Actual situation of nutritional management and factors related to activities of daily living ability at discharge in convalescent rehabilitation ward

Saito T, Kamachi M. Actual situation of nutritional management and factors related to activities of daily living ability at discharge in convalescent rehabilitation ward. Jpn J Compr Rehabil Sci 2024; 15: 71-78. