Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 586-588
YU Wenjuan, ZHENG Hongjian, YU Shuangjuan, DONG Jinjiang. Association between PG-SGA scores and the risk of poor outcomes in stroke patients with dysphagia[J]. Chinese Journal of General Practice, 2024, 22(4): 586-588. doi: 10.16766/j.cnki.issn.1674-4152.003456
Citation: YU Wenjuan, ZHENG Hongjian, YU Shuangjuan, DONG Jinjiang. Association between PG-SGA scores and the risk of poor outcomes in stroke patients with dysphagia[J]. Chinese Journal of General Practice, 2024, 22(4): 586-588. doi: 10.16766/j.cnki.issn.1674-4152.003456
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Association between PG-SGA scores and the risk of poor outcomes in stroke patients with dysphagia

doi: 10.16766/j.cnki.issn.1674-4152.003456

  • Department of Neurosurgery, Chun'an Branch of Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 311700, China

Funds:

 Y202146057

  • Received Date: 2023-11-28
    Available Online: 2024-05-29
    Abstract
  •   Objective  Dysphagia is commonly observed in stroke patients and can have an impact on their nutritional status. This study aims to investigate the correlation between the patient-generated subjective global assessment (PG-SGA) score and the risk of poor prognosis in stroke patients with dysphagia.  Methods  A total of 116 patients with post-stroke dysphagia from Chun'an Branch of Zhejiang Provincial People's Hospital between October 2021 and October 2022 were selected as the study objects. According to the modified Rankin scale (mRS), the patients were divided into a good prognosis group (mRS≤2 points) and a poor prognosis group (mRS 3-5 points). Multivariate logistic regression analysis and restricted cubic spline were used to investigate the association between nutritional status and the risk of poor prognosis.  Results  After a 90-day follow-up observation, 88 cases (75.86%) with mRS≤2 scores were classified as the good prognosis group, while the remaining 28 cases (24.14%) were categorized as the poor prognosis group. The admission National Institutes of Health stroke scale (NIHSS) and PG-SGA scores were higher in the poor prognosis group compared to the good prognosis group, whereas the serum albumin level and triceps skin fold thickness were lower (P < 0.05). Multivariate logistic regression analysis revealed that older age (OR=1.179, 95% CI: 1.059-1.314), high NIHSS score on admission (OR=1.775, 95% CI: 1.161-2.713), and high PG-SGA score (OR=1.741, 95% CI: 1.069-2.834) were risk factors for poor prognosis. Conversely, high serum albumin (OR=0.883, 95% CI: 0.804-0.970) was identified as a protective factor for poor prognosis (P < 0.05). The restricted cubic spline analysis showed a dose-response relationship between PG-SGA score and poor prognosis in stroke patients with dysphagia (χ2=0.029, P < 0.05).  Conclusion  The nutritional status of stroke patients with dysphagia is related to the risk of poor prognosis, highlighting the importance of timely clinical attention and nutritional support based on individual needs.

     

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