Enteral nutrition management in stroke patients: a narrative review

Gong, Liya; Wang, Yan; Shi, Jing

doi:10.21037/apm-21-2922

Cited by 11 publications

(4 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Do total de pacientes, apenas 10 deles (20,8%) obtiveram uma recuperação da via oral de alimentação, sendo também um indicador de prognóstico negativo, visto que a diminuição da utilização da dieta via enteral indica melhoria da capacidade funcional de deglutição e evolução do paciente. 15 Vários fatores de risco estão associados ao AVC, entre os mais importantes, estão: hipertensão arterial sistêmica, diabetes mellitus, doenças cardiovasculares, como doenças coronarianas, arritmias e cardiomiopatias, obesidade, tabagismo, etilismo, dislipidemias, idade avançada (60 anos ou mais), distúrbios da coagulação sanguínea e inatividade física. 16 Entre os fatores de risco modificáveis, a hipertensão arterial é o principal deles, acarretando um aumento superior a três vezes na incidência de AVC.…”

Section: Santos If Et Al/ Revista De Ensino Ciência E Inovação Em Saú...unclassified

Perfil nutricional de pacientes acometidos de AVC atendidos em um hospital universitário no nordeste brasileiro

Santos

Soares

Nascimento

et al. 2022

RECIS

View full text Add to dashboard Cite

O acidente vascular cerebral (AVC) é considerado uma importante causa de morte e incapacidade na saúde pública. O desfecho clínico dos pacientes, reflete o quanto o estado nutricional, comorbidades, terapia nutricional, idade dos pacientes entre outros fatores podem influenciar durante a hospitalização e recuperação dos enfermos. Dessa forma, esse estudo objetiva conhecer o perfil nutricional de pacientes acometidos de AVC atendidos em um hospital universitário, fatores associados e os desdobramentos nutricionais decorrentes da patologia. Trata-se de uma pesquisa descritiva, retrospectiva, com abordagem quantitativa. A coleta foi realizada no período de junho de 2016 a outubro de 2017 com pacientes adultos e idosos internados por AVC. A análise dos dados foi feita através do software SPSS 22.0. Investigou-se 48 casos de AVC. O perfil da população estudada demonstrou uma prevalência de pacientes do sexo masculino (58,3%) com idade superior a 60 anos (66,7%), tempo de internamento prolongado (85,4%) e desfecho clínico de óbitos (54,29%). A maioria dos pacientes encontravam-se eutróficos (Índice de Massa Corporal= 52,1%; Circunferência do Braço= 39,5%). A presença de hipertensão arterial foi de 32 casos (66,7%), e predominância de alto risco cardiovascular segundo o PCR (91,7%). O estudo demonstrou uma relação entre variáveis como sexo, idade, doenças crônicas e PCR com o AVC. O estado nutricional, não se mostrou associado às complicações do AVC. Os resultados sugerem a necessidade do estabelecimento de protocolos de atendimento especializados no cuidado integral do AVC agudo, para melhores resultados na assistência destes pacientes.

show abstract

Section: Santos If Et Al/ Revista De Ensino Ciência E Inovação Em Saú...unclassified

Perfil nutricional de pacientes acometidos de AVC atendidos em um hospital universitário no nordeste brasileiro

Santos

Soares

Nascimento

et al. 2022

RECIS

View full text Add to dashboard Cite

show abstract

“…Swallowing difficulty faced by Mrs. L was in check with an issue highlighted in a study conducted by Ojo and Brooke (2016) reporting that clinical manifestations of swallowing difficulties were evident in stroke patients. Insufficient food intake caused by dysphagia was the main cause of malnutrition among them, which was associated with poor prognosis, increased mortality, and deteriorated outcomes (Gong et al 2021). Although this patient was allowed a soft diet, with the swallowing difficulty that she encountered, the diet intake might not be sufficient.…”

Section: Interventionmentioning

confidence: 96%

Impact of Nutritional Intervention for Patient with Cerebrovascular Accident and Atrial Fibrillation Secondary to Hypertensive Emergency

Roslan,

Ahmad Zamuri,

Ab. Hamid

et al. 2024

J Gizi Pangan

View full text Add to dashboard Cite

This case study aims to report on the nutrition management of Cerebrovascular Accidents (CVA) which have a higher risk of malnutrition due to dysphagia, hemiparesis, decreased mobility, and dementia. Mrs. L, a 76-year-old Chinese lady, was less responsive at home. Upon admission, she was diagnosed with hypertensive emergency complicated by CVA, newly diagnosed atrial fibrillation, and End-Stage Renal Disease (ESRD). Her Body Mass Index (BMI) is 22.5 kg/m2, which is underweight for her age. The patient, with abnormal blood results, high blood pressure, and poor Glasgow Coma Scale (GCS) score, was treated with nasogastric enteral feeding and a disease-specific formula for diabetes. Inadequate enteral nutrition infusion related to feeding has yet to optimize as evidenced by intake of 57% of energy and 0.6 g/kg body weight of protein. Mrs. L required 1,442 kcal of energy and 57.7 g of protein (1 g/kg body weight) to meet adequate bodily function and prevent further weight loss. The nasogastric enteral feeding was optimized to 250 mL, seven times daily using the same diabetic formula. Throughout follow ups, although the patient’s dietary intake improved, she experienced episodes of diarrhea. She was also put on a 500 mL fluid restriction per day. Considering those issues, the diseasespecific formula was changed to renal disease formula. The patient then progressed to a soft diet with improved GCS scores and other conditions. This case highlights dysphagia which is the leading cause of malnutrition in stroke patients, associated with poor prognosis, increased mortality, and deteriorated health outcomes, necessitating enteral nutrition support to enhance nutritional status and promote health. It can be concluded that MNT in managing patients with CVA, hypertensive emergency, and underlying diseases of diabetes and ESRD helps to improve the patient’s recovery. The patient's treatment and diet should be optimally adjusted through close monitoring and evaluation

show abstract

“…One of the reasons for the widespread use of ready-made mixtures is that thickened mixtures do not require adequate cognitive and linguistic abilities. Therefore, the use of such mixtures increases the effectiveness of nutritional support [15,[32][33][34].…”

Section: Ready-made Dense Enteral Feeding Mixturesmentioning

confidence: 99%

Nutrition Management in Neurogenic Dysphagia

Petrova¹,

Шестопалов²,

Yakovleva³

et al. 2022

Dysphagia - New Advances

View full text Add to dashboard Cite

Neurogenic dysphagia is an increasingly common problem. This chapter describes current approaches to enteral nutrition in patients with neurogenic dysphagia. We have shown the possibilities and our experience of using diet with a measured degree of density, specialized thickeners for drinks and food, ready-made enteral mixtures. We also identified patients who need a nasogastric tube or gastrostomy.

show abstract

Enteral nutrition management in stroke patients: a narrative review

Cited by 11 publications

References 72 publications

Perfil nutricional de pacientes acometidos de AVC atendidos em um hospital universitário no nordeste brasileiro

Perfil nutricional de pacientes acometidos de AVC atendidos em um hospital universitário no nordeste brasileiro

Impact of Nutritional Intervention for Patient with Cerebrovascular Accident and Atrial Fibrillation Secondary to Hypertensive Emergency

Nutrition Management in Neurogenic Dysphagia

Contact Info

Product

Resources

About