PD449 - TIMING OF NUTRITION SUPPORT TEAM INTERVENTION AS A PREDICTOR OF PROLONGED LENGTH OF HOSPITAL STAY IN ADULTS WITH ISCHEMIC STROKE ADMITTED TO A TERTIARY GOVERNMENT HOSPITAL MEDICAL WARD

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PD449

TIMING OF NUTRITION SUPPORT TEAM INTERVENTION AS A PREDICTOR OF PROLONGED LENGTH OF HOSPITAL STAY IN ADULTS WITH ISCHEMIC STROKE ADMITTED TO A TERTIARY GOVERNMENT HOSPITAL MEDICAL WARD

J. J. S. Cabison1,*, G. L. L. Manuales1

1Medical Nutrition, Davao Regional Medical Center, Tagum, Philippines

 

Rationale: Stroke remains a leading cause of disability and mortality globally. However, evidence on the impact of timely Nutrition Support Team (NST) intervention among ischemic stroke patients is limited. This study aimed to determine whether early NST intervention reduces the length of hospital stay (LOS) among adult ischemic stroke patients while also describing their demographic and clinical profiles, nutritional status, and classifying NST intervention and LOS as early or late, and reduced or prolonged, respectively.

Methods: This retrospective cross-sectional study included 84 adult ischemic stroke patients admitted to a tertiary government hospital and referred to the Medical Nutrition Department for enteral nutrition between January 2023 and June 2025. Data on demographic characteristics, comorbidities, nutritional status, timing of NST intervention, and LOS were collected from electronic medical records. Descriptive statistics and binary logistic regression were employed to ascertain whether NST timing predicted LOS.

Results: The mean age was 65.4 ± 12.7 years, with 51.2% males and 79.8% having hypertension. All patients were either moderately (51.2%) or severely (48.8%) malnourished. Although 76.2% received early NST intervention, regression analysis revealed no significant association between NST timing and LOS (p = 0.744, OR = 0.84, 95% CI: 0.30–2.39).

Conclusion: Ischemic stroke patients were predominantly older adults with vascular comorbidities and universal malnutrition. Early NST intervention did not significantly impact hospital stay, likely due to uniform enteral feeding and the influence of stroke severity and comorbidities.

Disclosure of Interest: None declared