ObjectiveThis study was performed to determine the cut-off point of the Functional
Independence Measure (FIM) to discriminate patients with acute stroke who
develop adverse events during their stay in a stroke care unit (SCU).MethodsAll consecutive patients with stroke admitted to a single institute from
January to March 2015 were enrolled. They were divided into two groups
according to their average daily energy intake in the SCU: ≥66% or <66%
of the target (high- and low-energy group, respectively). A receiver
operating characteristic curve was used to determine the cut-off point of
the FIM to predict adverse events in patients with acute stroke.ResultsThe length of stay in the SCU was significantly longer and the serum
C-reactive protein level (CRP) was significantly higher in the low- than
high-energy group (7 vs. 4 days and 2.15 vs. 0.20 mg/dL, respectively). The
total FIM score cut-off value was 63 points.ConclusionsAn energy intake of <66% of the target was associated with a significantly
longer stay in the SCU and a higher CRP level. A total FIM score cut-off
value of 63 points is useful to discriminate patients with adverse events
among those with acute stroke.
with CI and that an energy management set at 75% of target was associated with better outcome. Here, target of energy intake (TEI) was set at 25 kcal / kg of actual body weight / day according to the statement of guidelines provided by American Society for Parenter al and Enteral Nutrition [3], and European Society for Parenteral and Enteral Nutrition [4]. Then if our hypothesis was correct, then examine that the cutoff point of TEI exists to maximize better outcomes. To test our hypotheses, all data was collected and analyzed in patients with CI and CH admitted to stroke care unit (SCU) in a single tertiary institute.
MethodsAll consecutive acute stroke patients, admitted to a single institution between January and June 2015, were enrolled as subjects of the study. They were divided into two groups, diagnosed with CH or CI as primary diagnosis. The exclusion criteria were:
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