Deans' stroke musings: Association between malnutrition and outcomes in patients with severe ischemic stroke undergoing rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, July 18, 2020

Association between malnutrition and outcomes in patients with severe ischemic stroke undergoing rehabilitation

Where the hell is the diet protocol that prevents this problem? You didn't think actually solving the problem was necessary? Prognostication was all you were planning on doing? Remind me to never hire you for any job.

Association between malnutrition and outcomes in patients with severe ischemic stroke undergoing rehabilitation

Archives of Physical Medicine and Rehabilitation , Volume 101(5) , Pgs. 852-860.

NARIC Accession Number: J83794. What's this?
ISSN: 0003-9993.
Author(s): Scrutinio, Domenico Lanzillo, Bernardo ; Guida, Pietro ; Passantino, Andrea ; Spaccavento, Simona ; Battista, Petronilla.
Publication Year: 2020.
Number of Pages: 9.
Abstract: Study investigated the incremental prognostic significance of malnutrition in patients with severe poststroke disability. A total of 668 patients with ischemic stroke admitted to inpatient rehabilitation within 90 days from stroke occurrence were included in the analysis. Nutritional status was assessed using the Prognostic Nutritional Index (PNI), which is calculated from serum albumin and total lymphocyte count. Scores >38 points reflect normal nutrition status, scores of 35-38 indicate moderate malnutrition, and scores <35 indicate severe malnutrition. The association of PNI categories with outcomes was assessed using multivariable regression analyses. Three outcomes were examined: (1) the combined outcome of transfer to acute care and death within 90 days from admission to rehabilitation; (2) 2-year mortality; and (3) Functional Independence Measure (FIM) motor effectiveness. Overall, the median time to rehabilitation admission was 18 days. The prevalence of moderate and severe malnutrition was 12.7 percent and 11.5 percent, respectively. Ninety-one patients (13.6 percent) experienced the combined outcome. After adjusting for independent predictors including sex, atrial fibrillation, dysphagia, FIM cognitive score, and hemoglobin levels, neither moderate nor severe malnutrition were associated with the combined outcome. Similar results were observed when looking at 2-year mortality. Overall, FIM motor effectiveness was 30 to 24 percent. After adjusting for independent predictors, severe malnutrition was associated with FIM motor effectiveness.
Descriptor Terms: COGNITION, DEATH, FUNCTIONAL LIMITATIONS, MOTOR SKILLS, NUTRITION, OUTCOMES, PREDICTION, REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Scrutinio, Domenico Lanzillo, Bernardo , Guida, Pietro , Passantino, Andrea , Spaccavento, Simona , Battista, Petronilla. (2020). Association between malnutrition and outcomes in patients with severe ischemic stroke undergoing rehabilitation. Archives of Physical Medicine and Rehabilitation , 101(5), Pgs. 852-860. Retrieved 7/18/2020, from REHABDATA database.