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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Vydáno v:	Neurocritical care Ročník 29; číslo 3; s. 374 - 384
Hlavní autoři:	Sabbouh, Toni, Torbey, Michel T.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York Springer US 01.12.2018 Springer Nature B.V
Témata:	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
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Popis
Shrnutí:	[...]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.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ISSN:	1541-6933 1556-0961 1556-0961
DOI:	10.1007/s12028-017-0436-1