Deans' stroke musings: Hospital-associated sarcopenia and the preventive effect of high energy intake along with intensive rehabilitation in patients with acute stroke

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.

Friday, August 11, 2023

Hospital-associated sarcopenia and the preventive effect of high energy intake along with intensive rehabilitation in patients with acute stroke

So where are the protocols for this located so future stroke survivors can find them and have their medical staff apply them? Top down to doctors and therapists has been proven not to work. Stroke medical 'professionals' are woefully out-of-date on stroke recovery.

https://doi.org/10.1016/j.nut.2023.112181 Get rights and content

Highlights

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Hospital-associated sarcopenia is adversely associated with clinical outcomes among acutely-admitted patients.
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Higher energy intake & intensive rehab prevent hospital-associated sarcopenia.
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Nutrition therapy & rehab improve ADL.
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Multidisciplinary approach needed to manage sarcopenia in older patients.

Abstract

Objective

Hospital-associated sarcopenia is prevalent and associated with poor outcomes in acutely admitted patients. Prevention of developing sarcopenia during hospitalization is an important factor in stroke management. Therefore, this study aimed to investigate whether energy intake and rehabilitation duration contribute to the prevention of hospital-associated sarcopenia in patients with acute stroke.

Methods

Patients with acute stroke were included in this study. Energy intake during the first week of hospitalization was classified as “High” or “Low” based on the reported cutoff value. Rehabilitation time during hospitalization was classified as “Intense” or “Mild, based on the median. The four groups were compared based on the combination of high/low energy intake and intense/mild rehabilitation. The primary outcome was the development of sarcopenia during hospitalization. The secondary outcome was the functional independence measure motor item gain during hospitalization. Multivariate analysis was performed with the primary/secondary outcome as the dependent variable and the effect of each group on the outcome was examined.

Results

One hundred and twelve participants (mean age 70.6 years, 63 men) were included in the study. Multivariate analysis showed that “High × Intense” (OR=0.113, p=0.041) was independently associated with the development of sarcopenia during hospitalization (i.e., hospital-related sarcopenia). “High × Intense” (β=0.395, p<0.001) was independently associated with the gain of FIM motor items.

Conclusions

In patients with acute stroke, the combination of high-energy intake and adequate rehabilitation time is associated with prevention of hospital-associated sarcopenia.