Nutritional Improvement and Energy Intake Are Associated with Functional Recovery in Patients after Cerebrovascular Disorders

Nii, Maria; Maeda, Keisuke; Wakabayashi, Hidetaka; Nishioka, Shinta; Tanaka, Atsuko

doi:10.1016/j.jstrokecerebrovasdis.2015.08.033

Cited by 97 publications

(81 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In previous studies, malnutrition of stroke patients was associated with a poor prognosis, increased incidence of infections, cardiovascular events and pressure ulcers, extended hospitalization periods, and increased risk of requiring long‐term care . Furthermore, in our studies, stroke patients with malnutrition had poor activities of daily living (ADL) improvement . Malnutrition in older adults admitted for rehabilitation is associated with poorer physical function and quality of life, and might increase the risk of institutionalization, hospitalization and mortality .…”

Section: Introductionmentioning

confidence: 65%

Nutritional intake is associated with activities of daily living and complications in older inpatients with stroke

Kokura

Wakabayashi

Nishioka³

et al. 2018

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 65%

Nutritional intake is associated with activities of daily living and complications in older inpatients with stroke

Kokura

Wakabayashi

Nishioka³

et al. 2018

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hemos observado junto a otros autores que el estado nutricional afectaba al nivel de dependencia de las actividades de la vida diaria (23,29,30). Además, al igual que en otros estudios, obtuvimos relación entre el IMC y el estado funcional, de tal forma que los pacientes con mayor IMC presentaban menor discapacidad.…”

Section: Discussionunclassified

Valoración Nutricional Con La Situación Funcional Tras Sufrir Un Ictus.

Espuela¹,

Portilla-Cuenca²,

Mohedas³

et al. 2017

Nutr Hosp

View full text Add to dashboard Cite

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...

show abstract

“…Specifically, dysphagia is a morbidity of great concern in aSAH as well as other types of stroke, because it increases the risk for pneumonia up to 11-fold [3] and malnutrition, which crucially impedes functional recovery [45]. Dysphagia is a common sequela found in as much as half of all individuals with a recent stroke [6], yet there are few reports addressing dysphagia in aSAH.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Patients With Aneurysmal Subarachnoid Hemorrhage and Risk Factors Related to Dysphagia

et al. 2016

View full text Add to dashboard Cite

ObjectiveTo investigate the characteristics and risk factors of dysphagia with the Videofluoroscopic Dysphagia Scale (VDS) using a videofluoroscopic swallowing study (VFSS) in patients with ruptured aneurysmal subarachnoid hemorrhage (aSAH).MethodsData of 64 patients presenting with first-ever ruptured aSAH were analyzed. Characteristics of dysphagia were evaluated using VFSS and all subjects were divided into a high (>47) and low risk group (≤47) by the VDS score. Clinical and functional parameters were assessed by medical records including demographics, hypertension and diabetes mellitus (DM), the Glasgow Coma Scale (GCS), the Hunt and Hess scale, endotracheal intubation, acute management modalities, as well as Korean version of the Mini-Mental Status Examination (K-MMSE) and Korean version of Modified Barthel Index (K-MBI). Radiologic factors identified the amount of hemorrhage, ventricular rupture, and aneurysmal location.ResultsAbout a half of the subjects showed oral phase abnormalities and the oral transit time was delayed in 46.8% of the patients. The pharyngeal transit time was also prolonged in 39.0% of the subjects and the proportion of penetration and aspiration observed was 46.8%. The parameters-GCS score (p=0.048), hemorrhagic volume (p=0.028), presence of intraventricular hemorrhage (p=0.038), and K-MMSE (p=0.007)-were predisposing factors for dysphagia in patients with aSAH.ConclusionAbnormalities in the oral phase were more prominent in patients with aSAH than in those with other types of stroke. The risk factors associated with dysphagia persisting over 6 months after stroke onset were the initial GCS, hemorrhage volume, presence of intraventricular hemorrhage, and cognitive status as measured by the K-MMSE.

show abstract

Nutritional Improvement and Energy Intake Are Associated with Functional Recovery in Patients after Cerebrovascular Disorders

Cited by 97 publications

References 27 publications

Nutritional intake is associated with activities of daily living and complications in older inpatients with stroke

Nutritional intake is associated with activities of daily living and complications in older inpatients with stroke

Valoración Nutricional Con La Situación Funcional Tras Sufrir Un Ictus.

Characteristics of Patients With Aneurysmal Subarachnoid Hemorrhage and Risk Factors Related to Dysphagia

Contact Info

Product

Resources

About