Skip to Main content Skip to Navigation
Master Thesis

Impact de l'état nutritionnel sur le devenir à court terme dans le post-AVC

Abstract : Impact of nutritional status on short-term outcomes in the post-stroke Introduction: pre- and post-stroke undernutrition is responsible for increased length of hospitalization, poor functional prognosis and increased mortality in the medium term. However, the prevalence of undernutrition on admission to neurovascular units and during the acute phase of stroke remains debated. The objective of this work is to study the prevalence of undernutrition, its risk factors and its impact on short-term prognosis in post-stroke. Method: 3-month retrospective study of prospectively collected data from a population admitted to the Bordeaux University Hospital’s Intensive neurovascular unit for stroke ≤ 24h. Patients were included if they had been screened of undernutrition with MNA-SF within 48 hours of hospitalization. The variables of interest were socio-demographic elements, history, drug treatment, Rankin score and FOIS scale before hospitalization. Patients were assessed for swallowing as soon as possible. Reassessment at day 7 included weight, NIHSS, Rankin and occurrence of complications. Results: fifty-six patients were analyzed on admission and 46 reassessed (and 1 death). According to the MNA-SF, 59% of patients at admission had an impaired nutritional status. Institutional living, the presence of a caregiver, polymedication, a pre-stroke Rankin score ≥ 3 and pre-existing swallowing disorders are risk factors for undernutrition on admission. In the undernourished population on admission, there is a trend towoards increasing length of hospitalization (p=0.06). At day 7, 46,5% of patients had weight loss ≥ 2%. Conclusion: the prevalence of undernutrition on admission to neurovascular services is very high and undernutrition may worsen during the first few days of hospitalization. We have highlighted some risk factor that can be identified upon admission.
Complete list of metadata

Cited literature [91 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02982724
Contributor : Médecine Ub <>
Submitted on : Wednesday, October 28, 2020 - 6:50:25 PM
Last modification on : Saturday, November 14, 2020 - 3:11:00 AM
Long-term archiving on: : Friday, January 29, 2021 - 7:30:09 PM

File

Med_Spe_2020_Lataste.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-02982724, version 1

Collections

Citation

Manon Lataste. Impact de l'état nutritionnel sur le devenir à court terme dans le post-AVC. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02982724⟩

Share

Metrics

Record views

16

Files downloads

35