How long will it take for your competent? doctor to have a testing protocol for this and an intervention protocol to bring hemoglobin up to the proper level? Anything longer that one week is PURE INCOMPETENCE!
You need muscle health because you don't want to get to sarcopenia.
noun: sarcopenia
loss of muscle tissue as a natural(In stroke it is not natural) part of the aging process.
Geriatrics & Gerontology International,
13 Feb 2024,
https://doi.org/10.1111/ggi.14834 PMID: 38351673
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Abstract
Aim
There
is limited evidence concerning the association between anemia and
alterations in muscle health among hospitalized older patients. We aimed
to evaluate the associations between baseline hemoglobin (Hb) levels
and changes in muscle function in patients undergoing rehabilitation
after stroke.Methods
This retrospective cohort study included
consecutive hospitalized post-stroke patients. Data on serum Hb level
were extracted from medical records on tests performed within 24 h of
admission. The main outcomes were discharge score for the skeletal
muscle mass index (SMI) obtained through bioimpedance analysis and the
corresponding change in SMI during hospitalization. Other outcomes were
handgrip strength (HGS) at discharge and the alteration in HGS during
hospitalization. Multivariate linear regression analyses were used to
determine the association between Hb levels at admission and outcomes of
interest, adjusted for potential confounders.Results
Data from
955 patients (mean age 73.2 years; 53.6% men) were included in the
analysis. The median Hb level at admission was 13.3 [11.9, 14.5] g/dL.
After fully adjusting for confounding factors, the baseline Hb level was
significantly and positively associated with SMI at discharge
(β = 0.046, P = 0.039) and with SMI gain (β = 0.010, P = 0.039).
Further, the baseline Hb level was independently and positively
associated with HGS at discharge (β = 0.058, P = 0.014) and with its
change from baseline (β = 0.100, P = 0.014).Conclusion
Diminished
baseline Hb levels were demonstrated be correlated with compromised
muscle health in patients after stroke. Evaluating anemia at the outset
serves as a crucial prognostic indicator. Geriatr Gerontol Int 2024; ••:
••-••.
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