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Eating management and functional outcome of elderly patients with symptomatic ischemic stroke undergoing inpatient rehabilitation
Author(s) -
Mizrahi EliyahuHayim,
Arad Marina,
Weiss Abraham,
Leibovitz Arthur,
Adunsky Abraham
Publication year - 2013
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12003
Subject(s) - medicine , rehabilitation , linear regression , stroke (engine) , ischemic stroke , physical therapy , ischemia , mechanical engineering , machine learning , computer science , engineering
Aim The purpose of this study was to investigate whether, and to what extent, post‐stroke eating management ( EM ) at admission to a rehabilitation ward is associated with functional outcome. Methods This was a retrospective study comprising 716 consecutive elderly patients with first ever symptomatic ischemic stroke. Level of eating management was determined by F unctional I ndependence M easurement ( FIM ) subscale scores relevant to eating management, where scores ≤5 points define low‐eating management ( L ow‐ EM ) ability and scores >5 indicate independent eating management. Data was analyzed by t‐ test, χ 2 ‐ test, Pearson's correlation and by multiple linear regression analysis. Results A total of 418 and 298 L ow‐ EM and H igh‐ EM patients, respectively, were eligible for final analysis. Compared with H igh‐ EM , L ow‐ EM patients were slightly older ( P = 0.04), had longer rehabilitation stays ( P < 0.001) and lower M ini‐ M ental S tate E xamination ( MMSE ) scores ( P < 0.001). Total FIM at admission and discharge were lower in L ow‐ EMS , yet there was no statistically significant difference in total FIM gain on discharge between the two groups. Multiple linear regression analyses showed that total FIM at discharge was inversely associated with L ow‐ EM at admission (β‐coefficient = −0.389, P < 0.001). Low‐ EM scores were independently predictive for higher total FIM gain at discharge (β‐coefficient = 0.125, P = 0.005). Conclusion The findings suggest that impaired eating management on admission is associated with adverse functional outcome. However, patients presenting to rehabilitation with impaired eating management do obtain significant functional gains and should not be deprived of rehabilitation. Geriatr Gerontol Int 2013; 13: 701–705.