Nutritional Assessment of Geriatric Stroke Patients in a Rehabilitation Hospital.
- Author:
Jeong Eun LEE
1
;
Wanho KIM
;
Byung Sik KIM
;
Soon Ja JANG
;
Se Young KANG
;
Hyung Joon KIM
;
Cha Yeon LEE
;
Mi Jeong LEE
Author Information
1. Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. whykim@nate.com
- Publication Type:Original Article
- Keywords:
Malnutrition;
Mini-nutritional assessment;
Geriatric;
Stroke
- MeSH:
Aged;
Body Mass Index;
Humans;
Lymphocytes;
Malnutrition;
Mass Screening;
Nutrition Assessment*;
Nutritional Status;
Prevalence;
Surveys and Questionnaires;
Rehabilitation*;
Sensitivity and Specificity;
Stroke*;
Transferrin
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(6):604-610
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: It was aimed to evaluate the nutritional status of geriatric stroke patients admitted to a convalescent and rehabilitation hospital and the clinical usefulness of the mini-nutritional assessment (MNA) to identify malnutrition in elderly stroke patients. METHOD: We performed a nutritional evaluation using the MNA questionnaire, anthropometric, haematological, and biochemical parameters in 30 stroke patients. Malnutrition was defined if there were abnormalities in at least one of the following parameters: serum values of albumin and transferrin, hemoglobin and total lymphocytes in blood, and body mass index. The sensitivity, specificity, and predictive values of MNA for malnutrition were assessed. RESULTS: The mean age of patients was 69.5 years and mean body mass index was 22.8 kg/m2. The prevalence of malnutrition was 46.7% while malnutrition or risk of malnutrition by MNA was 80%. The sensitivity, specificity, and positive/negative predictive values of MNA for malnutrition were respectively 92.9%, 31.3%, 54.2%, and 83.3% with a cutoff point lower than 23.5. There was a significant difference of hemoglobin value between malnourished and nourished group (p<0.05). CONCLUSION: Malnutrition was common in geriatric stroke patients. MNA was a useful screening tool to exclude nourished geriatric patients.
