Prevalence of nutritional risk and malnutrition and observation of nutritional intervention in hospitalized patients with stroke in a teaching hospital in Beijing
10.3760/cma.j.issn.1674-635X.2019.06.001
- VernacularTitle:脑卒中患者营养风险及营养不良现患率横断面调查及营养干预(8分类)的观察性研究
- Author:
Chunman HAO
1
;
Xiaomeng LI
;
Zhenshui LI
;
Yingxia XU
;
Li WANG
;
Lei FENG
;
Xiang LI
;
Yang WANG
;
Yanyan ZHAO
;
Xianna ZHANG
;
Jian YANG
;
Zhuo LI
;
Zhuming JIANG
Author Information
1. 首都医科大学附属北京天坛医院临床营养科
- Keywords:
Cerebralhemorrhage;
Cerebral infarction;
Subarachnoid hemorrhage;
Prevalence ofnutri-tional risk;
Prevalence ofmalnutrition;
Classification of nutritional intervention;
Stroke
- From:
Chinese Journal of Clinical Nutrition
2019;27(6):331-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of nutritional risk (NRS2002) and malnutrition inhospitalized stroke patient and their nutritional intervention. Methods The stroke patients admitted to three de-partments of vascular neurology ward including cerebral hemorrhage, cerebral infarction and subarachnoid hemor-rhage in Beijing Tiantan Hospital from January 2018 to January 2019 were recruited using cluster sampling. Nutri-tional risk screening 2002 ( NRS 2002) was used to screen the nutritional risk of inpatients Malnutrition was as-sessed by criteria:(1) body mass index (BMI) <18. 5 kg/m2 with poorer general condition from January 2018 to January 2019;(2) Global leadership initiative on malnutrition ( GLIM) criteria were used except whole body muscle mass measurement from October 2018 to January 2019. The nutritional intervention for patients were closely observed during hospitalization. Results A total of 1532 patients were registered and1036 patients were included in the final analysis considering the inclusion and exclusion criteria. The prevalence of nutritional risk was 33. 0％ ( 342/1036) . The prevalence of malnutrition based on BMI and GLIM criteria was 0. 9％( 9/1036) and 2. 5％ (10/393) respectively. Among the 342 patients with nutritional risk, 112 patients received nutritional support therapy by tube feeding, but only 29 patients received nutritional support that met guideline standards. 81 patients received not standard nutritional support, and 2 patients received highly unregulated nutritional sup-port. No patients received sugar and electrolyte infusion, oral nutritional supplements ( ONS) , oral nutritional a-gents and compound nutrition intervention. The other 230 patients took hospital diet. Conclusion The prevalence of nutritional risk in hospitalized patients with cerebral hemorrhage, cerebral infarction or subarachnoid hemorrhage was high, and the prevalence of malnutrition was extremely low. There was a low proportion of nutri-tional support. High quality of large sample cohort studies will be conducted to show whether reasonable applica-tion of nutritional support therapy in patients with nutritional risk can improve patient outcome.
