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De energie- en eiwitbehoefte van patiënten tijdens de eerste twee weken van ziekenhuisopname na het doormaken van een CVA : een systematische review
| Content Provider | Semantic Scholar |
|---|---|
| Author | Wensveen, Daniëlle Woude, L. Van Der |
| Copyright Year | 2014 |
| Abstract | Background Suffering a stroke is associated with (an increased risk of ) malnutrition. Therefore, an accurate energy and protein intake to the appropriate requirement of stroke patients during the first weeks after the stroke is of great importance. This systematic review examined the energy and protein requirements of stroke patients during the first two weeks after suffering a stroke during hospitalization and the extent to which there is a different energy and protein requirement within the following subgroups of patients: bedridden patients compared to not-bedridden patients, obese and undernourished patients compared to patients with a BMI within the normal range, patients older than 65 years compared to younger patients and patients with severe stroke compared to patients with less severe stroke. Method Until December 2013 we searched the following electronic databases: PubMed, Cochrane Library, EMBASE and CINAHL. All studies published in English or Dutch in which the energy and/or protein requirements of hospitalized stroke patients was measured, investigated or in which substantiated advice was given, were included. For reporting, the list of the PRISMA statement was used. Because of the great heterogeneity of the studies, no meta-analysis could be performed. This systematic review therefore is a qualitative summary. Results The measured energy requirement seems to correspond with the estimated need by using various formulas for basal metabolism and an addition of 10-30%. No statement can be made on the protein requirement given the limited evidence. There is no difference in energy requirement between different types of stroke. There is confusion and lack of research on the difference in energy and protein requirements in the other subgroups. Conclusion Due to the large variability of results within and between the studies, indirect calorimetry is recommended to determine the individual energy requirement. More high quality research is needed to determine the energy and protein requirements of (subgroups of) stroke patients. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://arno.uva.nl/cgi/arno/show.cgi?fid=546723 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
