Cargando…
The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients
Malnutrition is common in stroke patients, as it is associated with neurological and cognitive impairment as well as clinical outcomes. Nutritional screening is a process with which to categorize the risk of malnutrition (i.e., nutritional risk) based on validated tools/procedures, which need to be...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9921740/ https://www.ncbi.nlm.nih.gov/pubmed/36771390 http://dx.doi.org/10.3390/nu15030683 |
_version_ | 1784887384290099200 |
---|---|
author | Di Vincenzo, Olivia Luisi, Maria Luisa Eliana Alicante, Paola Ballarin, Giada Biffi, Barbara Gheri, Chiara Francesca Scalfi, Luca |
author_facet | Di Vincenzo, Olivia Luisi, Maria Luisa Eliana Alicante, Paola Ballarin, Giada Biffi, Barbara Gheri, Chiara Francesca Scalfi, Luca |
author_sort | Di Vincenzo, Olivia |
collection | PubMed |
description | Malnutrition is common in stroke patients, as it is associated with neurological and cognitive impairment as well as clinical outcomes. Nutritional screening is a process with which to categorize the risk of malnutrition (i.e., nutritional risk) based on validated tools/procedures, which need to be rapid, simple, cost-effective, and reliable in the clinical setting. This review focuses on the tools/procedures used in stroke patients to assess nutritional risk, with a particular focus on their relationships with patients’ clinical characteristics and outcomes. Different screening tools/procedures have been used in stroke patients, which have shown varying prevalence in terms of nutritional risk (higher in rehabilitation units) and significant relationships with clinical outcomes in the short- and long term, such as infection, disability, and mortality. Indeed, there have been few attempts to compare the usefulness and reliability of the different tools/procedures. More evidence is needed to identify appropriate approaches to assessing nutritional risk among stroke patients in the acute and sub-acute phase of disease or during rehabilitation; to evaluate the impact of nutritional treatment on the risk of malnutrition during hospital stay or rehabilitation unit; and to include nutritional screening in well-defined nutritional care protocols. |
format | Online Article Text |
id | pubmed-9921740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99217402023-02-12 The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients Di Vincenzo, Olivia Luisi, Maria Luisa Eliana Alicante, Paola Ballarin, Giada Biffi, Barbara Gheri, Chiara Francesca Scalfi, Luca Nutrients Review Malnutrition is common in stroke patients, as it is associated with neurological and cognitive impairment as well as clinical outcomes. Nutritional screening is a process with which to categorize the risk of malnutrition (i.e., nutritional risk) based on validated tools/procedures, which need to be rapid, simple, cost-effective, and reliable in the clinical setting. This review focuses on the tools/procedures used in stroke patients to assess nutritional risk, with a particular focus on their relationships with patients’ clinical characteristics and outcomes. Different screening tools/procedures have been used in stroke patients, which have shown varying prevalence in terms of nutritional risk (higher in rehabilitation units) and significant relationships with clinical outcomes in the short- and long term, such as infection, disability, and mortality. Indeed, there have been few attempts to compare the usefulness and reliability of the different tools/procedures. More evidence is needed to identify appropriate approaches to assessing nutritional risk among stroke patients in the acute and sub-acute phase of disease or during rehabilitation; to evaluate the impact of nutritional treatment on the risk of malnutrition during hospital stay or rehabilitation unit; and to include nutritional screening in well-defined nutritional care protocols. MDPI 2023-01-29 /pmc/articles/PMC9921740/ /pubmed/36771390 http://dx.doi.org/10.3390/nu15030683 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Di Vincenzo, Olivia Luisi, Maria Luisa Eliana Alicante, Paola Ballarin, Giada Biffi, Barbara Gheri, Chiara Francesca Scalfi, Luca The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title | The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title_full | The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title_fullStr | The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title_full_unstemmed | The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title_short | The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients |
title_sort | assessment of the risk of malnutrition (undernutrition) in stroke patients |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9921740/ https://www.ncbi.nlm.nih.gov/pubmed/36771390 http://dx.doi.org/10.3390/nu15030683 |
work_keys_str_mv | AT divincenzoolivia theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT luisimarialuisaeliana theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT alicantepaola theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT ballaringiada theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT biffibarbara theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT gherichiarafrancesca theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT scalfiluca theassessmentoftheriskofmalnutritionundernutritioninstrokepatients AT divincenzoolivia assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT luisimarialuisaeliana assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT alicantepaola assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT ballaringiada assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT biffibarbara assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT gherichiarafrancesca assessmentoftheriskofmalnutritionundernutritioninstrokepatients AT scalfiluca assessmentoftheriskofmalnutritionundernutritioninstrokepatients |