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Risk factors and outcomes for refeeding syndrome in acute ischaemic stroke patients.
Chen, Shumin; Cai, Dongchun; Lai, Yuzheng; Zhang, Yongfang; He, Jianfeng; Zhou, Liang; Sun, Hao.
Afiliación
  • Chen S; Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Traditional Chinese University of Guangzhou, Foshan, China.
  • Cai D; Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Traditional Chinese University of Guangzhou, Foshan, China.
  • Lai Y; Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Traditional Chinese University of Guangzhou, Foshan, China.
  • Zhang Y; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • He J; Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Traditional Chinese University of Guangzhou, Foshan, China.
  • Zhou L; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • Sun H; Department of Neurology, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Traditional Chinese University of Guangzhou, Foshan, China.
Nutr Diet ; 2024 May 13.
Article en En | MEDLINE | ID: mdl-38738826
ABSTRACT

AIM:

Patients with acute ischaemic stroke are more likely to develop refeeding syndrome due to increased need for nutritional support when suffering alterations of consciousness and impairment of swallowing. This study aimed to evaluate the incidence, risk factors and outcomes of refeeding syndrome in stroke patients.

METHODS:

This was a retrospective observational study, using the prospective stroke database from hospital, included all consecutive acute ischaemic stroke patients who received enteral nutrition for more than 72 h from 1 January 2020 and 31 December 2022. Refeeding syndrome was defined as occurrence of new-onset hypophosphataemia within 72 h after enteral feeding. Multiple logistic regression analysis was conducted to evaluate risk factors and relationships between refeeding syndrome and stroke outcomes.

RESULTS:

338 patients were included in the study. 50 patients (14.8%) developed refeeding syndrome. Higher scores on National Institutes of Health Stroke Scale and Nutritional Risk Screening 2002, albumin <30 g/L and BMI <18.5 kg/m2 were risk factors for refeeding syndrome. Moreover, refeeding syndrome was independently associated with a 3-month modified Rankin Scale score of >2 and 6-month mortality.

CONCLUSIONS:

Refeeding syndrome was common in stroke patients and higher baseline National Institutes of Health Stroke Scale, higher Nutritional Risk Screening 2002, albumin <30 g/L and BMI <18.5 kg/m2 were independent risk factors of refeeding syndrome. Occurrence of refeeding syndrome was significantly associated with higher 3-month modified Rankin Scale and 6-month mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Nutr Diet Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Nutr Diet Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia