The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Effect of Malnutrition After Acute Stroke on Clinical Outcome
Abstract
Background and Purpose Malnutrition has received little attention in acute stroke, although it represents a risk of decreased immunity and nosocomial infections. Our objectives were to determine the prevalence of malnutrition after 1 week of hospitalization in acute stroke and to establish its relation to the stress response and neurological outcome. Methods The study included 104 patients with an acute stroke of less than 24 hours’ duration. Nutritional parameters (triceps skinfold thickness, midarm muscle circumference, serum albumin, and calorimetry) were evaluated at admission and after 1 week. Stress response (free urinary cortisol) was measured daily during the first week. Neurological deficit was evaluated by the Canadian Stroke Scale. Clinical outcome was estimated by the Barthel Index 1 month after the acute stroke. Patients received an oral standard diet or polymeric enteral nutrition when they had swallowing difficulties. Results Protein-energy malnutrition was observed in 16.3% of patients at inclusion and in 26.4% after the first week, with a significant decrease in fat ( P =.002) and visceral protein compartments ( P =.049). Malnourished patients showed higher stress reaction and increased frequency of infections and bedsores in comparison with the appropriately nourished group. Multiple logistic regression analysis showed that malnutrition after 1 week (odds ratio, 3.5; 95% confidence interval, 1.2 to 10.2) and elevated free urinary cortisol (odds ratio, 3.3; confidence interval, 1.05 to 10.2) increased the risk of poor outcome (death or Barthel Index ≤50 on the 30th day of follow-up) independently of age and nutritional status at admission. Conclusions Our findings suggest that protein-energy malnutrition after acute stroke is a risk factor for poor outcome. Early appropriate enteral caloric feeding did not prevent malnutrition during the first week of hospitalization.
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Cites
Physiological functions of glucocorticoids in stress and their relation to pharmacological actions
MUNCK, A., GUYRE, P. M., & HOLBROOK, N. J. (1984) · Endocrine Reviews · doi:10.1210/edrv-5-1-25 · Cited by 3,083
MOORE, F. A., FELICIANO, D. V., ANDRASSY, R. J., MCARDLE, A. H., McL. BOOTH, F. V., MORGENSTEIN-WAGNER, T. B., KELLUM, J. M., WELLING, R. E., & MOORE, E. E. (1992) · Annals of Surgery · doi:10.1097/00000658-199208000-00008 · Cited by 1,379
KUDSK, K. A., CROCE, M. A., FABIAN, T. C., MINARD, G., TOLLEY, E. A., PORET, H. A., KUHL, M. R., & BROWN, R. O. (1992) · Annals of Surgery · doi:10.1097/00000658-199205000-00013 · Cited by 1,152
Clutter, W. E., Bier, D. M., Shah, S. D., & Cryer, P. E. (1980) · Journal of Clinical Investigation · doi:10.1172/jci109840 · Cited by 576
The natural history and functional consequences of dysphagia after hemispheric stroke.
Barer, D. H. (1989) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.52.2.236 · Cited by 522
MONTECALVO, M. A., STEGER, K. A., FARBER, H. W., SMITH, B. F., DENNIS, R. C., FITZPATRICK, G. F., POLLACK, S. D., KORSBERG, T. Z., BIRKETT, D. H., HIRSCH, E. F., et al. (1992) · Critical Care Medicine · doi:10.1097/00003246-199210000-00004 · Cited by 383
Economic Impact of Malnutrition: A Model System for Hospitalized Patients
Reilly, J. J., Hull, S. F., Albert, N., Waller, A., & Bringardener, S. (1988) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607188012004371 · Cited by 337
Catabolic Illness: Strategies for Enhancing Recovery
Flier, J. S., Underhill, L. H., & Wilmore, D. W. (1991) · New England Journal of Medicine · doi:10.1056/nejm199109053251005 · Cited by 334
Effect of total enteral nutrition on the short-term outcome of severely malnourished cirrhotics
Cabre, E., Gonzalez-Huix, F., Abad-Lacruz, A., Esteve, M., Acero, D., Fernandez-Bañares, F., Xiol, X., & Gassull, M. A. (1990) · Gastroenterology · doi:10.1016/0016-5085(90)90293-a · Cited by 332
Self-citationAspiration and Relative Risk of Medical Complications Following Stroke
Holas, M. A., DePippo, K. L., & Reding, M. J. (1994) · Archives of Neurology · doi:10.1001/archneur.1994.00540220099020 · Cited by 287
Cited by
Kernan, W. N., Ovbiagele, B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., Fang, M. C., Fisher, M., Furie, K. L., Heck, D. V., et al. (2014) · Stroke · doi:10.1161/str.0000000000000024 · Cited by 5,170
Wirth, R., Dziewas, R., Beck, A. M., Clave, P., Heppner, H. J., Langmore, S., Leischker, A., Martino, R., Pluschinski, P., Rösler, A., et al. (2016) · Clinical Interventions in Aging · doi:10.2147/cia.s97481 · Cited by 548
A review of the relationship between dysphagia and malnutrition following stroke
Foley, N., Martin, R., Salter, K., & Teasell, R. (2009) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0415 · Cited by 329
2006 Curt P. Richter award winner
DeVries, A. C., Craft, T. K. S., Glasper, E. R., Neigh, G. N., & Alexander, J. K. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.04.007 · Cited by 153
Metadata
- Authors
- Dávalos, A., Ricart, W., Gonzalez-Huix, F., Soler, S., Marrugat, J., Molins, A., Suñer, R., & Genís, D.
- Venue
- Stroke
- Published
- 1996-06
- Volume
- 27
- Issue
- 6
- Pages
- 1028-1032
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W1979282580
- Cited by
- 494
- References
- 21
- FWCI
- 11.16
- Type
- journal article
- Language
- en
- Open access
- closed
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- Dávalos, A., Ricart, W., Gonzalez-Huix, F., Soler, S., Marrugat, J., Molins, A., Suñer, R., & Genís, D. (1996). Effect of Malnutrition After Acute Stroke on Clinical Outcome. Stroke. https://doi.org/10.1161/01.str.27.6.1028
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