THE CONTROLLING NUTRITIONAL STATUS (CONUT) SCORE AS NUTRITIONAL SCREENING TOOL AND PREDICTOR OF CLINICAL OUTCOMES IN STROKE
Abstract
Stroke is one of the leading causes of death worldwide and causes a high financial burden. Malnutrition in stroke patients is associated with worse clinical outcomes. However, until now there is no universally agreed gold standard for establishing a diagnosis of malnutrition. The Controlling Nutritional Status (CONUT) score has been reported to have good sensitivity and specificity in detecting malnutrition in hospitals. In addition, the CONUT score has also been shown to have good ability in predicting clinical outcomes of stroke patients. Implementing CONUT Score in clinical practice may provide management consideration.
References
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Yoo, S.-H., Kim, J.S., Kwon, S.U., Yun, S.-C., Koh, J.-Y. & Kang, D.-W. 2008. Undernutrition as a Predictor of Poor Clinical Outcomes in Acute Ischemic Stroke Patients. Archives of Neurology. 65(1).
Zhao, W., An, Z., Hong, Y., Zhou, G., Guo, J., … Wang, J. 2016. Low total cholesterol level is the independent predictor of poor outcomes in patients with acute ischemic stroke: a hospital-based prospective study. BMC Neurology. 16(1):36.
Bouziana, S.D. & Tziomalos, K. 2011a. Malnutrition in Patients with Acute Stroke. Journal of Nutrition and Metabolism. 2011:1–7.
Bouziana, S.D. & Tziomalos, K. 2011b. Malnutrition in Patients with Acute Stroke. Journal of Nutrition and Metabolism. 2011:1–7.
Chai, J., Chu, F.C.S., Chow, T.W. & Shum, N.C. 2008. Prevalence of malnutrition and its risk factors in stroke patients residing in an infirmary. Singapore medical journal. 49(4):290–6.
Chen, J., Song, P., Peng, Z., Liu, Z., Yang, L., … Dong, Q. 2022. The Controlling Nutritional Status (CONUT) Score and Prognosis in Malignant Tumors: A Systematic Review and Meta-Analysis. Nutrition and Cancer. 74(9):3146–3163.
Corrigan, M.L., Escuro, A.A., Celestin, J. & Kirby, D.F. 2011. Nutrition in the Stroke Patient. Nutrition in Clinical Practice. 26(3):242–252.
Dennis, M. 2000. Nutrition after stroke. British Medical Bulletin. 56(2):466–475.
Dziedzic, T., Slowik, A. & Szczudlik, A. 2004. Serum Albumin Level as a Predictor of Ischemic Stroke Outcome. Stroke. 35(6).
Feigin, V.L., Stark, B.A., Johnson, C.O., Roth, G.A., Bisignano, C., … Murray, C.J.L. 2021. Global, regional, and national burden of stroke and its risk factors, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology. 20(10):1–26.
Ignacio de Ulíbarri, J., González-Madroño, A., de Villar, N.G.P., González, P., González, B., … Fernández, G. 2005. CONUT: a tool for controlling nutritional status. First validation in a hospital population. Nutricion hospitalaria. 20(1):38–45.
J. Prosser-Loose, E., E. Smith, S. & G. Paterson, P. 2011. Experimental Model Considerations for the Study of Protein-Energy Malnutrition Co-Existing with Ischemic Brain Injury. Current Neurovascular Research. 8(2):170–182.
Jensen, G.L., Mirtallo, J., Compher, C., Dhaliwal, R., Forbes, A., … Waitzberg, D. 2010. Adult Starvation and Disease‐Related Malnutrition. Journal of Parenteral and Enteral Nutrition. 34(2):156–159.
Kementerian Kesehatan RI. 2023. Survei Kesehatan Indonesia 2023.
Kim, J., Song, T.-J., Park, J.H., Lee, H.S., Nam, C.M., … Heo, J.H. 2012. Different prognostic value of white blood cell subtypes in patients with acute cerebral infarction. Atherosclerosis. 222(2):464–467.
Kokura, Y., Kimoto, K., Okada, Y. & Kawakita, S. 2020. The Controlling Nutritional Status score as a functional prognostic marker in patients with acute stroke: A multicenter retrospective cohort study. Nutrition. 79–80:110889.
Sabbouh, T. & Torbey, M.T. 2018. Malnutrition in Stroke Patients: Risk Factors, Assessment, and Management. Neurocritical care. 29(3):374–384.
Tsao, C.W., Aday, A.W., Almarzooq, Z.I., Alonso, A., Beaton, A.Z., … Martin, S.S. 2022.
Wahyudin, W., Wahyu Pribadi, F., Nawangtantrini, G., Riski Fatah, M., & Zainuddin, Z. (2024). Black Garlic Supplementation and Glomerular Protection in Hyperuricemic Rats: A Study on Kidney Health Prevention . Journal of Public Health and Pharmacy, 4(3), 290-299. https://doi.org/10.56338/jphp.v4i3.5496
Wirth, R., Smoliner, C., Jäger, M., Warnecke, T., Leischker, A.H. & Dziewas, R. 2013. Guideline clinical nutrition in patients with stroke. Experimental & Translational Stroke Medicine. 5(1):14.
Yoo, S.-H., Kim, J.S., Kwon, S.U., Yun, S.-C., Koh, J.-Y. & Kang, D.-W. 2008. Undernutrition as a Predictor of Poor Clinical Outcomes in Acute Ischemic Stroke Patients. Archives of Neurology. 65(1).
Zhao, W., An, Z., Hong, Y., Zhou, G., Guo, J., … Wang, J. 2016. Low total cholesterol level is the independent predictor of poor outcomes in patients with acute ischemic stroke: a hospital-based prospective study. BMC Neurology. 16(1):36.
Published
2024-11-14
How to Cite
GUNARTO, Untung.
THE CONTROLLING NUTRITIONAL STATUS (CONUT) SCORE AS NUTRITIONAL SCREENING TOOL AND PREDICTOR OF CLINICAL OUTCOMES IN STROKE.
Mandala Of Health, [S.l.], v. 18, n. 1, p. 01-05, nov. 2024.
ISSN 2615-6954.
Available at: <https://jos.unsoed.ac.id/index.php/mandala/article/view/13692>. Date accessed: 19 apr. 2025.
doi: https://doi.org/10.20884/1.mandala.2025.18.1.13692.
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Articles
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