Effects of nutritional status on prognosis in patients with severe hemiplegia who were recently admitted to a rehabilitation hospital

Abstract. [Purpose] The purpose of this study was to examine the effect of nutritional status on the prognosis of patients with severe hemiplegia who were recently admitted to a convalescent rehabilitation hospital. [Participants and Methods] Eighty patients with stroke and severe hemiplegia were divided into two groups based on their serum albumin levels: normal (serum albumin 3.5 g/dL or more) and undernourished group (serum albumin 3.4 g/dL or less). Background characteristics, cognitive function, neurological symptoms, physical function at admission, and outcome were compared between groups. [Results] There were no differences found between groups in terms of cognitive function, neurological symptoms, physical function at admission, destination, and length of stay at the hospital. In contrast, age and duration from onset to admission were significantly lower in the normal group than in the undernourished group. The ability to walk and perform activities of daily living (ADL) at discharge was significantly higher in the normal group than in the undernourished group. [Conclusion] As a result, the findings of the present study suggest that in patients with severe hemiplegia, nutritional status at the time of admission determines the improved walking and ADL ability at the time of discharge.