Malnutrition in Stroke Patients: Risk Factors, Assessment, and Management

[...]the hasty identification of malnutrition using body mass index (BMI) or anthropometric measures or laboratory parameters after the acute event is fundamental to avoid poor outcomes [10, 14, 15]. In the acute stage of stroke, dysphagia occurs in 30–50% of the patients and leads to a 12-fold incr...

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Bibliographic Details
Published in:Neurocritical care Vol. 29; no. 3; pp. 374 - 384
Main Authors: Sabbouh, Toni, Torbey, Michel T.
Format: Journal Article
Language:English
Published: New York Springer US 01.12.2018
Springer Nature B.V
Subjects:
Alcoholism
Body mass index
Chronic illnesses
Cognitive ability
Consciousness
Critical Care Medicine
Cytokines
Deglutition Disorders - diagnosis
Deglutition Disorders - epidemiology
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Diabetes
Dysphagia
Hemorrhage
Humans
Hypertension
Inflammation
Intensive
Internal Medicine
Ischemia
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Malnutrition - etiology
Malnutrition - therapy
Medicine
Medicine & Public Health
Metabolism
Mortality
Neurology
Nursing care
Nutrition
Nutritional status
Nutritional Support - methods
Oral hygiene
Ostomy
Patients
Polypharmacy
Proteins
Review Article
Risk factors
Stroke
Stroke - complications
Stroke - epidemiology
Stroke - therapy
Calorimetry
Stroke
Nutrition
Risk factors
ISSN:1541-6933, 1556-0961, 1556-0961
Online Access:Get full text
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Summary:[...]the hasty identification of malnutrition using body mass index (BMI) or anthropometric measures or laboratory parameters after the acute event is fundamental to avoid poor outcomes [10, 14, 15]. In the acute stage of stroke, dysphagia occurs in 30–50% of the patients and leads to a 12-fold increase in developing aspiration pneumonia and subsequent malnutrition [16, 23, 24]. [...]the presence of cognitive impairments, visual, language, and speech deficits can hinder effective communication about food preference and satiety leading to malnutrition [14]. In the absence of infection and inflammation, serum albumin level can give a fair estimate of the nutritional status [14]. [...]CRP has been found to predict vasospasms and long-term outcome in SAH patients [33, 34]. According to several studies [11, 39, 40], being at high risk of malnutrition, as assessed by MUST, is a significant independent predictor of mortality, length of hospitalization, and hospitalization costs at 6 months post-stroke.
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ISSN:1541-6933
1556-0961
1556-0961
DOI:10.1007/s12028-017-0436-1