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Related Experiment Videos

Nutritional status in patients with acute stroke.

K Axelsson1, K Asplund, A Norberg

  • 1Department of Advanced Nursing, University of Umeå, Sweden.

Acta Medica Scandinavica
|January 1, 1988
PubMed
Summary

Undernutrition is common in acute stroke patients, affecting 16% on admission and 22% at discharge. Poor nutritional status is linked to poorer outcomes, with fewer patients returning home.

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Area of Science:

  • Clinical Nutrition
  • Neurology
  • Geriatrics

Background:

  • Nutritional status is crucial for recovery in acute stroke patients.
  • Undernutrition may impact patient outcomes and hospital stay duration.

Purpose of the Study:

  • To assess the prevalence of undernutrition in acute stroke patients.
  • To identify risk factors for undernutrition during hospitalization.
  • To evaluate the association between nutritional status and discharge destination.

Main Methods:

  • Assessed nutritional status using anthropometric measurements (relative weight, triceps skinfold, arm muscle circumference) and serum proteins (albumin, transferrin, prealbumin).
  • Evaluated 100 consecutive acute stroke patients on admission and at discharge.
  • Correlated nutritional status with demographic factors, medical history, and discharge outcomes.

Main Results:

  • 16% of patients exhibited subnormal nutritional indicators on admission, associated with female sex, advanced age, and atrial fibrillation.
  • At discharge, 22% had two or more subnormal indicators, linked to infections, male sex, cardiovascular drug use, and advanced age.
  • Patients with poorer nutritional status were less likely to return home.

Conclusions:

  • Undernutrition is prevalent at stroke onset and during hospitalization.
  • Specific risk groups for developing undernutrition can be identified.
  • Nutritional status significantly influences functional outcomes and discharge planning post-stroke.

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