| Unique ID issued by UMIN | UMIN000062094 |
|---|---|
| Receipt number | R000071047 |
| Scientific Title | A survey on nutritional management and rehabilitation in stroke patients and the association between nutritional management and clinical outcomes: a cohort study using a medical database |
| Date of disclosure of the study information | 2026/06/30 |
| Last modified on | 2026/06/29 18:37:07 |
A survey on nutritional management and rehabilitation in stroke patients and the association between nutritional management and clinical outcomes
Nutritional management, rehabilitation, and clinical outcomes in patients with stroke
A survey on nutritional management and rehabilitation in stroke patients and the association between nutritional management and clinical outcomes: a cohort study using a medical database
Nutritional management, rehabilitation, and clinical outcomes in patients with stroke
| Japan |
Stroke
| Medicine in general | Neurology | Neurosurgery |
| Intensive care medicine | Rehabilitation medicine | Adult |
Others
NO
To investigate real-world nutritional management and rehabilitation practices in patients with stroke and to investigate the association between nutritional management and clinical outcomes using a claims database.
Safety,Efficacy
In-hospital mortality
1) Worsening of the modified Rankin Scale
2) Non-home discharge
3) Readmission
4) Worsening of the Barthel Index
5) Unchanged or worsened clinical outcome
6) Food Intake Level Scale <7
7) Length of hospital stay
8) Healthcare costs
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
Patients hospitalized for stroke in acute care hospitals
1) Missing body weight at admission
2) Body weight at admission <10 kg or >=300 kg
3) Discharge (alive or dead) within 7 days of admission
750000
| 1st name | Yoshihiro |
| Middle name | |
| Last name | Yoshimura |
Kumamoto Rehabilitation Hospital
Center for Sarcopenia and Malnutrition Research
869-1106
760 Magate, Kikuyo Town, Kikuchi, Kumamoto, Japan
096-232-3111
hanley.belfus@gmail.com
| 1st name | Yuri |
| Middle name | |
| Last name | Horikoshi |
Otsuka Pharmaceutical Factory, Inc.
Medical Affairs Department
101-0052
5F, 1-1 Kanda Ogawamachi, Chiyoda-ku Tokyo, Japan
03-5577-4001
Horikoshi.Yuri@otsuka.jp
Kumamoto Rehabilitation Hospital
Otsuka Pharmaceutical Factory, Inc.
Profit organization
Japan
Kumamoto Rehabilitation Hospital Ethics Committee
760 Magate, Kikuyo Town, Kikuchi, Kumamoto, Japan
096-232-3111
kumareha-hisyo@kumareha.jp
NO
| 2026 | Year | 06 | Month | 30 | Day |
Unpublished
Preinitiation
| 2026 | Year | 06 | Month | 29 | Day |
| 2026 | Year | 06 | Month | 29 | Day |
| 2026 | Year | 07 | Month | 01 | Day |
| 2026 | Year | 09 | Month | 18 | Day |
Study design
A cohort study
Data source
A medical database by Medical Data Vision Co. Ltd. The database is based on the DPC data/medical claims database and covers approximately 32% of all DPC hospitals in Japan. All data is anonymized for personal information protection.
(1) Survey of acute-phase nutritional management
Nutritional management during the acute phase will be assessed using prescription and treatment data available in the database. The following items will be analyzed:
・Trends in routes of nutritional administration
・Trends in prescribed doses of parenteral nutrition
・Types of prescribed infusion preparations
・Distribution of prescribed doses of parenteral nutrition
(2) Association between supplemental parenteral nutrition / nutritional prescription doses and clinical outcomes
The associations of supplemental parenteral nutrition and nutritional prescription doses with clinical outcomes will be evaluated using multivariable logistic regression. Adjusted odds ratios and 95% confidence intervals will be estimated after adjustment for patient characteristics as confounders.
(3) Survey of nutritional management and rehabilitation in the convalescent ward
Nutritional management and rehabilitation in the convalescent ward will be assessed using prescription, treatment, and rehabilitation data available in the database. The following items will be analyzed:
・Trends in routes of nutritional administration
・Implementation status of nutritional interventions and rehabilitation
・Trends in Functional Independence Measure (FIM) scores
・Factors associated with FIM at discharge
| 2026 | Year | 06 | Month | 29 | Day |
| 2026 | Year | 06 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000071047