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Changes in nutritional status and dysphagia in stroke patients monitored during a 14-day period in a Burkina Faso hospital setting

Abstract : Introduction: Dysphagia and undernourishment are common in stroke patients in developed countries. Despite the dietary transition, there is little information available in Africa on this topic. This study aims to assess the prevalence of undernourishment and dysphagia in stroke patients in two Burkina Faso teaching hospitals at a starting point (D0), on the 8th day (D8) and on the 14th (D14) and to specify factors related to undernourishment at day 14. Methodology: The nutritional status of the patients was assessed using body mass index (BMI), triceps skinfold thickness (TSF) and the mid-upper arm circumference. Dysphagia was identified using the Practical Aspiration Screening Schema (Zhou Z, Eur J Phys Rehabil Med 2011; 47:441–6). Results: Between November 2015 and August 2016, 558 patients with strokes were consecutively admitted, and 222 of them were included in the study. Sex-ratio was 1.2 and age mean 60.5 years (± 14.2). From D0 to D14, the prevalence of undernourishment increased from 25.2% to 31.0% and the prevalence of dysphagia decreased from 37.4% to 15.8%. All nutritional criteria worsened. Undernourishment was more frequent in dysphagic patients than non dysphagic at D8 (40.3% vs 24.4%, p=0.02 ) and at D14 (42.6% vs 26.2%, p=0,03). In a multivariate analysis, undernourishment was more present at D14 for women (OR=7.01; CR95: 1.51–32.56, p=0.01), and was less present if weight (OR=0.69; CR95: 0.60–0.79, p=0.0001) or TSF (OR=0.85 ; CR95: 0.74–0.99, p=0.03) were high at D0. Conclusion: The prevalence of undernourishment was high at D0 and increased during the monitoring period. It would be advisable to monitor patients’ weight and TSF, to optimise care for women and patients with low weight or TSF at D0, to monitor dysphagia, and to inform patients, families and relevant staff of nutritional concerns after stroke.
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Contributeur : Elisabeth Grelier Connectez-vous pour contacter le contributeur
Soumis le : lundi 23 octobre 2017 - 11:40:04
Dernière modification le : mercredi 3 novembre 2021 - 08:39:49


  • HAL Id : hal-01621334, version 1



Jeoffray Diendéré, Athanase Millogo, Pierre-Marie Preux, Pierre Jésus, Jean-Claude Desport. Changes in nutritional status and dysphagia in stroke patients monitored during a 14-day period in a Burkina Faso hospital setting. Journée GEIST 2017, Dec 2017, Limoges, France. 2017. ⟨hal-01621334⟩



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