Guidelines for nutritional support in stroke

Česká verzia

Authors: J. Klempíř ¹; I. Šarbochová ²; L. Růžičková ³; E. Bezuchová ¹; O. Gál ¹; M. Srp ¹; F. Novák ⁴
Authors place of work: Neurologická klinika a Centrum klinických neurověd, 1. LF UK a VFN v Praze ¹; Neurologická klinika 2. LF UK a FN Motol, Praha ²; Oddělení nutričních terapeutů, VFN v Praze ³; IV. interní klinika 1. LF UK a VFN v Praze ⁴
Published in the journal: Cesk Slov Neurol N 2020; 83/116(6): 667-673
Category:
doi: https://doi.org/10.48095/cccsnn2020667

Summary

Stroke is one of the most frequent acute events in neurology and it is associated with severe disability and high mortality. Advances in current diagnostic and therapeutic guidelines reflect the advances in a multidisciplinary approach. Malnutrition or a risk of malnutrition in stroke patients is common and systematic nutrition screening at admission is important. Acute illness and hospitalization can contribute to worsening of nutritional status. Appropriate timing of nutritional support, early capture and rehabilitation of speech and swallowing disorders together with physiotherapy may reduce incidence of complications, improve patient’s clinical outcome, prognosis and quality of life. The presented summary is in agreement with consensus of the European Society for Clinical Nutrition and Metabolism and recommended best practice expert consensus in the Czech Republic.

Keywords:

stroke – malnutrition – nutrition risk screening – dysphagia – enteral nutrition – percutaneous endoscopic gastrostomy – hydration – texture-modified diet – Physiotherapy – speech therapy

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