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临床试验/NCT06208969
NCT06208969已完成不适用

Comparison of Intensive and Standard Nutrition Counseling in Monitoring the Nutritional Status of Stroke Patients

Ege University1 个研究点 分布在 1 个国家目标入组 61 人开始时间: 2021年3月7日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
61
试验地点
1
主要终点
BMI

研究概览

简要总结

The purpose of this study is to investigate the effect of intensive nutrition counseling on nutritional status and functional recovery in stroke patients over the age of 65, compared to standard nutrition counseling.

详细描述

Stroke is the second most common cause of death in the world; It is the third cause of disability that causes serious loss of function and affects patients' daily activities. The rapid aging of society increases the negative impact of stroke on health and limited health resources. 9-35% of patients hospitalized with the diagnosis of acute stroke have malnutrition. However, in the first two weeks after hospitalization, malnutrition rates approximately double within two weeks of hospitalization. Although nutrition is a physiological need, it is also a social activity. Nutritional practices that meet nutritional needs during the disease process may contribute to the functional recovery of patients, the reduction of complications, and survival, as well as contributing to the quality of life of patients, independent of the disease. In terms of malnutrition risk, monitoring and treatment are recommended during the acute and discharge periods. There is a need for studies on the framework and effects of effective nutritional treatment. In order for nutrition treatment practices after discharge to achieve their goals, caregivers need to be trained effectively on this subject. Therefore, the aim of this study is to examine the effects of intensive nutrition counseling to stroke patients over the age of 65 on nutritional and functional status.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Being admitted to Ege University Faculty of Medicine Hospital Neurology Intensive Care or Clinic with the diagnosis of acute stroke
  • The patient agrees to participate in the study
  • Hospital stay for more than 3 days

排除标准

  • Active malignancy, dementia, terminal illness, tetraplegia, severe metabolic disorder
  • Failure to obtain written consent indicating that they agreed to participate in the study.
  • The patient did not come for a check-up during the 3-month follow-up period
  • The patient's stay is longer than 30 days

结局指标

主要结局

BMI

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters. If BMI\<22 kg/m2, it is considered low

Mid Upper Arm Muscle Area

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness)

Calf Circumference Measurement

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees.

Malnutrition

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

Malnutrition diagnosis according to GLIM criteria

Mid Upper Arm Circumference

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna.

Malnutrition Risk

时间窗: Hospitalization (up to day 5), first month after discharge, third month after discharge

Malnutrition risk status according to MUST

次要结局

  • Functional Status(last day of hospitalization, first month after discharge, third month after discharge)
  • Disability(last day of hospitalization, first month after discharge, third month after discharge)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Dilek Seyidoglu Yuksel

Principal Investigator

Ege University

研究点 (1)

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