{
    "abstract": "Malnutrition in hospitals remains highly prevalent. As part of quality improvement initiatives, the Royal College of Physicians recommends nutrition screening for all patients admitted with acute stroke. We aimed to examine the associations of patients at risk of malnutrition with poststroke outcomes.\nWe analyzed prospectively collected data from four hyperacute stroke units (HASUs) (2014-2016). Nutrition status was screened in 2962 acute stroke patients without prestroke disability (1515 men, [mean \u00b1 SD] 73.5 years \u00b1 13.1; 1447 women, 79.2 \u00b1 13.0 years). The risk of malnutrition was tested against stroke outcomes and adjusted for age, sex, and comorbidities.\nRisk of malnutrition was identified in 25.8% of patients). Compared with well-nourished patients, those at risk of malnutrition had, within 7 days of admission, increased risk of stay on the HASU of >14 days (odds ratio [OR]: 9.9 [7.3-11.5]), disability on discharge (OR: 8.1 [6.6-10.0]), worst level of consciousness in the first 7 days (score \u2265 1) (OR: 7.5 [6.1-9.3]), mortality (OR: 5.2 [4.0-6.6], pneumonia (OR: 5.1 [3.9-6.7]), and urinary tract infection (OR: 1.5 [1.1-2.0]). They also required palliative care (OR: 12.3 [8.5-17.8]), discharge to new care home (OR: 3.07 [2.18-4.3]), activities of daily living support (OR: 1.8 [1.5-2.3]), planned joint care (OR: 1.5 [1.2-1.8]), and weekly visits (OR: 1.4 [1.1-1.8]).\nPatients at risk of malnutrition more commonly have multiple adverse outcomes after acute stroke and greater need for early support on discharge.",
    "authors": [
        {
            "affiliation": "Department of Cardiology, Ashford and St Peter's NHS Foundation Trust, Chertsey, UK.",
            "firstname": "David",
            "initials": "D",
            "lastname": "Fluck"
        },
        {
            "affiliation": "School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.",
            "firstname": "Christopher H",
            "initials": "CH",
            "lastname": "Fry"
        },
        {
            "affiliation": "Department of Stroke, Ashford and St Peter's NHS Foundation Trust, Chertsey, UK.",
            "firstname": "Giosue",
            "initials": "G",
            "lastname": "Gulli"
        },
        {
            "affiliation": "Department of Stroke, Ashford and St Peter's NHS Foundation Trust, Chertsey, UK.",
            "firstname": "Brendan",
            "initials": "B",
            "lastname": "Affley"
        },
        {
            "affiliation": "Department of Acute Medicine, Ashford and St Peter's NHS Foundation Trust, Chertsey, UK.",
            "firstname": "Jonathan",
            "initials": "J",
            "lastname": "Robin"
        },
        {
            "affiliation": "Department of Stroke, Epsom and St Helier University Hospitals, Epsom, UK.",
            "firstname": "Puneet",
            "initials": "P",
            "lastname": "Kakar"
        },
        {
            "affiliation": "Institute of Cardiovascular Research, Royal Holloway University of London, Egham, UK.\nDepartment of Clinical Neuroscience, Imperial College Healthcare NHS Trust, London, UK.",
            "firstname": "Pankaj",
            "initials": "P",
            "lastname": "Sharma"
        },
        {
            "affiliation": "Institute of Cardiovascular Research, Royal Holloway University of London, Egham, UK.",
            "firstname": "Thang S",
            "initials": "TS",
            "lastname": "Han"
        }
    ],
    "conclusions": "Patients at risk of malnutrition more commonly have multiple adverse outcomes after acute stroke and greater need for early support on discharge.",
    "copyrights": "\u00a9 2021 American Society for Parenteral and Enteral Nutrition.",
    "doi": "10.1002/ncp.10790",
    "journal": "Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition",
    "keywords": [
        "hospitalization",
        "malnutrition",
        "nutrition risk",
        "patient outcomes",
        "stroke"
    ],
    "methods": null,
    "publication_date": "2021-10-20",
    "pubmed_id": "34664741",
    "results": "Risk of malnutrition was identified in 25.8% of patients). Compared with well-nourished patients, those at risk of malnutrition had, within 7 days of admission, increased risk of stay on the HASU of >14 days (odds ratio [OR]: 9.9 [7.3-11.5]), disability on discharge (OR: 8.1 [6.6-10.0]), worst level of consciousness in the first 7 days (score \u2265 1) (OR: 7.5 [6.1-9.3]), mortality (OR: 5.2 [4.0-6.6], pneumonia (OR: 5.1 [3.9-6.7]), and urinary tract infection (OR: 1.5 [1.1-2.0]). They also required palliative care (OR: 12.3 [8.5-17.8]), discharge to new care home (OR: 3.07 [2.18-4.3]), activities of daily living support (OR: 1.8 [1.5-2.3]), planned joint care (OR: 1.5 [1.2-1.8]), and weekly visits (OR: 1.4 [1.1-1.8]).",
    "title": "Association of risk of malnutrition with adverse outcomes and early support on discharge in acute stroke patients without prestroke disability: A multicenter, registry-based cohort study.",
    "xml": "<Element 'PubmedArticle' at 0x788504084c70>"
}