Edwina Narulita Sari Agustin Junaidi, Sri Winarsih, Tina Handayani Nasution
  MNJ, pp. 17-22  


Background. Nutritional status is predictor that can affects on clinical outcome in patient with acute phase ischemic stroke.
Objective. To investigate the difference of nutritional status level with clinical outcome in patient with acute phase ischemic stroke.
Methods. Cohort retrospective design used medical record of all registered acute ischemic stroke patient in hospital Dr. Saiful Anwar Malang. 60 sample that inquired inclusion criteria and classified into three groups (the group of patient with acute phase ischemic stroke with normal nutrition status, undernutrition status, and overnutrition status). Nutritional status measured with body mass index parameter and clinical outcome measured with of NIHSS score admission and NIHSS score discharge.
Results. There were 60 had good clinical outcome with undernutrition status (n=20) amount 65%, normal nutrition status (n=20) amount 70% and overnutrition status (n=20) amount 60%. The difference of nutritional status level with clininical outcome in patient with acute phase ischemic stroke showed that no significantly difference (chi square, p-value=0,803).
Conclusion. There is no difference of nutritional status level with clinical outcome in patient with acute phase ischemic stroke.


stroke; nutritional status; clinical outcome

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World Health Organization. WHO STEPS Stroke Manual: The WHOSTEPwise Approach to Stroke Surveillance. World Health Organization. 2005.

Woodruff, T.M., Thundyil, J., Tang, S.C., Sobey, C.G., Taylor, S.M.,Arumugam, T.V. Pathofisiology, Treatment, and Animal and Cellular Models of Human Ischemic Stroke. Mol.Neurodegener, 2011; 6 (1): 11-29.

World Health Organization, The Top 10 Causes of Death, (Online)., diakses tanggal 1 November 2013..

Yayasan Stroke Indonesia. 2013. Tangani Masalah Stroke Indonesia, (Online)., diakses tanggal 1 November 2014.

Khairani, F.A. Hubungan antara Status Nutrisi Kurang dengan Defisit Neurologi pada Pasien Stroke Iskemik Akut. (Abstrak). Universitas Gadjah Mada. 2011.

Shen,H., Chen,H., Peng, L., Lin, M., Chen, L., Liang, C., Lo, Y., Hwang, S. Impact of Nutritional Status on Long-Term Functional Outcomes of Post-Acute Stroke Patients in Taiwan. Journal Archieves of Gerontology and Geriatrics, 2011; 53 (10): 149-152.

Doehner W., Schenkel J., Anker S.D., Springer, J., Audebert, H.J. Overweight and Obesity are Associated with Improved Survival, Functional Outcome, and Stroke Recurrence after Acute Stroke or Transient Ischaemic Attack: Observations from The TEMPiS Trial. European Heart Journal, 2013;34 (340): 268277.

Dahlendorff, C. Andersen, K.K., Olsen, T.S. 2014. Body Mass Index and Death by Stroke: no obesity paradox. (Abstract), JAMA Neurology, 71(8): 978-984.

Jefferson, S.S., Wing, J.J., Sanchez, B.N., Bown, D.L. Meurer, W.J., Smith, M.A., et al., Age and Ethnic-Specific Sex Difference in Stroke Risk. Gender Medicine, 2012; 9(2): 121-128.

Ruijun, J., Schwamm, L.H., Pervez, M., Singhal, A. Ischemic Stroke And Transient Ischemic Attack In Young Adults: Risk Factor, Diagnostic Yield, Neuroimaging, And Thrombolysis. JAMA Neurol, 2013 70 (1): 51.

Irfan, M. Fisioterapi bagi Insan Stroke. Yogyakarta: Graha Ilmu. 2012.

Hisham, N.F., Bayraktutan, U. Epidemiology, Pathophysiology, and Treatment of Hypertension in Ischemic Stroke Patients. Journal of Stroke and Cerebrovascular Disease, 2013; 22 (7): 4-11.

Crary, M.A., Mann-Cannaby, G.D., Miller, L. Antoniou, N., Silliman, S. Dysphagia and Nutritional at The Time of Hospital Admission for Ischemic Stroke. Journal of Stroke and Cerebrovascular Disease, 2006; 15(4): 164171.

Srinivasan, M., Roffe, C. Nutritional Status after Acute Stroke: Is a Stroke Unit Better than a General Geriatri Ward?. Journal of Nutrition, Health, and Aging, 2008; 12(2): 323325.

Supariasa, I.D.N., Bakri, B., Fajar, I. Penilaian Status Gizi. Jakarta: Buku Kedokteran EGC. 2002.

Bouziana, S.D., Tziomalos, K. Malnutrition in Patients with Acute Stroke. Journal of Nutrition and Metabolism, 2011; 2011: 1-6.

Nursalim, A., Yuniadi, Y. Obesity Paradox pada Pasien Gagal jantung. Jurnal Kardiologi Indonesia, 2011; (32) 4: 207-208.

Seo, J.H., Jeong, H.Y., Noh, S., Kim, E.G.,HwanJi, K., Bae, J.S., Kim, S.J. Relationship of Body Mass Index and Mortality for Acute Ischemic Stroke Patients after Thrombolysis Therapy. J Neurocrit Care, 2013; 28 (5): 92-96.

Mattox, T.W., Reiter, P.D. Pharmacotherapy A Pathofisiology Approach 7th editor: Dipiro, J.T., Talbert, R.L., Yee, G.C., Matzke, G.R., wells, B.G., Posey, L.M. McGraw-Hill. New York, 2010. p.2379-2385.


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