Impact of malnutrition on post-stroke cognitive impairment in convalescent rehabilitation ward inpatients
- PDF / 482,557 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 106 Downloads / 196 Views
RESEARCH PAPER
Impact of malnutrition on post‑stroke cognitive impairment in convalescent rehabilitation ward inpatients Keita Tsutsumiuchi1,2 · Hidetaka Wakabayashi3 · Keisuke Maeda4 · Hiroshi Shamoto5,6 Received: 21 January 2020 / Accepted: 5 September 2020 © European Geriatric Medicine Society 2020
Key summary points Aim To investigate the relationship between patients’ nutritional status on admission to a convalescent rehabilitation ward and improvement in post-stroke cognitive impairmentTo investigate the relationship between patients’ nutritional status on admission to a convalescent rehabilitation ward and improvement in post-stroke cognitive impairment. Findings A total of 75.6% of post-stroke patients with cognitive impairment were malnourished, and their nutritional status was associated with poor improvement in post-stroke cognitive impairment. Message Assessment of both cognitive function and nutritional status is important for stroke patients, and nutritional improvement may affect the improvement of cognitive function in malnourished post-stroke patients with cognitive impairment. Abstract Purpose To investigate the relationship between malnutrition risk on admission and improvement in post-stroke cognitive impairment (PSCI). Methods This retrospective cohort study included 90 patients with PSCI with a Mini-Mental State Examination (MMSE) score ≤ 23, who were admitted to a rehabilitation hospital between July 2013 and December 2015. We assessed the malnutrition risk using the Mini Nutritional Assessment-Short Form (MNA-SF) and cognitive improvement using the Functional Independence Measure cognitive subscale (cognitive FIM) gain. Participants were classified into the malnourished (MNA-SF score ≤ 7) and adequately nourished groups (≥ 8). The patients’ age, modified Rankin Scale score, time to hospitalization, and length of stay were recorded. The relationship between nutritional status and cognitive FIM was determined using a multivariate regression model. Results The study included 47 men and 43 women, with a mean age of 75.0 (standard deviation: 8.7) years. The number of patients in the malnourished and adequately nourished groups were 68 (75.6%) and 22 (24.4%), respectively. The median MMSE score was 19 (interquartile range 15–22), and the median cognitive FIM score at admission was 17 (interquartile range 11–21.8). Univariate analysis showed no significant difference in cognitive FIM gain between the malnourished and * Keita Tsutsumiuchi [email protected] Hidetaka Wakabayashi [email protected] Keisuke Maeda [email protected] Hiroshi Shamoto [email protected]‑net.ne.jp 1
Department of Rehabilitation, Takarazuka Rehabilitation Hospital, 22‑2, Tsurunosou, Takarazuka‑shi, Hyogo 665‑0833, Japan
Department of Rehabilitation, Ikoma Hospital, 8 Tsukumo, Hirone‑aza, Inagawa‑chou, Kawabe‑gun, Hyogo 666‑0252, Japan
2
3
Department of Rehabilitation Medicine, Tokyo Women’s Medical University Hospital, 8‑1, Kawada‑cho, Shinjuku‑ku, Tokyo 162‑0054, Japan
4
Department of Ge
Data Loading...
