TREATMENT
Intensive nutritional supplementation improved functional outcome after stroke
| The first 150 words of the full text of this article appear below. |
Does an intensive nutritional supplement improve functional outcome in undernourished patients in a stroke rehabilitation unit?
Design: randomised controlled trial.
Allocation: concealed.
Blinding: blinded (patients, healthcare providers, therapists, data collectors, and outcome assessors).
Follow-up period: to discharge (mean 26 d).
Setting: stroke rehabilitation unit in New York, USA.
Patients:
116 patients (mean age 74 y, 59% men) who had had a first stroke <4 weeks before admission to the unit, had 
2.5% weight loss within 2 weeks after the stroke, were medically stable, and were able to ingest food orally. Exclusion criteria were dementia, alcohol abuse, renal or liver disease, malabsorption, and terminal illness.
Intervention: intensive nutritional supplement (240 calories, 11 g of protein) (n = 58) or standard nutritional supplement (127 calories, 5 g of protein) (n = 58), 120 ml every 8 hours until discharge, plus usual hospital diet and multivitamins.
Outcomes:
change in Functional Independence Measure (FIM)
University of Texas School of Nursing Houston Houston, Texas, USA
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