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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    • References(23)
  • [1]
    巢宝华, 刘建民, 王伊龙, 等. 中国脑卒中防治: 成就、挑战和应对[J]. 中国循环杂志, 2019, 34(7): 625-631. doi: 10.3969/j.issn.1000-3614.2019.07.001

    CHAO B H, LIU J M, WANG Y L, et al. Stroke Prevention and Control in China: Achievements, Challenges and Responses[J]. Chinese Circulation Journal, 2019, 34(7): 625-631. doi: 10.3969/j.issn.1000-3614.2019.07.001
    [2]
    SHARMA D, SPRING K J, BHASKAR S. Neutrophil-lymphocyte ratio in acute ischemic stroke: immunopathology, management, and prognosis[J]. Acta Neurol Scand, 2021, 144(5): 486-499. doi: 10.1111/ane.13493
    [3]
    JONES C A, COLLETTI C M, DING M C. Post-stroke dysphagia: recent insights and unanswered questions[J]. Curr Neurol Neurosci Rep, 2020, 20(12): 61. doi: 10.1007/s11910-020-01081-z
    [4]
    冯晓瑜, 黎静雯, 张咏军, 等. 脑卒中吞咽障碍患者安全进食行为及影响因素研究[J]. 中华全科医学, 2023, 21(2): 333-336. doi: 10.16766/j.cnki.issn.1674-4152.002876

    FENG X Y, LI J W, ZHANG Y J, et al. Safe eating behaviour and influencing factors in patients with dysphagia after stroke[J]. Chinese Journal of General Practice, 2023, 21(2): 333-336. doi: 10.16766/j.cnki.issn.1674-4152.002876
    [5]
    BANDA K J, CHU H, KANG X L, et al. Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta-analysis[J]. BMC Geriatr, 2022, 22(1): 420. doi: 10.1186/s12877-022-02960-5
    [6]
    BURGOS R, BRETÓN I, CEREDA E, et al. ESPEN guideline clinical nutrition in neurology[J]. Clin Nutr, 2018, 37(1): 354-396. doi: 10.1016/j.clnu.2017.09.003
    [7]
    金怡, 宗丽春, 唐红, 等. GUSS联合NRS-2002筛查在亚急性脑卒中吞咽障碍患者营养干预中的应用[J]. 护理与康复, 2018, 17(11): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF201811020.htm

    JIN Y, ZONG L C, TANG H, et al. Application of GUSS combined with NRS-2002 screening in nutritional intervention of subacute stroke patients with dysphagia[J]. Journal of Nursing and Rehabilitation, 2018, 17(11): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF201811020.htm
    [8]
    中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004

    Chinese Society of Neurology, Cerebrovascular Group, Chinese Society of Neurology. Chinese Guidelines for Diagnosis and Treatment of acute ischemic Stroke 2018[J]. Chinese Journal of Neurology, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
    [9]
    高燕芬. GUSS吞咽功能评估量表和洼田饮水试验在脑卒中吞咽评估中的应用比较[J]. 实用临床护理学电子杂志, 2020, 5(27): 42.

    GAO Y F. Comparison of GUSS swallowing function assessment Scale and Watian drinking water test in swallowing assessment of stroke[J]. Electronic Journal of Practical Clinical Nursing Science, 2020, 5(27): 42.
    [10]
    姚倩, 冯长艳, 杨祖安. 营养风险筛查和患者主观整体评估在非手术肿瘤患者中的临床运用及意义[J]. 重庆医学, 2016, 45(11): 1567-1568. doi: 10.3969/j.issn.1671-8348.2016.11.040

    YAO Q, FENG C Y, YANG Z. Clinical application and significance of nutritional risk screening and patient subjective holistic assessment in patients with nonoperative tumors[J]. Chongqing Medicine, 2016, 45(11): 1567-1568. doi: 10.3969/j.issn.1671-8348.2016.11.040
    [11]
    孙冲, 徐迪荣, 李碧磊. 改良Rankin量表在急性大面积脑梗死长期生存的预后价值[J]. 医学研究杂志, 2012, 41(12): 179-182. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ201212056.htm

