Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke

Producción Científica

Detalles Bibliográficos
Autores: López Gómez, Juan José, Delgado García, Esther, Coto García, Cristina, Torres Torres, Beatriz, Gómez Hoyos, Emilia, Serrano Valles, Cristina, Castro Lozano, María Ángeles, Arenillas Lara, Juan Francisco, Luis Román, Daniel Antonio de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Valladolid
Repositorio:UVaDOC. Repositorio Documental de la Universidad de Valladolid
OAI Identifier:oai:uvadoc.uva.es:10324/55988
Acceso en línea:https://doi.org/10.3390/nu11050996
https://uvadoc.uva.es/handle/10324/55988
Access Level:acceso abierto
Palabra clave:Hyperglycaemia
Hiperglucemia
Enteral nutrition
Nutrición enteral
Dysphagia
Disfagia
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spelling Influence of hyperglycemia associated with enteral nutrition on mortality in patients with strokeLópez Gómez, Juan JoséDelgado García, EstherCoto García, CristinaTorres Torres, BeatrizGómez Hoyos, EmiliaSerrano Valles, CristinaCastro Lozano, María ÁngelesArenillas Lara, Juan FranciscoLuis Román, Daniel Antonio deHyperglycaemiaHiperglucemiaEnteral nutritionNutrición enteralDysphagiaDisfagiaProducción CientíficaObjectives: To evaluate in patients admitted for stroke: (1) The frequency of hyperglycaemia associated with enteral nutrition (EN). (2) The risk of morbidity and mortality associated with the development of this type of hyperglycaemia. Methods: A longitudinal observational study was conducted in 115 non-diabetic patients admitted for stroke with EN. Age, functional capacity (Rankin scale), and blood plasma glucose (BPG) were recorded. Hyperglycaemia was considered as: a value higher than 126 mg/dL before the EN and/or a value higher than 150 mg/dL after a week of enteral nutrition. According to this, three groups were differentiated: HyperES: Those who had hyperglycemia before the beginning of the EN (33% patients); NoHyper: those who did not have hyperglycemia before or after (47.8% patients); and HyperEN: Those who did not have hyperglycemia before but suffered it after the beginning of the EN (19.1% patients). Results: The age was 72.72 (15.32) years. A higher rate of mortality was observed in the HyperEN group 45.50%, than HyperES 15.80% or NoHyper: 10.90%). A lower recovery of the oral feeding was observed in those patients of the HyperEN group 27.30%, than HyperES: 42.10% or NoHyper: 61.80%). In the multivariate analysis adjusting for age, sex, and Rankin scale the development of hyperglycemia in those who did not have it at the beginning (HyperEN) was an independent risk factor for non-recovery of the oral feeding (OR: 4.21 (1.20–14.79), p = 0.02); and mortality adjusted for age, sex and Rankin scale (OR: 6.83 (1.76–26.47), p < 0.01). Conclusions: In non-diabetic patients admitted for stroke with EN, the development of hyperglycaemia in relation to enteral nutrition supposes an independent risk factor for mortality and for the non-recovery of the oral feeding.Elsevier2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.3390/nu11050996https://uvadoc.uva.es/handle/10324/55988reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolidinstname:Universidad de ValladolidIngléshttps://www.mdpi.com/2072-6643/11/5/996info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:uvadoc.uva.es:10324/559882026-06-13T12:44:47Z
dc.title.none.fl_str_mv Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
title Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
spellingShingle Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
López Gómez, Juan José
Hyperglycaemia
Hiperglucemia
Enteral nutrition
Nutrición enteral
Dysphagia
Disfagia
title_short Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
title_full Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
title_fullStr Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
title_full_unstemmed Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
title_sort Influence of hyperglycemia associated with enteral nutrition on mortality in patients with stroke
dc.creator.none.fl_str_mv López Gómez, Juan José
Delgado García, Esther
Coto García, Cristina
Torres Torres, Beatriz
Gómez Hoyos, Emilia
Serrano Valles, Cristina
Castro Lozano, María Ángeles
Arenillas Lara, Juan Francisco
Luis Román, Daniel Antonio de
author López Gómez, Juan José
author_facet López Gómez, Juan José
Delgado García, Esther
Coto García, Cristina
Torres Torres, Beatriz
Gómez Hoyos, Emilia
Serrano Valles, Cristina
Castro Lozano, María Ángeles
Arenillas Lara, Juan Francisco
Luis Román, Daniel Antonio de
author_role author
author2 Delgado García, Esther
Coto García, Cristina
Torres Torres, Beatriz
Gómez Hoyos, Emilia
Serrano Valles, Cristina
Castro Lozano, María Ángeles
Arenillas Lara, Juan Francisco
Luis Román, Daniel Antonio de
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hyperglycaemia
Hiperglucemia
Enteral nutrition
Nutrición enteral
Dysphagia
Disfagia
topic Hyperglycaemia
Hiperglucemia
Enteral nutrition
Nutrición enteral
Dysphagia
Disfagia
description Producción Científica
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.3390/nu11050996
https://uvadoc.uva.es/handle/10324/55988
url https://doi.org/10.3390/nu11050996
https://uvadoc.uva.es/handle/10324/55988
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://www.mdpi.com/2072-6643/11/5/996
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolid
instname:Universidad de Valladolid
instname_str Universidad de Valladolid
reponame_str UVaDOC. Repositorio Documental de la Universidad de Valladolid
collection UVaDOC. Repositorio Documental de la Universidad de Valladolid
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.301603

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