). Se recogieron datos sociodemográficos, antropométricos, factores de riesgo cardiovascular, así como el estado funcional (mediante el índice de Barthel y la escala de Rankin modificada) y las complicaciones presentadas. Resultados: incluimos 103 pacientes, con edad media de 75,81 (± 6,73) años. La puntuación en el MNA fue de 23,13 puntos (± 4,47); el 8,2% presentaba malnutrición y el 38,1%, riesgo de malnutrición. No se observaron diferencias en el EN entre mujeres y hombres (p = 0,076) ni relación del EN con la edad. El estado nutricional deficitario se asoció a peor situación funcional (r = 0,608; p < 0,001), al desarrollo de complicaciones (infección urinaria y fiebre) (p = 0,044) y a la disfagia (p = 0,014). Además, aquellos pacientes con mejor EN presentaban mejor calidad de vida (r = 0,506; p < 0,001). También se relacionó con peor nivel socioeconómico (p = 0,020) y mayor institucionalización en centros sociosanitarios (p = 0,004). Conclusiones: el riesgo de desnutrición a corto plazo es frecuente en los supervivientes a un ictus. Este EN se asocia con una peor situación funcional y calidad de vida autopercibida y mayor tasa de complicaciones. Es fundamental detectar precozmente el riesgo de desnutrición en pacientes que han sufrido un ictus. Key words:Stroke. Mini Nutritional Assessment. Malnutrition. Disability. AbstractObjective: To assess the nutritional status (NS) of patients at three months of suffering a stroke, and to establish the relationship between functional recovery and complications in this period. Material and methods: A cross-sectional observational study evaluating the NS of patients older than 65 years at three months of having a stroke. The NS was assessed using the Mini Nutritional Assessment (MNA). Sociodemographic and anthropometric data, cardiovascular risk factors, as well as functional status (through the Barthel index and the modified Rankin scale) and the presented complications were collected. Results: One hundred and three patients were included, with a medium age of 75.81 (± 6.73). The MNA score was 23.13 points (± 4.47); 8.2% had malnutrition and 38.1% had risk of malnutrition. There were no differences in the NS between women and men (p = 0.076) neither relation of the NS with age. NS deficiency was associated with poorer function (r = 0.608; p < 0.001), the development of complications (urinary tract infection and fever) (p = 0.044) and dysphagia (p = 0.014). In addition, those patients with better nutritional status had a better quality of life (r = 0.506; p < 0.001). It was also associated wit...

Women in the third trimester of their pregnancy put aside their sexual appetite and that of their partners, and concentrate in the wellbeing of their new born baby. It highlights the role of the mother before the couple. The more desired and difficult the pregnancy has been, the more the sexual life is reduced. The Health Professionals must advise and inform the couples with an open-minded attitude.