Archives of Gerontology and Geriatrics
Volume 53, Issue 2 , Pages e149-e152 , September 2011

Impact of nutritional status on long-term functional outcomes of post-acute stroke patients in Taiwan

  • Hsiu-Chu Shen

      Affiliations

    • Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Road, Kaohsiung 81362, Taiwan
    • Division of Neurology, Pingtung Christian Hospital, No. 60, Dalian Road, Pingtung 90059, Taiwan
    • ,
  • Hsueh-Fen Chen

      Affiliations

    • Institute of Healthcare and Administratin, College of Public Health, National Taiwan University, No. 17, Shu-Chow Road, Taipei 10055, Taiwan
    • ,
  • Li-Ning Peng

      Affiliations

    • Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan
    • ,
  • Ming-Hsien Lin

      Affiliations

    • Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan
    • ,
  • Liang-Kung Chen

      Affiliations

    • Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan
    • Corresponding Author InformationCorresponding author at: Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan. Tel.: +886 2 2875 7460; fax: +886 2 2873 7901.
    • ,
  • Chih-Kuang Liang

      Affiliations

    • Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Road, Kaohsiung 81362, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan
    • ,
  • Yuk-Keung Lo

      Affiliations

    • Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Road, Kaohsiung 81362, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan
    • ,
  • Shinn-Jang Hwang

      Affiliations

    • Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road Sec. 2, Taipei 11217, Taiwan
    • National Yang-Ming University School of Medicine, No. 155, Li-Nong Street, Sec. 2, Taipei 11217, Taiwan

Received 3 May 2010 ,Revised 1 August 2010 ,Accepted 3 August 2010.

References 

  1. Adams , Davis PH, Leira EC, Chang KC, Bendixen BH, Clarke WR, et al. Baseline NIH Stroke Scale score strongly predicts outcome after stroke: a report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST). Neurology. 1999;53:126–131
  2. American Heart Association . Heart and Stroke Statistical Update – 2005. Dallas, TX: American Heart Association; 2004;
  3. Anderson CF, Wochos DN. The utility of serum albumin values in the nutritional assessment of hospitalized patients. Mayo Clin. Proc. 1982;57:181–184
  4. Antonelli Incalzi R, Landi F, Cipriani L, Bruno E, Pagano F, Gemma A, et al. Nutritional assessment: a primary component of multidimensional geriatric assessment in the acute care setting. J. Am. Geriatr. Soc. 1996;44:66–174
  5. Bistrian BR, Blackburn GL, Vitale J, Cochran D, Naylor J. Prevalence of malnutrition in general medical patients. J. Am. Med. Assoc. 1976;235:1567–1570
  6. Choi-Kwon S, Yang YH, Kim EK, Jeon MY, Kim JS. Nutritional status in acute stroke: undernutrition versus overnutrition in different stroke subtypes. Acta. Neurol. Scand. 1998;98:187–192
  7. Cifu DX, Stewart DG. Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions. Arch. Phys. Med. Rehabil. 1999;80 (Suppl. 1):S35–S39
  8. Davis JP, Wong AA, Schluter PJ, Henderson RD, O'Sullivan JD, Read SJ. Impact of premorbid undernutrition on outcome in stroke patients. Stroke. 2004;35:1930–1934
  9. Foley NC, Salter KL, Robertson J, Teasell RW, Woodbury MG. Which reported estimate of the prevalence of malnutrition after stroke is valid?. Stroke. 2009;40:e66–e74
  10. FOOD Trial Collaboration . Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke. 2003;34:1450–1456
  11. Frankel MR, Morgenstern LB, Kwiatkowski T, Lu M, Tilley BC, Broderick JP, et al. Predicting prognosis after stroke: a placebo group analysis from the National Institute of Neurological Disorders and Stroke rt-PA Stroke Trial. Neurology. 2000;55:952–959
  12. Kyle UG, Kossovsky MP, Karseqard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin. Nutr. 2006;25:409–417
  13. Lupo L, Pannarale O, Altomare D, Memeo V, Rubino M. Reliability of clinical judgement in evaluation of the nutritional status of surgical patients. Br. J. Surg. 1993;80:1553–1556
  14. Martineau J, Bauer JD, Isenring E, Cohen S. Malnutrition determined by the patient generated subjective global assessment is associated with poor outcomes in acute stroke patients. Clin. Nutr. 2005;24:1073–1077
  15. Navarro JC, Bitanga E, Suwanwela N, Chang HM, Ryu SJ, Huang YN, et al. Complications of acute stroke: a study in ten Asian countries. Neurology Asia. 2008;13:33–39
  16. Potter J, Klipstein K, Reilly JJ, Roberts M. The nutritional status and clinical course of acute admissions to a geriatric unit. Age Ageing. 1995;24:131–136
  17. Rabadi MH, Coar PL, Lukin M, Lesser M, Blass JP. Intensive nutritional supplements can improve outcomes in stroke rehabilitation. Neurology. 2008;71:1856–1861
  18. Ringleb PA. Thrombolytics, anticoagulants, and antiplatelet agents. Stroke. 2006;37:312–313
  19. Stroke Unit Trialists’ Collaboration . Organised inpatient (stroke unit) care for stroke. Cochrane. Database. Syst. Rev. 2002;1:CD000197
  20. Stroke Unit Trialists’ Collaboration . Organised inpatient (stroke unit) care for stroke. Cochrane. Database. Syst. Rev. 2006;4:CD000197;pub2
  21. Uyttenboogaart M, Stewart RE, Vroomen PC, De Keyser J, Luijckx GJ. Optimizing cutoff scores for the Barthel index and the modified Rankin scale for defining outcome in acute stroke trials. Stroke. 2007;36:1984–1987
  22. Yoo SH, Kim JS, Kwon SU, Yun SC, Koh JY, Kim JS. Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients. Arch. Neurol. 2008;65:39–43

PII: S0167-4943(10)00211-6

doi: 10.1016/j.archger.2010.08.001

Archives of Gerontology and Geriatrics
Volume 53, Issue 2 , Pages e149-e152 , September 2011

Article Tools