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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 49, 2003, No. 8, p. 618 - 622 |
The Nutrition Intervention
in Patients with Acute Cerebral Stroke Kozáková S., Charvát J., Hrdlička L., Souček M., Kvapil M. Interní klinika 2. lékařské fakulty UK a FN Motol, Praha, přednosta doc. MUDr. Milan Kvapil, CSc. |
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Summary: The patients with acute cerebral stroke suffer from stress situation which may induce the catabolic
state. The aim of our study was to evaluate the influence of the nutrition intervention and
follow-up of the nutrition parameters in the patients with acute ischemic cerebral stroke. We have
examined 30 patients with acute ischemic cerebral stroke, the average age 71.4 ± 8.6 years. In all
the patients we have measured some antropometric, biochemic and immunologic parameters of
the nutrition status on admission. At the same time we have evaluated the size of the neurological
deficit with NIH stroke scale and Barthel index. Every day we have monitored in all the patients
the nutrition intake. In case the food intake has not reached 30 kcal/kg/day we have started the
nutrition intervention by giving polymer enteral nutrition: either like sipping or if necessary
through nasogastric tube. The nutrition intervention has been necessary in 18 patients (60 %). The
measurement of antropometric, biochemical and immunologic parameters have been repeated
after 14 days. The evaluation of nutrition parameters have shown no significant changes since
admission. The changes of the nutrition parameters in this group of the patients we have compared
with the earlier reported group of the patients where no nutrition monitoring and intervention
were applied and the nutrition parameters have deteriorated significantly in 2 weeks. By
comparing we have confirmed that the careful monitoring of nutrition intake and in the majority
of patients also nutrition intervention are necessary, especially because the improvement of the
neurological deficit have been noticed more in the group of the monitored and intervened patients.
The nutrition intervention can stabilize the followed nutrition parameters which may play
the significant role in the speed and efficacy of the rehabilitation.
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