eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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3/2015
vol. 31
 
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abstract:
Original paper

Prevalence nutritional disorders among patients hospitalised for stroke and discopathy in the neurology department

Regina Sierżantowicz
,
Lucyna Jakimiuk
,
Jolanta Lewko
,
Renata Stępień
,
Lech Trochimowicz
,
Ryszard Zimnoch

Medical Studies/Studia Medyczne 2015; 31 (3): 187–193
Online publish date: 2015/10/23
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Introduction: Nutritional disorders pose a huge health problem worldwide. In Poland, symptoms of malnutrition are found on admission to hospital in approximately 30% of patients. Among neurological disorders that predispose to malnutrition, brain injuries are the most frequent. The disease leads to difficulties with self-care, disorientation, reduced intellectual capacity, and dysphagia. Acute spinal pain syndromes affect weight loss because of persistent severe pain, and frequent dizziness and headaches accompanying cervical discopathy.

Aim of the research: To assess the degree of malnutrition in patients with stroke and discopathy hospitalised in the neurology ward.

Material and methods: The study group consisted of 141 patients, including 90 with stroke and 51 with discopathy, hospitalised in the neurology ward. Research material was collected based on medical records and a proprietary questionnaire. Body mass index (BMI) was calculated and assessed for each patient on admission and after hospitalisation.

Results and conclusions: The study sample consisted of a similar group of women (49%) and men (51%) aged from 30 to over 70 years. Ischaemic stroke was diagnosed more often in women (66.2%), whereas discopathy was more common in men (43.4%). The differences in BMI present on admission and after hospitalisation in men and women indicated a falling tendency. A slightly greater drop in BMI was found in women after hospital stay (from 24.1 to 23.3 kg/m2). The lowest BMI on admission was observed in students and pensioners. Long-term hospitalisation significantly affected weight reduction – the longer the patients were hospitalised, the lower their BMI was. Preliminary assessment of the nutrition status on admission to a hospital ward and customising individual diets may help reduce the effects of malnutrition.
keywords:

assessment of malnutrition, patients, neurology ward

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