The risk factors for malnutrition in post-stroke patients
10.3760/cma.j.issn.0578-1426.2009.12.010
- VernacularTitle:影响卒中后患者营养不良相关因素的研究
- Author:
Jiangsheng YANG
;
Shaoshi WANG
;
Xiaoyu ZHOU
;
Zhenli CHEN
;
Chunfeng LIU
;
Yueping SHEN
;
Junjie HAO
- Publication Type:Journal Article
- Keywords:
Stroke;
Malnutrition;
Prognosis
- From:
Chinese Journal of Internal Medicine
2009;48(12):1016-1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the detection rate of malnutrition among post-stroke patients in community hospitals and unravel the relevant factors that precipitate malnutrition after stroke. Methods Based on 438 post-stroke patients who were admitted in community hospitals, we examined the demographic characteristics, the nutritional indices and the possible malnutrition related factors through a cross-sectional study.Results The detection rate of malnutrition among post-stroke patients was 52.7%. Group comparison through multivariate logistic regression analysis showed that there was a higher malnutrition detection rate in the post-stroke patients with multiple stroke attacks (three stroke attackes and above, OR = 11.00,95%CI 1. 14-106.34), higher NIHSS scores (group with NIHSS≥15, OR=7.09, 95% CI 2.90-17.36) , higher modified Rankin scales (group mRS 4-5, OR = 15. 77,95% CI 6.61-37.59) (trend test P<0.0001) .The risk of malnutrition was also correlated with the post-stroke depression, poorer family care, no early-stage rehabilitation, history of malignant tumors and severe alcoholism. Conclusions There is a high detection rate of malnutrition among post-stroke patients in community hospitals. There are many factors related to malnutrition among post-stroke patients in the community. More attention to controllable influencing factors would improve the prognosis of post-stroke patients.
