Increased Resting Energy Expenditure after Endovascular Coiling for Subarachnoid Hemorrhage

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Ayano NaganoTetsuo Koyama

Abstract

Appropriate nutritional care from the acute stage is essential for improved functional outcomes and reduced mortality in patients with subarachnoid hemorrhage (SAH). Although endovascular coiling is increasingly being used as an alternative to neurosurgical clipping and craniotomy for ruptured aneurysms, the resting energy expenditure (REE) of patients treated with this new technique has not been systemically evaluated. We measured REE values by indirect calorimetry in 12 SAH patients treated with endovascular coiling. We averaged the REE measurements obtained on days 1 and 7 after endovascular coiling, and then we statistically compared the mean REE values with those in 30 patients with acute cerebral infarction (ACI) by the Wilcoxon rank-sum test (P <.05). Next, we calculated the ratio of measured REE values to the values estimated using the Harris-Benedict equation to adjust for demographic differences in sex, weight, height, and age between the groups. The ratios were significantly higher in SAH patients (median value, 1.12; interquartile range, 1.05-1.23) than in ACI patients (median value, 1.02; interquartile range, .97-1.09). Because endovascular coiling is less invasive than neurosurgical clipping, the observed increase...Continue Reading

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May 24, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ayano NaganoTetsuo Koyama

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Citations

Sep 1, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ayano NaganoHidetaka Wakabayashi
Dec 19, 2019·Upsala Journal of Medical Sciences·Christoffer NybergTorbjörn Karlsson
Mar 1, 2017·BMC Neurology·Akiko KadaUNKNOWN J-ASPECT Study Collaborators

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