Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia

Most patients with stroke suffer from complications and these include dysphagia. Dysphagia can cause malnutrition, and malnutrition affects prognosis and recovery. However, there is a lack of accurate studies on the nutritional status of stroke patients with dysphagia and its associated factors in d...

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Bibliographic Details
Published in:Nutrients 2023-08, Vol.15 (17), p.3739
Main Authors: Yoon, Jiyong, Baek, Soyeong, Jang, Yunjeong, Lee, Chang Han, Lee, Eun Shin, Byun, Hayoung, Oh, Min-Kyun
Format: Article
Language:English
Subjects:
Albumin
Alcoholism
Analysis
Cognition & reasoning
Deglutition disorders
Diabetes
Dysphagia
Energy
Gender
Hypertension
Malnutrition
Medical records
Medical research
Medicine, Experimental
Normal distribution
Nutrition
Nutritional status
Pneumonia
Product/Service Evaluations
Prognosis
Proteins
Regression analysis
Stroke
Stroke patients
Urinary tract diseases
Urinary tract infections
Urogenital system
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Summary:Most patients with stroke suffer from complications and these include dysphagia. Dysphagia can cause malnutrition, and malnutrition affects prognosis and recovery. However, there is a lack of accurate studies on the nutritional status of stroke patients with dysphagia and its associated factors in different phases of stroke. This study retrospectively investigated 620 stroke patients who underwent a videofluoroscopic swallowing study (VFSS) due to dysphagia, from March 2018 to February 2021. The study aimed to evaluate the nutritional state and associated factors of malnutrition in acute and subacute stroke patients with dysphagia. Serum albumin and percentage of current weight to ideal weight were used to determine nutritional status. Malnutrition was observed in 58.9 and 78.9% of acute and subacute stroke patients. Exact logistic regression analysis revealed that old age and high penetration–aspiration scale score were significantly associated factors for malnutrition in patients with acute stroke. Old age, stroke history, bilateral hemiplegia, high modified Rankin score, low Korean Mini-Mental State Examination, pneumonia, and high functional dysphagia score were significantly associated factors for malnutrition in patients with subacute stroke. Patients with these associated factors in each phase of stroke require active nutritional assessment and care to decrease the risk of malnutrition.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu15173739