Predictive Value of Malnutrition, Identified via Different Nutritional Screening or Assessment Tools, for Functional Outcomes in Patients with Stroke: A Systematic Review and Meta-Analysis

Malnutrition affects more than half of patients with stroke. Although malnutrition leads to more deaths, a longer hospital stay, and higher costs, there is still a lack of consensus regarding the impact of malnutrition on physical functional outcomes in patients with stroke, and there are large diff...

Full description

Saved in:
Bibliographic Details
Published inNutrients Vol. 15; no. 14; p. 3280
Main Authors Liu, Peiqi, Tian, Huimin, Ji, Tianliang, Zhong, Tangsheng, Gao, Lan, Chen, Li
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.07.2023
MDPI
Subjects
Bias
Body mass index
Cohort analysis
Dysphagia
Humans
Length of Stay
Malnutrition
Malnutrition - diagnosis
Malnutrition - etiology
Medical care, Cost of
Medical research
Medicine, Experimental
Meta-analysis
Nutrition
Nutrition Assessment
Nutrition therapy
nutritional assessment
nutritional screening
Nutritional Status
outcome
Patient outcomes
Patients
Product/Service Evaluations
Quality of life
Stroke
Stroke - complications
Stroke patients
Swallowing
Systematic Review
malnutrition
nutritional assessment
nutritional screening
stroke
outcome
Online AccessGet full text

Cover

More Information
Summary:Malnutrition affects more than half of patients with stroke. Although malnutrition leads to more deaths, a longer hospital stay, and higher costs, there is still a lack of consensus regarding the impact of malnutrition on physical functional outcomes in patients with stroke, and there are large differences in the diagnostic effects of nutritional screening or assessment tools for malnutrition. This study aimed to explore the impact of malnutrition in patients with stroke and assess the significance of current nutritional screening and assessment tools for these patients. Six databases were systematically searched until October 2022. Cohort studies meeting the eligibility criteria were included. Pooled effects were calculated using random-effects models. Twenty-six studies with 21,115 participants were included. The pooled effects of malnutrition on poor functional outcome, FIM points, and dysphagia were OR = 2.72 (95% CI = 1.84-4.06), WMD = -19.42(95% CI = -32.87--5.96), and OR = 2.80 (95% CI = 1.67-4.67), respectively. Malnutrition adversely affects the recovery of physical and swallowing functions in patients with stroke. Nutritional assessments consistently predict the outcomes of physical function in patients with stroke.
Bibliography:These authors contributed equally to this work and should be considered co-first authors.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu15143280