Malnutrition and Risk of Malnutrition in Patients With Stroke: Prevalence During Hospital Stay
Malnutrition and Risk of Malnutrition in Patients With Stroke: Prevalence During Hospital Stay
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DOI：
10.1097/jnn.0b013e31829863cb
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发表时间：
2013-08-01
影响因子：
2.3
通讯作者：
Hafsteinsdottir, Thora B.
中科院分区：
文献类型：
--
作者：
Mosselman, Machteld J.;Kruitwagen, Cas L. J. J.;Hafsteinsdottir, Thora B.
背景资料：虽然各种研究表明中风住院患者营养不良的患病率很高，但最近关于急性中风患者住院前几周营养状况如何发展的研究很少。缺乏关于急性住院期间有营养不良风险的中风患者的识别信息，因为这些患者可能有很大的机会改善其营养状况。目的：本研究旨在调查急性脑卒中患者住院前10天内营养不良的患病率和营养不良的风险。方法：在荷兰一所大学医院的神经科进行了一项前瞻性描述性研究。纳入73例急性脑卒中患者，其中23例患者可在10天后随访。入院时及10天后采用简易营养评估法测定营养状况。结果：在入院时，5%的患者（n = 73）营养不良，14%的营养不良的风险，81%的营养良好。在可以随访的患者（n = 23）中，入院时无患者营养不良，9%有营养不良风险，91%营养良好;而10天后，这些患者中有26%营养不良，39%有营养不良风险，35%营养良好。这意味着，在随访组中，住院期间营养不良或营养不良风险的患者比例从9%显著增加到65%。结论：我们的研究表明，急性脑卒中患者在入院的前10天内营养不良的患病率和营养不良的风险显著增加。因此，强烈建议在此期间筛查这些患者的营养状况，以便及时对这些患者进行营养干预和营养管理。
Background: Although various studies have shown high prevalence of malnutrition in hospitalized patients with stroke, recent studies on how the nutritional status of patients with acute stroke develops during the first weeks of hospital stay are scarce. Information is lacking concerning the identification of patients with stroke who are at risk of malnutrition during an acute hospital stay, because these patients may have a significant chance to improve their nutritional status. Purpose: This study aimed to investigate the prevalence of malnutrition and risk of malnutrition of patients with acute stroke during the first 10 days of hospitalization. Methods: A prospective, descriptive study was conducted in a neurological department of a university hospital in The Netherlands. Seventy-three patients with acute stroke were included, of which 23 patients could be followed up after 10 days. The nutritional status was determined with the Mini Nutritional Assessment at admission and after 10 days. Results: At admission, 5% of the patients (n = 73) were malnourished, 14% were at risk of malnutrition, and 81% were well nourished. Of the patients who could be followed up (n = 23), at admission, no patients were malnourished, 9% were at risk of malnutrition, and 91% were well nourished; whereas 10 days later, 26% of these patients were malnourished, 39% were at risk of malnutrition, and 35% were well nourished. This means that, within the followed-up group, the proportion of patients with malnutrition or risk of malnutrition increased significantly during hospital stay from 9% to 65%. Conclusions: Our study shows that the prevalence of malnutrition and risk of malnutrition in patients with acute stroke increases strongly during the first 10 days of admission. Therefore, screening of the nutritional status of these patients throughout this period is highly recommended to enable timely nutritional intervention and nutritional management of these patients.