Abstract
The aim of this study was to assess whether undernutrition on hospital admission, as evaluated by the Controlling Nutritional Status (CONUT) score, has an effect on the improvement in functional and cognitive activities of daily living (ADL) in adult patients with acute stroke. We retrospectively analyzed data of patients ≥20 y of age with acute stroke between July 2015 and June 2017 in the Noto Liaison Council for Cerebral Stroke of Japan database. We divided the patients into two groups based in CONUT score on admission: high CONUT (5-12), indicating undernutrition, and low CONUT (0 -4), indicating no undernutrition. The Functional Independence Measure (FIM) and FIM gain were used to evaluate the patient disability level and change in patient status in response to rehabilitation. Data for 702 patients were extracted from the database. Of the 702 patients, 47.6% were women. A significant difference was found in the motor FIM gain between the two groups. A low CONUT score on admission was independently associated with motor FIM gain (partial regression coefficient β=-2.874; 95% confidence interval [CI], -5.470 to -0.278). In contrast, a low CONUT score on admission was not independently associated with cognitive FIM gain (β=-0.229; 95% CI, -0.889 to 0.430). Undernutrition as determined by the CONUT score on admission was an independent predictor of poor motor FIM gain in adult patients with acute stroke. It was not an independent predictor for poor cognitive FIM gain.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.