Category: Clinical Sciences/Health Conditions
Strokes are the World’s leading cause of disability. Approximately two-thirds of patients do not fully recover after strokes and one third cannot walk on their own. Studies have examined whether stroke alters metabolism the same way as other neurological injuries, and not found a change in resting energy expenditure. Weight loss after stroke is a phenomenon reported in the literature, but it is unclear whether this is due to stroke specific sarcopenia or due to deconditioning as result of hospitalization. We here investigate whether weight loss differs between stroke, traumatic brain injury and debility patients.
This is a retrospective study of patients admitted to Burke Rehabilitation Hospital with a diagnosis of stroke, traumatic brain injury or debility. Charts were retrospectively assessed and measures like preadmission/acute care weight, weight upon admission to Burke, discharge weight, Functional measure of Independence Scores(FIM) demographics and diet ordered were recorded. All the measures were analyzed to examine whether weight loss is similar between patients with debility, stroke or Traumatic Brain Injury(TBI), and whether degree of weight loss is correlated with functional outcomes.
Paired t-test within the groups for acute care admission to discharge weight in TBI patients n=17 showed P value 0.018, mean difference -12.9 and in stroke patients n=25 showed P value 0.0026, mean diff = -8.29 which implies the change in body weight from acute care admission to discharge has significant weight loss at the time of discharge. However, there was no significant weight loss in the Debility patients n=27.
There is significance in weight loss in both the Stroke and TBI patients which gives the opportunity to further assess the body composition changes after stroke.
Beendu Pujar– Research Fellow, Burke Hospital
Jillian Williams– High School Student, Burke Rehabilitation Center
Vikram Madan– Research Associate, Montefiore Medical Center
Carolin Dohle– Assistant Chief Medical Officer, Burke Rehabilitation Hospital