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Model of Maeshima et al for Eating and Swallowing Disability After Stroke

Description

Maeshima et al identified factors in the acute care hospital that can predict long-term prognosis for eating and swallowng. These can help to identify a patient who may benefit from more aggressive management. The authors are from Fujita Health University, the National Center for Geriatrics and Gerontology and Saitama Medical University in Japan.


Patient selection: stroke patient in the acute care hospital

 

Outcome: nutritional intake after discharge from rehabilitation hospital (oral vs enteral feeding)

 

Parameters:

(1) age in years

(2) functional independence measure (FIM, which ranges from 18 to 126) on admission

(3) FIM at discharge

 

FIM gain =

= (FIM at discharge) - (FIM on admission)

 

X =

= (0.048 * (age)) - (0.014 * (FIM gain)) - 5.126

 

probability of oral intake at discharge from rehabilitation hospital =

= 1 / (1 + EXP((-1) * X))

 

NOTE: When implemented as published the formula gives unexpected the values. A low age and high FIM gain give a low percent oral intake, while a high age and low FIM gain give a higher percent. The equation may be giving the rate of enteral intake rather than oral.

 

Performance:

• The area under the ROC curve was 0.68.


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