Effect of Malnutrition After Acute Stroke on Clinical Outcome

Dávalos, Antoni; Ricart, Wifred; González-Húix, Ferrán; Soler, Silvia; Marrugat, Jaume; Molins, A; Suñer, Rosa; Genı́s, David

doi:10.1161/01.str.27.6.1028

Cited by 417 publications

(285 citation statements)

References 23 publications

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“…Previous studies reported significantly lower frequency of hypoalbuminemia in stroke patients. Davalos et al (1996) assessed malnutrition in 104 patients with acute ischemic and hemorrhagic stroke. Serum albumin level was measured within 24 h after stroke onset, and hypoalbuminemia (serum albumin level o35 g/l) was observed in 7.7% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Hypoalbuminemia was reported in up to 19% of stroke patients (Davalos et al, 1996;Gariballa et al, 1998;Davis et al, 2004). Stroke patients with hypoalbuminemia at admission had increased risk of infective complications (Gariballa et al, 1998;Dziedzic et al, 2006), death (Gariballa et al, 1998;Davis et al, 2004) and poor functional outcome (Davalos et al, 1996;Gariballa et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

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Hypoalbuminemia in acute ischemic stroke patients: frequency and correlates

et al. 2007

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Objective: Hypoalbuminemia in acute stroke patients is associated with increased mortality and morbidity. The aim of our study was to determine the frequency and correlates of hypoalbuminemia in unselected cohort of patients with acute cerebral infarction. Design: Prospective study. Setting: University hospital. Subjects: Seven hundred and five consecutive ischemic stroke patients. Methods: Albumin and other serum protein fractions were measured within 36 h after stroke using electrophoresis. Results: Hypoalbuminemia defined as serum albumin level o35 g/l was found in 45.5% of patients. Serum albumin level correlates significantly with age (r ¼ À0.13, Po0.01), Scandinavian Stroke Scale score (r ¼ 0.14, Po0.01), body temperature on admission (r ¼ 0.14, Po0.01), leukocyte count (r ¼ À0.17, Po0.01), fasting glucose (r ¼ À0.16, Po0.01), total cholesterol (r ¼ 0.14, Po0.01), a1-globulin (r ¼ À0.48, Po0.01), a2-globulin (r ¼ À0.49, Po0.01), b-globulin (r ¼ À0.26, Po0.01) and g-globulin (r ¼ À0.35, Po0.01). Conclusions: Hypoalbuminemia is a frequent finding in acute stroke patients and it is associated with more severe stroke and pro-inflammatory pattern of serum protein electrophoresis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hypoalbuminemia in acute ischemic stroke patients: frequency and correlates

et al. 2007

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“…after the second week of admission (Davalos et al, 1996). Even early aggressive enteral nutrition did not prevent malnutrition developing during the first week of admission for patients with impaired swallowing.…”

Section: Case Illustrationmentioning

confidence: 85%

Malnutrition: Risks & Concerns in Dysphagia Management

Yarrow

Garcia

2010

Perspect Swal Swal Dis (Dysph)

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Malnutrition, particularly undernutrition, negatively affects health outcomes. Risk of malnutrition, often identified by a Registered Dietitian as part of a patient's dietary assessment, increases greatly in the presence of dysphagia. Patient characteristics that may be linked to malnutrition include advanced age, medical diagnoses, level of diet tolerated, actual calorie and protein intake, need for feeding assistance, weight changes, and quality of life issues. Many older adults may be malnourished at the time of their hospital admission or become so during the course of their medical care. Poor physical condition from malnutrition could negatively impact on a patient's rehabilitation potential. This article highlights possible causes and effects of undernutrition and the importance of nutrition strategies to patient care through a case study illustration.

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“…28 Weight loss often coincides with malnutrition in the setting of critical illness, leading to increased risk of poststroke complications, 29 including gastrointestinal bleeding, pneumonia, and other infections. 29,30 Acute stroke patients who are malnourished are at risk for poorer outcomes, 28 independent of baseline nutritional status and age, [29][30][31] and are also at risk for continued undernourishment during hospitalization. 32 Patients with eating difficulties on admission have been shown to require longer hospital admissions and are more likely to require institutionalized care following discharge.…”

Section: Weight Loss and Malnutritionmentioning

confidence: 99%

Altered Taste and Stroke: A Case Report and Literature Review

Dutta

2013

Top Stroke Rehabil

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Patients with altered taste perception following stroke are at risk for malnutrition and associated complications that may impede recovery and adversely affect quality of life. Such deficits often induce and exacerbate depressive symptomatology, which can further hamper recovery. It is important for clinicians and rehabilitation specialists to monitor stroke patients for altered taste perception so that this issue can be addressed. The authors present the case of a patient who experienced an isolated ischemic infarct affecting a primary cortical taste area. This case is unusual in that the isolated injury allowed the patient to remain relatively intact cognitively and functionally, and thus able to accurately describe her taste-related deficits. The case is further used to describe the relevant neurological taste pathways and review potential taste-related therapies.

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Effect of Malnutrition After Acute Stroke on Clinical Outcome

Abstract: Our findings suggest that protein-energy malnutrition after acute stroke is a risk factor for poor outcome. Early appropriate enteral caloric feeding did not prevent malnutrition during the first week of hospitalization.

Cited by 417 publications

References 23 publications

Hypoalbuminemia in acute ischemic stroke patients: frequency and correlates

Hypoalbuminemia in acute ischemic stroke patients: frequency and correlates

Malnutrition: Risks & Concerns in Dysphagia Management

Altered Taste and Stroke: A Case Report and Literature Review

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