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Comment on relationship between initial nutritional status and functional independence measures at discharge in subacute stroke

      In a study recently published in this journal, Kamimoto et al.
      • Kamimoto T
      • Shindo K
      • Shimomura T
      • et al.
      Relationship between initial nutritional status and functional independence measures at discharge in subacute stroke.
      reported the relationship between initial nutritional status and functional independence measures at discharge (FIMTM) in subacute stroke. Rehabilitation nutrition in stroke is very important, because Yoshimura et al. reported that the presence or absence of sarcopenia
      • Yoshimura Y
      • Wakabayashi H
      • Bise T
      • et al.
      Sarcopenia is associated with worse recovery of physical function and dysphagia and a lower rate of home discharge in Japanese hospitalized adults undergoing convalescent rehabilitation.
      and hemoglobin level
      • Yoshimura Y
      • Wakabayashi H
      • Nagano F
      • et al.
      Low hemoglobin levels are associated with sarcopenia, dysphagia, and adverse rehabilitation outcomes after stroke.
      at admission, which are associated with nutrition status, were related to the recovery of ADL after stroke. However, the report by Kamimoto et al. raises some concerns about the conclusions and statistics.

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      References

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        • Shindo K
        • Shimomura T
        • et al.
        Relationship between initial nutritional status and functional independence measures at discharge in subacute stroke.
        J Stroke Cerebrovasc Dis. 2022; 31106754
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        Low hemoglobin levels are associated with sarcopenia, dysphagia, and adverse rehabilitation outcomes after stroke.
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      Linked Article

      • Response to the Letter to the editor, JSCVD-D-22-01922
        Journal of Stroke and Cerebrovascular Diseases
        • Preview
          Tokyo Bay Rehabilitation Hospital started a multi-disciplinary nutrition support team (NST) when it was established in 2007. The rehabilitation programs managed by physiatrists aim to achieve the highest activities of daily living (ADLs) for patients with subacute stroke, regardless of the length of stay (LOS).
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