Age, Body Mass Index, and White Blood Cell Count Predict the Resumption of Oral Intake in Subacute Stroke Patients

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• 作者：Akie Nakadate ; MD ; MPH^* ; ^&dagger ; ; Yohei Otaka ; MD^* ; ^&dagger ; ; ^{otaka119@mac.com} ; Kunitsugu Kondo ; MD ; PhD^* ; Ruka Yamamoto ; MD^* ; Daisuke Matsuura ; MD^* ; Kaoru Honaga ; MD ; PhD^* ; Kaori Muraoka ; MD ; MPH ; PhD^&dagger ; ; Kazuto Akaboshi ; MD ; PhD^&Dagger ; ; Meigen Liu ; MD ; PhD^&dagger ;
• 关键词：Dysphagia ; convalescence ; nutrition ; gastrostomy ; deglutition disorder
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：25
• 期：12
• 页码：2801-2808
• 全文大小：319 K
• 卷排序：25

文摘

To identify the predictors for the resumption of oral feeding at discharge among tube feeding-dependent stroke patients admitted to rehabilitation wards.Materials and methodsThis study was a retrospective analysis of 107 stroke patients (mean age, 72.1 years) dependent on tube feeds at admission to a rehabilitation ward. Data analyzed included demographic information, severity of impairments, functional independence, body mass index, nutritional and inflammatory laboratory markers at admission, and videofluoroscopic examination findings, if conducted. The variables were compared between the groups with and without resumption of oral intake. The predictive factors for resumption of oral intake were analyzed by using a stepwise multiple logistic regression model.ResultsAt discharge, 69.2% (74 of 107) of the patients resumed oral intake. There were significant differences in age, the Functional Independence Measure, body mass index, serum albumin, C-reactive protein, white blood cell count, and duration of stroke onset at admission between the 2 groups. Multiple logistic regression analysis identified age (odds ratio [OR] .55; 95% confidence interval [CI] .31-.95), body mass index (OR 1.34; 95% CI 1.12-1.60), and white blood cell count (OR .76; 95% CI .60-.97) as significant predictors for the resumption of oral intake in these patients.ConclusionOlder age, lower body mass index, and higher white blood cell count were significant independent negative predictors for the resumption of oral feeding among stroke patients dependent on tube feeding at admission to rehabilitation wards.