P526 - ASSOCIATION OF MODIFIED SUBJECTIVE GLOBAL ASSESSMENT TO MORTALITY AMONG STROKE PATIENTS ADMITTED IN A TERTIARY GOVERNMENT HOSPITAL

P526

ASSOCIATION OF MODIFIED SUBJECTIVE GLOBAL ASSESSMENT TO MORTALITY AMONG STROKE PATIENTS ADMITTED IN A TERTIARY GOVERNMENT HOSPITAL

A. D. V. Montiales^1,*, P. G. S. Calamba¹

¹Internal Medicine, Davao Regional Medical Center, Tagum City, Philippines

Rationale:   Malnutrition impact patient’s outcome though it has been documented among stroke population, the severity of malnutrition as moderate or severe has not been explored and studied as well as its influence to its clinical outcome. This study generally aimed to determine the association of modified Subjective Global Assessment (mSGA) to mortality among stroke patients admitted in a tertiary government hospital.

Methods: A quantitative, observational, cross sectional, descriptive and analytical predictive type of research study was conducted among randomly selected two hundred fifty one admitted stroke patients in a tertiary government hospital from January 2020 to December 2021. Review of medical charts and modified Subjective Global Assessment (mSGA) records were used for data gathering and enumerated all respondents that were eligible based on inclusion and exclusion criteria. Binary logistic regression was the statistical tool used to determine the relationship between variables.

Results: The mean age of cases among 251 stroke patients in the study was 64.2 years old. Mostly were hypertensive 88.4% (228/251) and sustained hemorrhagic type of stroke 54.6% (137/251). Severely malnourished stroke patients (mSGA C) had the highest mortality rate of 56.4%. On determining the relationship between mSGA and mortality among stroke patients, those who were classified as severely malnourished had 3.521 times the chance to die with p value of 0.013 (OR=3.521, 95%CI 01.007-93.290). Both mSGA A and mSGA B classified as mild and moderately malnourished did not show odds of death due to limited data. 

Conclusion: The study implies that severe malnutrition (mSGA C) is associated with high risk for mortality among admitted stroke patients.  Nutritional assessment among stroke patients is an important factor in predicting clinical outcome.

Disclosure of Interest: None declared