著者
Ai NISHIYAMA Hidetaka WAKABAYASHI Shinta NISHIOKA Ayano NAGANO Ryo MOMOSAKI
出版者
The Japan Neurosurgical Society
雑誌
Neurologia medico-chirurgica (ISSN:04708105)
巻号頁・発行日
pp.oa.2019-0002, (Released:2019-05-22)
参考文献数
23
被引用文献数
17

Our aim was to clarify the nutritional status and energy intake needed for activities of daily living (ADL) improvement among convalescent stroke patients. This retrospective cohort study of stroke patients used data from the Japan Rehabilitation Nutrition Database. Mean energy intake per ideal body weight was 26 kcal/kg/day at 1 week after hospitalization. Patients were divided into two groups according to energy intake: ≥26 kcal/kg/day (high) and <26 kcal/kg/day (low). ADL was evaluated using Functional Independence Measure (FIM), and nutritional status was evaluated using the mini nutritional assessment short form score. We created an inverse probability weighted (IPW) model using propensity scoring to control and adjust for patient characteristics and confounders at the time of admission. The analysis included 290 patients aged 78.1 ± 7.8 years. There were 165 patients with high energy intake and 125 patients with low energy intake. FIM score was significantly higher in the high group compared with the low group (median 113 vs 71, P <0.001). FIM efficiency was also higher in the high group (median 0.31 vs 0.22, P <0.001). FIM efficiency was significantly higher in the high energy intake group than in the low energy intake group after adjustment by IPW (median 0.31 vs 0.25, P = 0.011). Nutritional status improvement was also higher in the high energy intake group after adjustment by IPW (60.6% vs 45.2%, P <0.001). High energy intake was associated with higher FIM efficiency and nutritional status improvement at discharge among convalescent stroke patients.

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回復期脳卒中患者でADLと栄養状態の改善と入院時エネルギー摂取量の関連をみた論文。入院時から26kcal/kg/day以上(理想体重)で栄養管理した方がADLと栄養状態がより改善した。リハ栄養データベースからの報告。 https://t.co/Gxj7Y9qgvT
回復期脳卒中患者でADLと栄養状態をより改善させるための入院時エネルギー摂取量という西山さんの論文が、Neurol Med Chirに掲載されました。理想体重1kgあたり26kcal/day以上で入院時から栄養管理したほうがADLと栄養状態がより改善したというリハ栄養データベース研究です。 https://t.co/hQUU2HvI5n

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