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脑卒中患者营养不良(营养不足)风险评估。

The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients.

机构信息

Human Nutrition and Dietetics, Department of Public Health, Federico II University, 80131 Naples, Italy.

IRCCS Fondazione Don Carlo Gnocchi ONLUS Firenze, 50143 Florence, Italy.

出版信息

Nutrients. 2023 Jan 29;15(3):683. doi: 10.3390/nu15030683.

Abstract

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.

摘要

营养不良在脑卒中患者中很常见,因为它与神经和认知功能障碍以及临床结局有关。营养筛查是一种根据经过验证的工具/程序对营养不良风险(即营养风险)进行分类的过程,这些工具/程序需要在临床环境中快速、简单、具有成本效益且可靠。本综述重点介绍了用于评估脑卒中患者营养风险的工具/程序,特别关注它们与患者临床特征和结局的关系。不同的筛查工具/程序已用于脑卒中患者,其营养风险的发生率(在康复病房中更高)存在差异,并且与短期和长期的临床结局(如感染、残疾和死亡率)存在显著关系。事实上,很少有尝试比较不同工具/程序的有用性和可靠性。需要更多的证据来确定在疾病的急性期和亚急性期或康复期间评估脑卒中患者营养风险的适当方法;评估营养治疗对住院或康复病房期间营养不良风险的影响;并将营养筛查纳入明确的营养护理方案中。

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