Clinical neurology and neurosurgery · 2025
Association of type 2 diabetes mellitus and cognitive function with the resumption of oral intake during stroke rehabilitation.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Fukuda Shinya, Fukuda Hitoshi, Ueba Yusuke, Yamamoto Norio, Kumakura Isami, Shirakawa Suguru, Kawada Kei, Ueba Tetsuya
Аннотация
BACKGROUND: Physical factors including motor and balance functions are associated with resumption of oral intake of the stroke patients receiving nasogastric tube feeding. However, association of non-physical factors remains unclear. The aims of this study are to explore non-physical factors associated with resumption of oral intake after stroke and to clarify how they affect the time course of the resumption.
METHODS: A total of 116 patients receiving nasogastric tube feeding after stroke were retrospectively analyzed from a single center observational cohort database. Associations of physical and non-physical factors with resumption of oral intake at discharge from the stroke rehabilitation facility were investigated. We also evaluated how the specific combination of non-physical prognostic factors affected the time course of resumption using survival analyses.
RESULTS: Among 116 patients, 59 (50.4 %) resumed oral intake. History of diabetes mellitus (DM) (P < 0.001) and higher cognitive functional independence scores (C-FIM) (P = 0.03) were significantly associated with the resumption of oral intake at discharge. These non-physical factors had an additive value on conventional risk factors to predict resumption of oral intake. Patients with a history of DM were significantly associated with improved resumption of oral intake than with non-DM patients with lower C-FIM scores (< 18) by survival analysis (P = 0.001), and this difference became prominent after 90 days post-stroke.
CONCLUSION: A history of DM and better cognitive function as non-physical factors were significantly associated with the resumption of oral intake in patients receiving nasogastric tube feeding after stroke.
METHODS: A total of 116 patients receiving nasogastric tube feeding after stroke were retrospectively analyzed from a single center observational cohort database. Associations of physical and non-physical factors with resumption of oral intake at discharge from the stroke rehabilitation facility were investigated. We also evaluated how the specific combination of non-physical prognostic factors affected the time course of resumption using survival analyses.
RESULTS: Among 116 patients, 59 (50.4 %) resumed oral intake. History of diabetes mellitus (DM) (P < 0.001) and higher cognitive functional independence scores (C-FIM) (P = 0.03) were significantly associated with the resumption of oral intake at discharge. These non-physical factors had an additive value on conventional risk factors to predict resumption of oral intake. Patients with a history of DM were significantly associated with improved resumption of oral intake than with non-DM patients with lower C-FIM scores (< 18) by survival analysis (P = 0.001), and this difference became prominent after 90 days post-stroke.
CONCLUSION: A history of DM and better cognitive function as non-physical factors were significantly associated with the resumption of oral intake in patients receiving nasogastric tube feeding after stroke.