Relationship between initial nutritional status and functional independence measures at discharge in subacute stroke

Takayuki Kamimoto, Keiichiro Shindo, Tadasuke Shimomura, Tomonori Akimoto, Takeshi Yamada, Naoki Mori, Keiko Nakao, Masahiro Tsujikawa, Kaoru Honaga, Takeshi Kutsuna, Kazuhisa Hiramatsu, Kunitsugu Kondo, Meigen Liu

研究成果: ジャーナルへの寄稿学術論文査読

10 被引用数 (Scopus)

抄録

Objective: This retrospective study examined the association between nutritional status at admission and functional independence measure (FIM™) at discharge. Materials and Methods: This 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. Results: In 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. Conclusions: Nutritional 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.

本文言語英語
論文番号106754
ジャーナルJournal of Stroke and Cerebrovascular Diseases
31
11
DOI
出版ステータス出版済み - 11-2022
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • リハビリテーション
  • 臨床神経学
  • 循環器および心血管医学

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