Risk factors for constipation in patients with acute and subacute ischemic stroke: A retrospective cohort study

被引：9
作者：
Sun, Yun [1 ,2 ]
Lin, Yajun [3 ]
Wang, Juehan [3 ]
Xu, Zhisheng [3 ]
Bao, Wangxiao [3 ]
Chen, Zuobing [3 ]
Yang, Xiaofeng [1 ,2 ]
机构：
[1] Zhejiang Univ, Affiliated Hosp 1, Dept Emergency & Trauma Ctr, Sch Med, Hangzhou 310001, Peoples R China
[2] Zhejiang Univ, Affiliated Hosp 1, Dept Neurosurg, Sch Med, Hangzhou 310001, Peoples R China
[3] Zhejiang Univ, Affiliated Hosp 1, Dept Rehabil Med, Sch Med, Hangzhou 310001, Peoples R China
来源：
JOURNAL OF CLINICAL NEUROSCIENCE | 2022年 / 106卷
关键词：
Stroke; Constipation; Risk factors; NIHSS; Activities of daily living; Eternal nutrition; MEDICAL COMPLICATIONS; AUTONOMIC DYSFUNCTION; NUTRITION; CARE;
D O I：
10.1016/j.jocn.2022.10.014
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background: The objective of this study was to examine the incidence of constipation and the risk factors for patients with ischemic stroke in acute and subacute stage.Methods: In this retrospective cohort study, patients with acute and subacute ischemic stroke in the Department of Rehabilitation, First Affiliated Hospital, Zhejiang University School of Medicine between 2019 and 2021 were analyzed. Univariate and multivariate analysis were conducted using demographic characteristics, clinical evaluations, and stroke related complications, to explore the risk factors of constipation after stroke.Results: Of the 222 patients with acute and subacute ischemic stroke, 128 (57.7 %) developed constipation. Univariate analysis revealed that pulmonary infection, NIHSS, ADL, KWST scores and nutritional status were significantly associated with post-stroke constipation (p < 0.05). Binomial logistic regression showed that NIHSS score is the independent risk factors of the poststroke constipation, and patients with NIHSS score >8.5 had higher risk for constipation.Conclusions: Current findings suggested a significant interaction between constipation and NIHSS score in stroke patients, providing new insights into therapeutic target for neural functional recovery among patients with acute and sub-acute ischemic stroke.
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收藏
页码：91 / 95
页数：5
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