The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

Shin, Ji Cheol; Chang, Shin Hye; Hwang, Sang Won; Lee, Jae Joong

doi:10.5535/arm.2018.42.4.591

Cited by 9 publications

(15 citation statements)

References 25 publications

(35 reference statements)

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“…To the best of our knowledge, this is the first study using a multicentre database to examine the predictive validity of malnutrition screening tools in Japanese patients with composite conditions (stroke and hip fracture) in rehabilitation hospitals. Meanwhile, two studies have investigated the predictive validity of malnutrition screening tools in Korean and Chinese in a rehabilitation setting, although the former involved only patients with spinal cord injuries 25,26 . Two studies have examined the predictive validity of nutritional risk index or anthropometric measures but no malnutrition screening tools were investigated for Japanese rehabilitative patients 27,28 .…”

Section: Discussionmentioning

confidence: 99%

Predictive validity of the Mini Nutritional Assessment Short‐Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database

Nishioka¹,

Wakabayashi

Kayashita

et al. 2021

J Human Nutrition Diet

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Background Malnutrition is associated with worse outcome in rehabilitation patients; however, appropriate malnutrition screening tools for this population have not been investigated. We examined the predictive validity of specific cut‐off values of the Mini Nutritional Assessment Short‐Form version 2 (MNA‐SFv2) for Japanese rehabilitation patients. Methods This retrospective cohort study analyzed adult patients (≥ 20 years) in the Japan Rehabilitation Nutrition Database who were in convalescent rehabilitation wards after stroke or hip fracture. Patients were classified into three categories based on MNA‐SFv2 original (0–7, 8–11 and 12–14 points, respectively) or modified (0–5, 6–7 and 8–14 points, respectively) cut‐off values: malnutrition, at risk of malnutrition or well‐nourished. Functional independence measure (FIM) and home discharge were compared between the categories. Results Overall, 489 patients were analyzed. Based on the MNA‐SFv2 original and modified cut‐off values, 64.4% and 36.0% were malnourished, 32.3% and 28.4% were at risk of malnutrition, and 3.3% and 35.6% were well‐nourished, respectively. Malnutrition defined by both cut‐off values was significantly associated with the FIM at admission, whereas only those defined by modified cut‐off values predicted the FIM at discharge (B, −7.1; 95% confidence interval = −12.3 to −1.9). Neither original, nor modified cut‐off values predicted discharge to home and long‐term care facilities. Conclusions An MNA‐SFv2 score of 0–5 points may be useful to identify Japanese patients with poor outcomes in a rehabilitation setting.

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Section: Discussionmentioning

confidence: 99%

Predictive validity of the Mini Nutritional Assessment Short‐Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database

Nishioka¹,

Wakabayashi

Kayashita

et al. 2021

J Human Nutrition Diet

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“…The scoring results are divided into low risk, medium risk and high risk [36] . The detection rate of malnutrition risk in patients with early rehabilitation treatment is very high [37] . For the evaluation of malnutrition, in addition to nutrition screening tools, it should also be combined with objective indicators, including anthropometric indicators and laboratory indicators.…”

Section: Status Of Nutritional Intervention In Patients After Sci 31 Nutrition Evaluation After Scimentioning

confidence: 99%

Advance in Nutritional Status and Intervention after Spinal Cord Injury

Zeng

Xiang

Dong

et al. 2021

JCNR

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Spinal cord injury (SCI) is a common disease in spinal surgery. SCI affects the metabolism of patients and changes their lifestyle. Nutritional problems may occur, which may be manifested as insufficient or overnutrition. Nutrition status is related to many complications and final outcome after SCI. In this paper, the nutritional status of patients with SCI and the progress of nutritional intervention were reviewed by comprehensive domestic and foreign literature. Medical staff should routinely screen and evaluate the nutrition of patients after SCI operation, and provide comprehensive nutritional intervention such as diet, exercise and dietary supplement.

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“…Malnutrition is a known phenomenon after spinal cord injury (SCI), which can negatively affect clinical outcomes and lead to prolonged hospital stays ( 1 , 2 ). Malnutrition during inpatient rehabilitation of individuals with SCI is therefore an important aspect, which needs special attention.…”

Section: Introductionmentioning

confidence: 99%

The risk of malnutrition in patients with spinal cord injury during inpatient rehabilitation–A longitudinal cohort study

2023

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Background and aimPatients with spinal cord injury (SCI) show an increased risk of malnutrition. Studies found that about 50% of patients with a recent SCI are affected by malnutrition when they enter a rehabilitation institution. However, there is a lack of data during the course and at discharge of initial rehabilitation as well as missing knowledge about the factors promoting such a risk. The aim of this study was to assess the risk of malnutrition in individuals with SCI 3 months post injury and at the end of inpatient rehabilitation and to identify factors associated with a high risk of malnutrition.MethodsRetrospective, monocentric, longitudinal cohort study, using the data set of the Swiss Spinal Cord Injury Cohort Study and additional data from the patients’ medical records. Individuals with SCI were assessed for the risk of malnutrition using the Spinal Nutrition Screening Tool 3 months post injury and at discharge from initial inpatient rehabilitation. Odds ratios (OR) for potential risk parameters were calculated.ResultsOf the 252 participants included, 62% were at risk for malnutrition 3 months post injury and 40% at discharge (p = 0.000). Moderate to high risk of malnutrition was found regardless of age and BMI. The highest odds for an increased risk at 3 months post injury was identified in ventilator-dependent persons (OR 10.2). At discharge from inpatient rehabilitation, pressure injury (OR 16.3) was the most prominent risk factor.ConclusionIn the population with SCI the risk of malnutrition is widespread during inpatient rehabilitation, but also at discharge. Ventilated persons and persons with pressure injuries are clear risk groups and need special attention. Based on these findings and the known negative impact of malnutrition on clinical outcomes, the awareness of malnutrition should be increased in the population with SCI. Therefore, a regular and standardized screening of the malnutrition risk is highly recommended.

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The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

Cited by 9 publications

References 25 publications

Predictive validity of the Mini Nutritional Assessment Short‐Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database

Predictive validity of the Mini Nutritional Assessment Short‐Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database

Advance in Nutritional Status and Intervention after Spinal Cord Injury

The risk of malnutrition in patients with spinal cord injury during inpatient rehabilitation–A longitudinal cohort study

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