Prevalence of nutritional risk and malnutrition and observation of nutritional intervention in hospitalized patients with stroke in a teaching hospital in Beijing

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-12-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.06.001

Chun-hong Hao, Xiaomeng Li, Zhenshui Li, Yin-yin Xu, Li Wang, Lei Feng, Xiang Li, Yang Wang, Yanyan Zhao, Xianna Zhang, Jian Yang, Zhuo Li

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引用次数: 1

Abstract

Objective To investigate the prevalence of nutritional risk(NRS2002) and malnutrition in hospitalized stroke patient and their nutritional intervention. Methods The stroke patients admitted to three departments of vascular neurology ward including cerebral hemorrhage, cerebral infarction and subarachnoid hemorrhage in Beijing Tiantan Hospital from January 2018 to January 2019 were recruited using cluster sampling. Nutritional risk screening 2002 (NRS 2002) was used to screen the nutritional risk of inpatients Malnutrition was assessed by criteria: (1)body mass index (BMI) <18.5 kg/m2 with poorer general condition from January 2018 to January 2019; (2)Global leadership initiative on malnutrition(GLIM)criteria were used except whole body muscle mass measurement from October 2018 to January 2019. The nutritional intervention for patients were closely observed during hospitalization. Results A total of 1 532 patients were registered and 1 036 patients were included in the final analysis considering the inclusion and exclusion criteria.The prevalence of nutritional risk was 33.0%(342/1 036). The prevalence of malnutrition based on BMI and GLIM criteria was 0.9% (9/1 036) and 2.5% (10/393) respectively. Among the 342 patients with nutritional risk, 112 patients received nutritional support therapy by tube feeding, but only 29 patients received nutritional support that met guideline standards.81 patients received not standard nutritional support, and 2 patients received highly unregulated nutritional support. No patients received sugar and electrolyte infusion, oral nutritional supplements (ONS), oral nutritional agents and compound nutrition intervention. The other 230 patients took hospital diet. Conclusion The prevalence of nutritional risk in hospitalized patients with cerebral hemorrhage, cerebral infarction or subarachnoid hemorrhage was high, and the prevalence of malnutrition was extremely low. There was a low proportion of nutritional support.High quality of large sample cohort studies will be conducted to show whether reasonable application of nutritional support therapy in patients with nutritional risk can improve patient outcome. Key words: Cerebralhemorrhage; Cerebral infarction; Subarachnoid hemorrhage; Prevalence ofnutritional risk; Prevalence ofmalnutrition; Classification of nutritional intervention; Stroke

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北京某教学医院住院脑卒中患者营养风险、营养不良状况及营养干预观察

目的了解住院脑卒中患者营养风险(NRS2002)及营养不良情况及其营养干预措施。方法采用整群抽样方法，收集2018年1月至2019年1月北京天坛医院脑血管神经内科脑出血、脑梗死、蛛网膜下腔出血3个科室的脑卒中患者。采用《营养风险筛查2002》(NRS 2002)对住院患者的营养风险进行筛查，评估营养不良的标准为:(1)2018年1月~ 2019年1月，体重指数(BMI) <18.5 kg/m2，一般状况较差;(2)除2018年10月至2019年1月的全身肌肉质量测量外，采用全球营养不良领导力倡议(GLIM)标准。住院期间密切观察患者的营养干预情况。结果共纳入1 532例患者，根据纳入和排除标准，最终纳入1 036例患者。营养风险患病率为33.0%(342/1 036)。基于BMI和GLIM标准的营养不良患病率分别为0.9%(9/ 1036)和2.5%(10/393)。在342例有营养风险的患者中，112例患者接受了管饲营养支持治疗，但只有29例患者的营养支持符合指南标准。81例患者接受不标准的营养支持，2例患者接受高度不规范的营养支持。没有患者接受糖电解质输注、口服营养补充剂(ONS)、口服营养剂和复合营养干预。另外230名患者采用医院饮食。结论住院脑出血、脑梗死、蛛网膜下腔出血患者营养风险发生率较高，营养不良发生率极低。营养支持的比例较低。将进行高质量的大样本队列研究，以显示在有营养风险的患者中合理应用营养支持治疗是否可以改善患者的预后。关键词:脑出血;脑梗死;蛛网膜下腔出血;营养风险的普遍性;患病率ofmalnutrition;营养干预的分类;中风

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.