    SUN C, XU D R, LI B L. Prognostic Value of Modified Rankin Scale in the Long-term Survival in Acute Massive Cerebral Infarction[J]. Journal of Medical Research, 2012, 41(12): 179-182. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ201212056.htm
    [12]
    房芳芳, 王孝文, 鞠学红. 脑卒中后吞咽障碍的发生机制及康复治疗研究进展[J]. 山东医药, 2019, 59(31): 103-106. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201931030.htm

    FANF F F, WANG X W, JU X H. Progress in the pathogenesis and rehabilitation treatment of dysphagia after stroke[J]. Shandong Medical Journal, 2019, 59(31): 103-106. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201931030.htm
    [13]
    LIU X M, ZHANG Y S, CHU J H, et al. Effect of probiotics on the nutritional status of severe stroke patients with nasal feeding that receive enteral nutrition: a protocol for systematic review and meta-analysis of randomized controlled trials[J]. Medicine (Baltimore), 2021, 100(17): e25657. DOI: 10.1097/MD.0000000000025657.
    [14]
    马珂珂, 郭园丽, 董小方, 等. 住院脑卒中患者营养管理的最佳证据总结[J]. 中华护理教育, 2021, 18(5): 456-463. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202105021.htm

    MA K K, GUO Y L, DING X F, et al. A summary of best evidence on management of nutrition in stroke patients[J]. Chinese Journal of Nursing Education, 2021, 18(5): 456-463. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202105021.htm
    [15]
    LIU Z Y, HAN G S, WU J J, et al. Comparing characteristics and outcomes of in-hospital stroke and community-onset stroke[J]. J Neurol, 2022, 269(10): 5617-5627.
    [16]
    XU Z Q, GU Y Q, LI J X, et al. Dysphagia and aspiration pneumonia in elderly hospitalization stroke patients: risk factors, cerebral infarction area comparison[J]. J Back Musculoskelet Rehabil, 2019, 32(1): 85-91.
    [17]
    QIN H Q, WANG A X, ZUO Y T, et al. Malnutrition could predict 3-month functional prognosis in mild stroke patients: findings from a nationwide stroke registry[J]. Curr Neurovasc Res, 2021, 18(5): 489-496.
    [18]
    ZIELIŃSKA-NOWAK E, CICHON N, SALUK-BIJAK J, et al. Nutritional supplements and neuroprotective diets and their potential clinical significance in post-stroke rehabilitation[J]. Nutrients, 2021, 13(8): 2704. DOI: 10.3390/nu13082704.
    [19]
    ZHANG G T, PAN Y S, ZHANG R H, et al. Prevalence and prognostic significance of malnutrition risk in patients with acute ischemic stroke: results from the third china national stroke registry[J]. Stroke, 2022, 53(1): 111-119.
    [20]
    GONG L Y, WANG Y, SHI J. Enteral nutrition management in stroke patients: a narrative review[J]. Ann Palliat Med, 2021, 10(10): 11191-11202.
    [21]
    WANG Y, XIANG L J, LUO Y S, et al. Evidence summary on nutrition management for post-stroke dysphagia[J]. Am J Transl Res, 2022, 14(11): 8252-8262.
    [22]
    LU H Y, HO U C, KUO L T. Impact of nutritional status on outcomes of stroke survivors: a post hoc analysis of the NHANES[J]. Nutrients, 2023, 15(2): 294. DOI: 10.3390/nu15020294.
    [23]
    KAMIMOTO T, SHINDO K, SHIMOMURA T, et al. Relationship between initial nutritional status and functional independence measures at discharge in subacute stroke[J]. J Stroke Cerebrovasc Dis, 2022, 31(11): 106754. DOI: 10.1016/j.jstrokecerebrovasdis.2022.106754.
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