Relationship between initial nutritional status and functional independence measures at discharge in subacute stroke |
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| Affiliation: | 1. Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan;2. Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan;3. Department of Rehabilitation Medicine, Hikarigaoka Hospital, Shirankai Medical Corporation Takaoka, Toyama, Japan;4. Department of Rehabilitation Medicine, Saiseikai Yokohama-shi Tobu Hospital, Kanagawa, Japan;5. Department of Rehabilitation Medicine, Hatsudai Rehabilitation Hospital, Tokyo, Japan;6. Oriental Medicine Research Center, Kitasato University, Tokyo, Japan;7. Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan;1. Department of Neurology, University of Missouri, 1 Hospital Drive, Columbia, MO, 65212;2. Department of Otolaryngology, Head and Neck Surgery, 1 University of Missouri, One Hospital Drive, Columbia, MO, 65212;3. Division of Neurosurgery, University of Missouri, 1 Hospital Drive, MO, 65212;4. Zeenat Qureshi Stroke Institute, St. Cloud, Minnesota;1. Department of Hematology, the Second Xiangya Hospital, Central South University, Changsha 410011, China;2. Department of Neurology, the Second Xiangya Hospital, Central South University, Changsha 410011, China;1. Department of Neurosurgery, Nakamura Memorial South Hospital, Hokkaido, Japan;2. Department of Neurosurgery, Nakamura Memorial Hospital, Hokkaido, Japan;1. Division of Cardiovascular Medicine, Electrophysiology Section, University of Pennsylvania, 3400 Spruce Street, 9 Founders Cardiology, Philadelphia, PA, USA;2. Epidemiological Cardiology Research Center, Department of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA;3. Department of Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA;4. Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA;5. Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA;6. Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA;1. Neurology and Stroke Unit, AORN “A. Cardarelli”, Naples, Italy;2. Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Naples, Italy;3. Internal Medicine and Immunology, Federico II University, Naples;1. Department of Neurosurgery, Matsuyama Shimin Hospital, Matsuyama City, Ehime, Japan;2. Department of Neurology, Matsuyama Shimin Hospital, Matsuyama City, Ehime, Japan;3. Department of Neurosurgery, Ehime University Graduate School of Medicine, Tōon City, Ehime, Japan;4. Department of Radiology, Matsuyama Shimin Hospital, Matsuyama City, Ehime, Japan |
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| Abstract: | ObjectiveThis retrospective study examined the association between nutritional status at admission and functional independence measure (FIM?) at discharge.Materials and MethodsThis study included 205 patients, aged ≥ 65, discharged from a convalescent ward between April 2017 and March 2018. The primary outcome was discharge FIMTM, and the secondary outcomes were the length of stay (LOS) and FIM efficiency. The explanatory variables included demographic data, stroke type, admission FIMTM, body mass index (BMI), controlling nutritional status (CONUT), and Geriatric Nutritional Risk Index (GNRI). Patients were divided into three groups based on BMI and GNRI scores and four groups based on the CONUT score. Univariate and multiple regression analyses were performed to predict discharge FIMTM. Kruskal–Wallis and Dunn's tests were also performed for intergroup comparisons.ResultsIn the univariate analyses, age, sex, onset-to-admission interval, admission FIMTM, GNRI, and BMI (all factors were p<0.001) were significant explanatory variables for discharge FIMTM. In the multiple linear regression analysis, admission FIMTM, LOS, age, and onset-to-admission interval were significant explanatory variables (adjusted R2 = 0.791; p<0.001). Although those with poor nutritional status required a longer hospital stay, they achieved the same FIM gain as those without poor nutritional status.ConclusionsNutritional status on admission did not affect the FIMTM at discharge in the convalescent ward. Patients with subacute stroke require adequate rehabilitation regardless of their nutritional status. |
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