So you described a problem, what the fuck is your solution? Why didn't you provide one?
Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job?
Abstract WP184: Correlation of Body Composition and Nutritional Status With Functional Recovery in Patients Undergoing Stroke Rehabilitation
Abstract
Introduction:
Previous studies suggest that the nutritional status after stroke is
independently associated with long-term outcome and that sarcopenia
delays post-stroke rehabilitation and worsens prognosis. However, many
patients who have suffered from stroke have deteriorated nutritional
status and decreased muscle mass in the acute phase. Here, we assessed
the correlation of body composition and nutritional status with
functional recovery in patients undergoing subacute stroke
rehabilitation.
Hypothesis: Decrease in muscle mass and malnutrition will prolong functional recovery in patients undergoing stroke rehabilitation.
Methods: This retrospective study performed in 2 stroke rehabilitation units from January 2017 to June 2018. We performed bioelectrical impedance analysis and determined the Geriatric Nutritional Risk Index (GNRI) for detecting muscle mass and nutritional status on admission. We analyzed actibities of daily living (ADL) using the Functional Independence Measure (FIM) at the time of admission and 4 weeks later. We described changes in motor FIM items and examined relationships between data.
Results and Conclusions: The study included 179 patients (mean age 75.5 ± 13.0 years, male/female: 89/90, and mean average of 27.6 ± 8.7 days after stroke). The patients received individual stroke rehabilitation program (159.8 ± 21.6 minutes per day) 7 days a week. Multiple regression analysis revealed that patients with high body muscle percentage (skeletal muscle mass/body weight) (odds ratio = 2.42), bioelectrical impedance analysis-derived phase angle (odds ratio = 3.23), and GNRI (odds ratio = 2.57) were significantly correlated with motor FIM items at 4 weeks. In conclusion, it was clarified that muscle mass maintenance by nutritional management and early rehabilitation in the acute period of stroke is essential for functional recovery in patients who have suffered from stroke.
Hypothesis: Decrease in muscle mass and malnutrition will prolong functional recovery in patients undergoing stroke rehabilitation.
Methods: This retrospective study performed in 2 stroke rehabilitation units from January 2017 to June 2018. We performed bioelectrical impedance analysis and determined the Geriatric Nutritional Risk Index (GNRI) for detecting muscle mass and nutritional status on admission. We analyzed actibities of daily living (ADL) using the Functional Independence Measure (FIM) at the time of admission and 4 weeks later. We described changes in motor FIM items and examined relationships between data.
Results and Conclusions: The study included 179 patients (mean age 75.5 ± 13.0 years, male/female: 89/90, and mean average of 27.6 ± 8.7 days after stroke). The patients received individual stroke rehabilitation program (159.8 ± 21.6 minutes per day) 7 days a week. Multiple regression analysis revealed that patients with high body muscle percentage (skeletal muscle mass/body weight) (odds ratio = 2.42), bioelectrical impedance analysis-derived phase angle (odds ratio = 3.23), and GNRI (odds ratio = 2.57) were significantly correlated with motor FIM items at 4 weeks. In conclusion, it was clarified that muscle mass maintenance by nutritional management and early rehabilitation in the acute period of stroke is essential for functional recovery in patients who have suffered from stroke.
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