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Nutritional Support After Ischemic StrokeMore Food for Thought
Neeraj Badjatia, MD;
Mitchell S. V. Elkind, MD, MS
Arch Neurol. 2008;65(1):15-16.
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The physiological and hormonal responses to the stress of an acute brain injury, like other critical illnesses, result in a redistribution of fat, protein, and glycogen stores. There is also evidence that brain injury may lead to more severe metabolic derangements compared with those associated with critical illness affecting other organs.1 This hypermetabolic response can lead to a undernourished state and impair the normal reparative processes essential for recovery if the patient does not receive adequate nutritional supplementation.
Clinically, undernourishment is a common problem in ischemic stroke patients, with up to 16% of patients demonstrating signs and symptoms related to undernourishment on presentation.2 Results from the Feed or Ordinary Diet (FOOD) Trial Collaboration, a large multicenter study of approximately 3000 ischemic stroke patients, indicate that a undernourished state at the time of stroke presentation is an independent predictor of poor functional . . . [Full Text of this Article] AUTHOR INFORMATION
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