Predictive Value of Nutritional Risk for All-Cause Death and Functional Outcomes in Chinese Elderly Patients with Acute Stroke: A 3-Year Follow-Up Study.
Clin Interv Aging
; 19: 109-118, 2024.
Article
em En
| MEDLINE
| ID: mdl-38250175
ABSTRACT
Purpose:
To explore the predictive value of nutritional risk for all-cause death and functional outcomes among elderly acute stroke patients. Patients andMethods:
A total of 479 elderly acute stroke patients were enrolled in this study. The nutritional risk of patients was screened by the GNRI and NRS-2002. The primary outcome was all-cause death, and the secondary outcome was poor prognosis defined as a modified Rankin Scale (mRS) score ≥3.Results:
Based on the NRS-2002, patients with nutritional risk had a higher risk of all-cause death at 3 months (adjusted OR 3.642, 95% CI 1.046~12.689) and at 3 years (adjusted OR 2.266, 95% CI 1.259~4.076) and a higher risk of adverse functional outcomes at 3 months (adjusted OR 2.748, 95% CI 1.518~4.972. Based on the GNRI, compared to those without nutritional risk, patients with mild malnutrition also had a higher risk of all-cause death at 3 months (adjusted OR 7.186, 95% CI 1.550~33.315) and at 3 years (adjusted OR 2.255, 95% CI 1.211~4.199) and a higher risk of adverse functional outcomes at 3 months (adjusted OR 1.947, 95% CI 1.030~3.680), so patients with moderate and severe malnutrition had a higher risk of all-cause death at 3 months (adjusted OR 6.535, 95% CI 1.380~30.945) and at 3 years (adjusted OR 2.498, 95% CI 1.301~4.799) and a higher risk of adverse functional outcomes at 3 months (adjusted OR 2.213, 95% CI 1.144~4.279).Conclusion:
Nutritional risk increases the risk of poor short-term and long-term outcomes in elderly patients with acute stroke. For elderly stroke patients, we should pay attention to early nutritional risk screening, and effective intervention should be provided to improve the prognosis of such patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pirimidinas
/
Estirenos
/
Tiofenos
/
Acidente Vascular Cerebral
/
Desnutrição
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Aged
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Clin Interv Aging
Assunto da revista:
GERIATRIA
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Nova Zelândia