Neurocritical Care

, Volume 29, Issue 3, pp 374–384 | Cite as

Malnutrition in Stroke Patients: Risk Factors, Assessment, and Management

  • Toni Sabbouh
  • Michel T. TorbeyEmail author
Review Article


Stroke is the fourth leading cause of death in the USA [1] and one of the major causes of disability generating a massive economic burden [2]. Ischemic strokes account for 65–85% of stroke patients in the Western world, and the rest are hemorrhagic strokes which are more disabling [3]. Only 10–20% of hemorrhagic stroke patients will recover functional independence [4]. In order to improve neurological and cognitive functions of stroke patients, numerous rehabilitation interventions are implemented, including nutritional interventions, in attempt to overcome the metabolic consequences of stroke [5, 6].

Even though malnutrition in stroke patients is under-recognized and undertreated, its prevalence on admission is estimated to be around 20% [7, 8]. However, the prevalence of malnutrition after acute stroke varies widely ranging between 6.1 and 62% [9, 10]. This wide range has been attributed to different timing of assessment, patients’ characteristics, and most importantly,...


Stroke Calorimetry Nutrition Risk factors 



Funding was provided by National Institute of Neurological Disorders and Stroke (Grant No. U10NS086484).


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© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Cerebrovascular and Neurocritical Care Division, Department of Neurology, Wexner Medical CenterThe Ohio State UniversityColumbusUSA
  2. 2.Department of NeurosurgeryThe Ohio State University Wexner Medical CenterColumbusUSA

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