Stroke Severity and Constipation in Ischemic Stroke Patient in Indonesian Regional Hospital

Azham Purwandhono, Satria Arju Ridho Robby, Kristianningrum Dian Sofiana, Muhammad Ihwan Narwanto, Novan Krisno Adji

Abstract


Ischemic stroke can lead to a range of complications, incluing constipation. This study aimed to evaluate the relationship between stroke severity history and constipation among ischemic stroke patients treated at the Outpatient Neurology Clinic of dr. Soebandi Jember Regional Hospital. This cross-sectional observational analytic study was conducted on 37 first-attack ischemic stroke patients who met the inclusion and exclusion criteria during the period of June to November 2024. Stroke severity data were obtained from medical records using the National Institutes of Health Stroke Scale (NIHSS) score. Meanwhile, constipation incidence data were obtained through interviews using the Constipation Scoring System (CSS) questionnaire. Data collected were then analyzed using the Spearman test. Most subjects were ≥60 years (39.5%), male (62.2%), and graduated from elementary school (45.9%). Most patients had moderate stroke severity (40.5%) and moderate constipation (40.5%). There was a significant relationship between stroke severity and constipation (p=0.001) with a strong correlation strength (r=0.524) and a positive correlation direction. In conclusion, stroke severity has a strong, directly proportional relationship with constipation in ischemic stroke patients.



Keywords


Constipation, ischemic stroke, national institutes of health stroke scale, stroke severity

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References


  1. Mendis S, Davis S, Norrving B. Organizational Update. Stroke. 2015;46(5):e123.doi:10.1161/STROKEAHA.115.008097
  2. Pu L, Wang L, Zhang R, Zhao T, Jiang Y, Han L. Projected global trends in ischemic stroke incidence, deaths and disability-adjusted life years from 2020 to 2030. Stroke. 2023;54(5):1330–9. doi:10.1161/STROKEAHA.122.040073
  3. Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI. 2018;53(9):1689–99.
  4. Gowda R, Jaffa M, Badjatia N. Thermoregulation in brain injury. In: A.A. Romanovsky, ed. Handbook of Clinical Neurology. Vol 157. 1st ed. Elsevier B.V.; 2018:789–97. doi:10.1016/B978-0-444-64074-1.00049-5
  5. Walter K. What is acute ischemic stroke?. JAMA. 2022;327(9):885.
  6. Li J, Yuan M, Liu Y, Zhao Y, Wang J, Guo W. Incidence of constipation in stroke patients. Medicine.2016;(10):1–6.
  7. Han IJ, Lee JE, Song HN, Baek IY, Choi J, Chung JW, et al. Imaging and clinical predictors of acute constipation in patients with acute ischemic stroke.Front Neurosci. 2023;17:1263693. doi:10.3389/fnins.2023.1263693
  8. Yang J, Wang HP, Zhou L, Xu CF. Effect of dietary fiber on constipation: a meta analysis. World J Gastroenterol. 2012;18(48):7378-83. doi:10.3748/wjg.v18.i48.7378.
  9. Neto HP, Borges RA. Visceral Mobilization and functional constipation in stroke survivors: a randomized, controlled, double-blind, clinical trial. Cureus. 2020;12(5):e8058.doi:10.7759/cureus.8058
  10. Van Der Schoot A, Drysdale C, Whelan K, Dimidi E. The effect of fiber supplementation on chronic constipation in adults: an updated systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr. 2022;116(4):953–69. doi:10.1093/ajcn/nqac184
  11. Shiba S, Masunaga T, Tamamura Y, Matsuura M, Nishikimi T. The relationship between the severity of constipation and exercise status in the japanese population according to questionnaire survey. GastroHep. 2022;2022:1–6.doi:10.1155/2022/2378353
  12. Daniali M, Nikfar S, Abdollahi M. An overview of interventions for constipation in adults. Expert Rev Gastroenterol Hepatol. 2020;14(8):721–32. doi:10.1080/17474124.2020.1781617
  13. Kogan E, Twyman K, Heap J, Milentijevic D, Lin JH, Alberts M. Assessing stroke severity using electronic health record data: A machine learning approach. BMC Med Inform Decis Mak. 2020;20(1):1–8. doi:10.1186/s12911-019-1010-x
  14. Budianto P, Prabaningtyas H, Putra SE, Mirawati diah K, Muhammad F, Hafizan M. Manifestasi klinis stroke iskemik. In: Budianto P, ed. Stroke Iskemik akut : dasar dan klinis. 1st ed. Univesrsitas Sebelas Maret Press. 2021:45–9.
  15. Sun Y, Lin Y, Wang J, Xu Z, Bao W, Chen Z, et al. Risk factors for constipation in patients with acute and subacute ischemic stroke: a retrospective cohort study. J Clinical Neurosci. 2022;106(10):91–5.doi:10.1016/j.jocn.2022.10.014
  16. Ozkan H, Ambler G, Banerjee G, Mitchell JJ, Barbato C, Browning S, et al. Articles prevalence, predictors, and patterns of patient reported non- motor outcomes six months after stroke : a prospective cohort study. The Lancet Regional Health- Europe. 2024;47:101080. doi:10.1016/j.lanepe.2024.101080
  17. Tuz AA, Hasenberg A, Hermann DM, Gunzer M, Singh V. Ischemic stroke and concomitant gastrointestinal complications- a fatal combination for patient recovery. 2022;(11):1–9. doi:10.3389/fimmu.2022.1037330
  18. Sayuk GS, Yu QT, Shy C. Management of constipation in hospitalized patients. J Clin Med. 2023;12(19):1–11. doi:10.3390/jcm12196148
  19. Du X, Liu S, Jia P, Wang X, Gan J, Hu W, et al. Epidemiology of constipation in elderly people in parts of China: a multicenter study. Front Public Health. 2022;10(6):1–8.doi:10.3389/fpubh.2022.823987
  20. Yurtdaş G, Acar-Tek N, Akbulut G, Cemali Ö, Arslan N, Beyaz Coşkun A, et al. Risk factors for constipation in adults: a cross-sectional study. J Am Coll Nutr. 2020;39(8):713–9.doi:10.1080/07315724.2020.1727380
  21. Jangid V, Godhia M, Sanwalka N, Shukla A. Water intake, dietary fibre, defecatory habits and its association with chronic functional constipation. Current Research in Nutrition and Food Science. 2016;4(2):90–5.doi:10.12944/CRNFSJ.4.2.02
  22. Wang F, Fei M, Hu WZ, Wang XD, Liu S, Zeng Y, et al. Prevalence of constipation in elderly and its association with dementia and mild cognitive impairment: a cross-sectional study. Front Neurosci. 2022;15(1):1–9.doi:10.3389/fnins.2021.821654
  23. Pan R, Wang L, Xu X, Chen Y, Wang H, Wang G, et al. Crosstalk between the Gut Microbiome and Colonic Motility in Chronic Constipation: Potential Mechanisms and Microbiota Modulation. Nutrients. 2022;14(18):3704. doi:10.3390/nu14183704




DOI: https://doi.org/10.15395/mkb.v58.4276

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