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

doi:10.2147/CIA.S447038

科研成果详情

题名	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
作者	Cong, Wen-Jie1; Liu, Zhi-Peng 2; Liang, Yi-Xin2; Ye, Sheng-Lie2; Cai, Zhong-Ming2; Chen, Hao-Man2; Liao, Cheng-Wei2; Lin, Qun-Li 3; Feng, Ren-Qian2; Zhou, Xu-Dong 4; Wu, Yan-Zhi2; Sun, Le-Qiu 5; Huang, Xue-Rong 6; Zhang, Man-Man 7; Huang, Gui-Qian8; Zhu, Bei-Lei 7
发表日期	2024
发表期刊	CLINICAL INTERVENTIONS IN AGING 影响因子和分区
语种	英语
原始文献类型	Article
关键词	acute stroke malnutrition nutritional screening all-cause death GNRI NRS-2002
其他关键词	SCREENING TOOLS ; OLDER-ADULTS ; ISCHEMIC-STROKE ; MALNUTRITION ; INDEX ; ASSOCIATION
摘要	Purpose: To explore the predictive value of nutritional risk for all-cause death and functional outcomes among elderly acute stroke patients.Patients and Methods: 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.
资助项目	Science committee in Wenzhou, China [Y20190561]
出版者	DOVE MEDICAL PRESS LTD
ISSN	1176-9092
EISSN	1178-1998
卷号	19 页码:109-118
DOI	10.2147/CIA.S447038
页数	10
WOS类目	Geriatrics & Gerontology
WOS研究方向	Geriatrics & Gerontology
WOS记录号	WOS:001149989900001
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	38250175
SCOPUSEID	2-s2.0-85183083769
通讯作者地址	[Zhu, Bei-Lei]Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China
Scopus学科分类	Geriatrics and Gerontology
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/206952
专题	附属第一医院精神医学学院其他_附属乐清医院（乐清市人民医院）第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
通讯作者	Zhu, Bei-Lei
作者单位	1.Department of Acupuncture and Physiotherapy,The First Affiliated Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China; 2.The First Clinical School,The First Affiliated Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China; 3.Department of Neurology,Yongjia People’s Hospital,Zhejiang,Wenzhou,China; 4.Department of Neurology,Pingyang People’s Hospital,Zhejiang,Wenzhou,China; 5.Department of Neurology,Affiliated Yueqing Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China; 6.Department of Neurology,Ruian People’s Hospital,Zhejiang,Wenzhou,China; 7.Department of Neurology,The First Affiliated Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China; 8.School of Mental Health,Wenzhou Medical University,Wenzhou,China
第一作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
通讯作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Cong, Wen-Jie,Liu, Zhi-Peng,Liang, Yi-Xin,et al. 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[J]. CLINICAL INTERVENTIONS IN AGING,2024,19:109-118.
APA	Cong, Wen-Jie., Liu, Zhi-Peng., Liang, Yi-Xin., Ye, Sheng-Lie., Cai, Zhong-Ming., ... & Zhu, Bei-Lei. (2024). 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. CLINICAL INTERVENTIONS IN AGING, 19, 109-118.
MLA	Cong, Wen-Jie,et al."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".CLINICAL INTERVENTIONS IN AGING 19(2024):109-118.