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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MDPI AG
2023-08-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/17/3739 |
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| author | Jiyong Yoon Soyeong Baek Yunjeong Jang Chang Han Lee Eun Shin Lee Hayoung Byun Min-Kyun Oh |
| author_facet | Jiyong Yoon Soyeong Baek Yunjeong Jang Chang Han Lee Eun Shin Lee Hayoung Byun Min-Kyun Oh |
| author_sort | Jiyong Yoon |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T23:16:11Z |
| format | Article |
| id | doaj.art-33d04b922f27460ebb0a83f0f3ff4144 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T23:16:11Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-33d04b922f27460ebb0a83f0f3ff41442023-11-19T08:38:27ZengMDPI AGNutrients2072-66432023-08-011517373910.3390/nu15173739Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with DysphagiaJiyong Yoon0Soyeong Baek1Yunjeong Jang2Chang Han Lee3Eun Shin Lee4Hayoung Byun5Min-Kyun Oh6Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Institute of Medical Science, Gyeongsang National University, Jinju 52727, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju 52727, Republic of KoreaDepartment of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Institute of Medical Science, Gyeongsang National University, Jinju 52727, Republic of KoreaMost 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.https://www.mdpi.com/2072-6643/15/17/3739malnutritionbody weightalbuminstrokedysphagiaVFSS |
| spellingShingle | Jiyong Yoon Soyeong Baek Yunjeong Jang Chang Han Lee Eun Shin Lee Hayoung Byun Min-Kyun Oh Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia Nutrients malnutrition body weight albumin stroke dysphagia VFSS |
| title | Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia |
| title_full | Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia |
| title_fullStr | Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia |
| title_full_unstemmed | Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia |
| title_short | Malnutrition and Associated Factors in Acute and Subacute Stroke Patients with Dysphagia |
| title_sort | malnutrition and associated factors in acute and subacute stroke patients with dysphagia |
| topic | malnutrition body weight albumin stroke dysphagia VFSS |
| url | https://www.mdpi.com/2072-6643/15/17/3739 |
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