Acute Stroke
Conditions
Keywords
Stroke; Dysphagia;Nutrition management；
Brief summary
Stroke is the leading cause of premature death and disability, and early recognition and treatment of dysphagia is fundamental to stroke management. Early and full tube feeding in the acute phase of stroke helps to address nutritional problems resulting from dysphagia and impaired consciousness and helps to reduce morbidity and mortality and poor outcomes. Current guidelines for acute stroke management do not address the goal of tube feeding of enteral nutrition for energy and protein. In the treatment of acute stroke, there is a strong global focus on pharmacological thrombolysis or mechanical thrombolysis, with nutritional interventions being a less explored topic. Real-world evidence on large samples, feeding attainment and outcomes, and nutrition in the acute phase of stroke is lacking in China . The aim of this study was to understand the current status of nutritional therapy in stroke hospitalization in neurology and its impact on prognosis nationwide, and to improve the standardized management process of enteral nutrition therapy in the acute phase of stroke.
Detailed description
Malnutrition is a common geriatric syndrome with a disproportionate incidence in geriatric and neurology inpatients. In recent years, national nutritional surveys of geriatric inpatients have shown that about 2/3 of geriatric inpatients have nutritional problems; only half of neurology inpatients at high risk receive nutritional support, and inadequate nutrition exacerbates primary disease, increases complications, makes hospital stays longer, and ultimately affects patient survival outcomes. To increase comprehensive and up-to-date research on the current status of nutritional therapy in geriatric and neurology inpatients, and to lay the foundation for future standardized treatment and standardized management, we conducted a nationwide survey on the current status of nutritional risk screening and treatment in geriatric and neurology inpatients. The aim is to raise the level of clinicians' awareness of malnutrition and nutritional risk in hospitalized patients, standardize clinical practice, and properly implement nutritional support to improve patients' clinical outcomes.
Interventions
Observational study, no intervention
Sponsors
First Affiliated Hospital of Fujian Medical University
Yantai Yuhuangding Hospital
The First Hospital of Jilin University
Qilu Hospital of Shandong University
ZHEJIANG PROVINCE XIAOSHAN HOSPITAL
Affiliated Wenling Hospital of Wenzhou Medical University
Ganzhou People's Hospital
Affiliated Hospital of Jining Medical hospital
Henan Provincial People's Hospital
Zhongda Hospital
The Second Affiliated Hospital of Harbin Medical University
The First People's Hospital of Kunshan
The 2nd Affiliated Hospital of Wenzhou Medical University
THE FIRST PEOPLE'S HOSPITAL OF JIASHAN
First Affiliated Hospital Xi'an Jiaotong University
Fujian Province Zhangzhou Hospital
People's Hospital of Chongqing
Nanjing Zijin Hospital
Red Cross Hospital, Hangzhou, China
Wenzhou Hospital of Chinese Medicine
Kaifeng Central Hospital
First Affiliated Hospital of Guangxi Medical University
Zhongshan Hospital of Xiamen University
Xi'an Encephalopathy of Traditional Chinese Medicine Hospital
903 Hospital of Chinese People's Liberation Army
Xiangya Hospital of Central South University
Second Affiliated Hospital of Suzhou University
Tongji Hospital
The Affiliated Hospital o fQingdao University
The First Affiliated Hospital of Anhui Medical University
Yancheng Third People's Hospital
Linyi People's Hospital
Dongfang Hospital Beijing University of Chinese Medicine
The Affiliated Hospital of Qingdao University
Nanfang Hospital, Southern Medical University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Newly admitted stroke patients admitted to neurology, age ≥18 years, within 7 days of onset, expected survival \>3 months (i.e., not end-stage), expected neurology stay 7-10 days； * At risk of malnutrition (MUST ≥ 2 points) or at nutritional risk (NRS2002 ≥ 3 points), sign an informed notice.
Exclusion criteria
* Transferred during treatment, contraindications to nutritional therapy (e.g., hemodynamic instability, gastrointestinal bleeding (bleeding \>100 ml), other nutritional studies, pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nutrition implementation rate | The first day of admission； the seventh day of admission； the day before discharge. | Proportion of patients hospitalized for stroke who were given nutritional support |
| Nutrition compliance rate of stroke inpatients | The first day of admission； the seventh day of admission； the day before discharge. | Percentage of patients hospitalized for stroke whose nutritional indicators and nutritional status met the guidelines after being given nutritional support |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-day post-discharge mortality | 30-day post-discharge | Proportion of enrolled patients who died 30 days after discharge from the hospital |
| Infection rate | 30-day post-discharge | Proportion of enrolled patients with pulmonary infection 30 days after discharge from hospital. |
| Readmission rate | 30-day post-discharge | Proportion of patients enrolled who were readmitted for various reasons 30 days after discharge. |
| Functional prognosis | 30-day post-discharge | Functional prognosis of the enrolled patients, such as life skills, motor and sensory functions, cognitive functions and swallowing functions. |
Countries
China
Contacts
Primary ContactJinYu Chen, M.D.
Outcome results
None listed