Wakabayashi Hidetaka
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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Article types | Original article |
Language | English |
Peer review | Peer reviewed |
Title | Impact of energy intake on the activities of daily living in patients with cervical spinal cord injury undergoing post-acute rehabilitation. |
Journal | Formal name:The journal of spinal cord medicine Abbreviation:J Spinal Cord Med ISSN code:20457723/10790268 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | pp.1-8 |
Author and coauthor | Moriyama Daisuke, Kokura Yoji, Nishioka Shinta, Maeda Keisuke, Shimizu Akio, Tanaka Hirotaka, Watanabe Tomoe, Wakabayashi HIdetaka |
Authorship | Last author |
Publication date | 2023/05 |
Summary | OBJECTIVE:To investigate the association between sufficient energy intake and improvement in activities of daily living (ADL) after hospitalization in patients with cervical spinal cord injury (CSCI) undergoing post-acute rehabilitation.DESIGN:Retrospective cohort study.SETTING:Post-acute care hospital from September 2013 to December 2020.PARTICIPANTS:Patients with CSCI admitted to a post-acute care hospital for rehabilitation.INTERVENTION:Not applicable.OUTCOME MEASURE(S):Multiple regression analysis was performed to investigate the relationship of sufficient energy intake to Motor Functional Independence Measure (mFIM) gain, mFIM score at discharge, and body weight change during hospitalization.RESULTS:In total, 116 patients (104 men and 12 women), median age: 55 (interquartile range [IQR] 41-65) years were included in the analysis. Then, 68 (58.6%) were in the energy-sufficient group, and 48 (41.4%) patients were classified under the energy-deficient group. The two groups did not significantly differ in terms of mFIM gain and mFIM score at discharge. The energy-sufficient group maintained body weight change during hospitalization than the energy-deficient group (0.6 [-2.0-2.0] vs. -1.9 [-4.0--0.3], P < 0.001). Multiple regression analysis showed no association between sufficient energy intake and outcomes.CONCLUSION:Sufficient energy intake within the first 3 days of admission did not affect ADL improvement during hospitalization in patients with a post-cute CSCI undergoing rehabilitation. |
DOI | 10.1080/10790268.2023.2212333 |
PMID | 37195196 |