Stroke and Constipation&amp;lt;br/&amp;gt;—Coincidence or Interrelated?

Kasaraneni, Jayaprada; Hayes, Margaret M.

doi:10.4236/health.2014.619313

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…The lesions found significant in our study were located in regions related to anorectal sensation, implying that the acute constipation symptoms of patients with stroke are influenced by aberrances in accepting and interpreting visceral afferent signals from the anal canal and rectum. The fairly symmetric distribution of the associated lesions also confirms the existing hypothesis that cortical control of the defecation center might be located bilaterally ( Bracci et al, 2007 ; Kasaraneni and Hayes, 2014 ). This may be related to the bilateral activation of cortical areas by rectal stimulation ( Hobday et al, 2001 ).…”

Section: Discussionsupporting

confidence: 84%

Imaging and clinical predictors of acute constipation in patients with acute ischemic stroke

Han,

Lee,

Song

et al. 2023

Front. Neurosci.

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BackgroundConstipation symptoms are highly prevalent in acute ischemic stroke, but the clinical and neuroimaging predictors are unknown. This study aimed to identify lesions and clinical features associated with acute constipation.MethodsData from patients with acute ischemic stroke registered in a hospital-based stroke registry between January 2018 and December 2019 were analyzed. Clinical, laboratory, and imaging features were examined for associations with acute constipation. Using the topographic lesion on diffusion-weighted images, multivariate support vector regression-based lesion-symptom mapping (SVR-LSM) was conducted and compared between the non-constipation and acute constipation groups.ResultsA total of 256 patients (mean age 67 years, men: 64%) were included. Acute constipation was noted in 81 patients (32%). Initial stroke severity, represented by initial National Institutes of Health and Stroke Scale (NIHSS) scores, was associated with acute constipation. Laboratory parameters, including fibrin degradation products (FDP), fibrinogen, D-dimer, lipoprotein (a), and free fatty acid levels, also showed statistically significant differences between the non-constipation and constipation groups. FDP, D-dimer, and free fatty acid levels were independently associated with acute constipation in the logistic regression model after adjusting for initial NIHSS scores and potassium levels. SVR-LSM revealed that bilateral lesions in the precentral gyrus, insula, opercular part of the inferior frontal gyrus, the inferior parietal lobule, and lesions in the right middle frontal gyrus were significantly associated with acute constipation. The results were consistent after controlling for the initial NIHSS scores and poststroke potassium levels. When cardioembolic stroke subjects were excluded, the right insular and prefrontal cortex lesions lost their association with acute constipation.ConclusionAcute constipation symptoms after acute ischemic stroke are mainly related to bilateral lesions in the insula, precentral gyrus, postcentral gyrus, and inferior parietal lobule. Clinically important predictors of acute constipation include initial neurological severity and thromboembolic markers of stroke.

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Section: Discussionsupporting

confidence: 84%

Imaging and clinical predictors of acute constipation in patients with acute ischemic stroke

Han,

Lee,

Song

et al. 2023

Front. Neurosci.

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“…Penderita stroke yang berusia > dari 45 tahun dan mulai mengalami penurunan fungsi gastrointestinal khususnya fungsi mesenterik sehingga menghambat stimulasi saraf menuju ke kolon dan ikatan plasma endorphin ke reseptor usus serta meningkatnya deposit kolagen pada kolon bagian kiri (Kasaraneni & Hayes, 2014). Penurunan fungsi mesenterik ini memicu terjadinya konstipasi akibat menurunnya gerakan peristaltik usus.…”

Section: Hasil Penelitianunclassified

Konstipasi dan Tingkat Kenyamanan Pasien Stroke Non-Hemoragik

Prasetyaningtyas¹,

Pudjonarko²,

Sujianto³

2019

Jurnal CARING

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Penderita stroke sering kali mengalami immobilisasi yang berimplikasi pada terjadinya gangguan fungsional system tubuh seperti gangguan eliminasi bowel konstipasi. Penderita stroke sebisa mungkin diberikan intervensi yang dapat mencegah terjadinya konstipasi dan meningkatkan kenyamanan. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi modifikasi hot pack terhadap pencegahan konstipasi dan tingkat kenyamanan pasien stroke non-hemoragik. Metode penelitian yang digunakan berupa quasi experiment dengan memberikan intervensi kompres hangat dengan suhu 40 – 42OC pada daerah abdomen dan lumbal selama 15 menit dalam 4 hari berturut – turut. Hasil: Jumlah sampel penelitian ini yaitu 40 responden yang terbagi dalam kelompok intervensi (n=20) dan kelompok kontrol (n=20). Hasil penelitian menunjukkan bahwa intervensi modifikasi hot pack berpengaruh terhadap frekuensi defekasi (p=0,033) dan tingkat kenyaman (p=0,026) pasien stroke non-hemoragik namun tidak berdampak signifikan pada konsistensi feses (p=0,875) pasien SNH yang menjalani perawatan. Intervensi modifikasi hot pack dapat digunakan dalam meningkatkan kenyamanan dan memperbaiki Frekuensi pasien stroke non hemoragik.

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“…It has been reported to occur in 22.9%-79% of patients with stroke [6]. In the acute stage, the incidence of constipation ranged from 33% to 55% and was associated with poor stroke outcomes among clients with strokes of moderate severity at baseline [6,7].…”

Section: Introductionmentioning

confidence: 99%

New-onset Constipation After Stroke: Caspian Nursing Process Projects

Alijanpour

Alimohamadi

Khafri

et al. 2022

J Holist Nurs Midwifery

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Introduction: The impacts of new-onset constipation outcomes in stroke clients have remained unclear. It seems helpful to update the structure planning with nursing-led intervention. Objective: The current study aimed to present a protocol and methods of Caspian Nursing Process Projects in new-onset constipation by nursing-led intervention considering the experts’ point of view. Materials and Methods: The current multi-stage evolutionary study describes the protocol and methods of Caspian Nursing Process Projects, which were conducted on stroke constipation, such as new-onset constipation. The study was conducted in several phases, including searching for scientific sources, formal-content validity, RAND and Delphi methods, and changes made at the Delphi stage and the experts’ panel. We selected 21 studies published between January 2004 and December 2019 in the Cochran database, Medline, Science Direct, PubMed, Elsevier, and Scopus. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and AGREE II (The Appraisal of Guidelines for Research & Evaluation) were used to evaluate the articles and guidelines. Results: After considering the inclusion and exclusion criteria, 14 articles and guidelines were entered. Most of the authorities were 16 men (72.7%), 11 cases had MD degrees (50%), and 4 (18.2%) were neurologists. Regarding the priority, the highest agreement was found on patient and companion education (98%) and the lowest on disability in daily activity (75.6%). In terms of benefits, patient education again achieved the highest agreement with 97.2%, and use of the Bartel index with 73.6% obtained the lowest agreement. Regarding the applicability, registration, and reporting, the water and electrolyte impairment and educational booklet obtained the highest agreement with 93.6%. Conclusion: All recommendations had reached over 70% agreement in all four areas of the initial draft, and some care should be taken only by stroke nurses or critical care nursing. The study results can be used for developing national guidelines or criteria.

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Stroke and Constipation<br/>—Coincidence or Interrelated?

Cited by 5 publications

References 12 publications

Imaging and clinical predictors of acute constipation in patients with acute ischemic stroke

Imaging and clinical predictors of acute constipation in patients with acute ischemic stroke

Konstipasi dan Tingkat Kenyamanan Pasien Stroke Non-Hemoragik

New-onset Constipation After Stroke: Caspian Nursing Process Projects

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