| Nutritional Assessment of Geriatric Stroke Patients in a Rehabilitation Hospital. |
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Lee, Jeong Eun , Kim, Wanho , Kim, Byung Sik , Jang, Soon Ja , Kang, Se Young , Kim, Hyung Joon , Lee, Cha Yeon , Lee, Mi Jeong |
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Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. whykim@nate.com |
| 재활전문병원에 입원한 뇌졸중 노인 환자의 영양평가 |
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이정은, 김완호, 김병식, 장순자, 강세영, 김형준, 이차연, 이미정 |
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국립재활병원 재활의학과 |
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| Abstract |
Objective
It was aimed to evaluate the nutritional status of geriatric stroke patients admitted to a convalescent and rehabilitation hospital and the clinical usefulness of the mini-nutritional assessment (MNA) to identify malnutrition in elderly stroke patients.
Method
We performed a nutritional evaluation using the MNA questionnaire, anthropometric, haematological, and biochemical parameters in 30 stroke patients. Malnutrition was defined if there were abnormalities in at least one of the following parameters: serum values of albumin and transferrin, hemoglobin and total lymphocytes in blood, and body mass index. The sensitivity, specificity, and predictive values of MNA for malnutrition were assessed.
Results
The mean age of patients was 69.5 years and mean body mass index was 22.8 kg/m2. The prevalence of malnutrition was 46.7% while malnutrition or risk of malnutrition by MNA was 80%. The sensitivity, specificity, and positive/negative predictive values of MNA for malnutrition were respectively 92.9%, 31.3%, 54.2%, and 83.3% with a cutoff point lower than 23.5. There was a significant difference of hemoglobin value between malnourished and nourished group (p＜0.05).
Conclusion
Malnutrition was common in geriatric stroke patients. MNA was a useful screening tool to exclude nourished geriatric patients. (J Korean Acad Rehab Med 2006; 30: 604-610) |
| Key Words:
Malnutrition, Mini-nutritional assessment, Geriatric, Stroke |
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