• Nutrition · Apr 2018

    Multicenter Study

    Changes in nutritional state and dysphagia in stroke patients monitored during a 14-d period in a Burkina Faso hospital setting.

    • Jeoffray Diendéré, Athanase Millogo, Pierre-Marie Preux, Pierre Jésus, and Jean-Claude Desport.
    • INSERM, U1094, Tropical Neuroepidemiology, Limoges, France; Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, University of Limoges, UMR_S 1094, Limoges, France; Research Institute of Health Sciences/Centre MURAZ, Bobo-Dioulasso, Burkina Faso; Université Ouaga I Pr Joseph KI-ZERBO, Ouagadougou, Burkina Faso.
    • Nutrition. 2018 Apr 1; 48: 55-60.

    IntroductionDysphagia and undernourishment are common in cerebrovascular accident (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 eighth day, and on the 14th (D14) and to specify factors related to undernourishment at day 14.MethodologyThe nutritional state of the patients was assessed using body mass index, triceps skinfold thickness, and mid-upper arm circumference. Dysphagia was identified using the Practical Aspiration Screening Schema.ResultsA total of 222 patients were included in the study. 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. In a multivariate analysis, undernourishment was more present at D14 for women (odds ratio [OR] = 7.01; 95% confidence interval [CI]: 1.51-32.56, P = 0.01) and was less present if weight (OR = 0.69; 95% CI: 0.60-0.79, P = 0.0001) or triceps skinfold thickness (OR = 0.85; 95% CI: 0.74-0.99, P = 0.03) were high at D0.ConclusionThe prevalence of undernourishment was high at D0 and increased during the monitoring period. It would be advisable to monitor patients' weight and triceps skinfold thickness, to optimize care for women and patients with low weight or triceps skinfold thickness at D0, to monitor dysphagia, and to inform patients, families, and relevant staff of nutritional concerns after a cerebrovascular accident.Copyright © 2017 Elsevier Inc. All rights reserved.

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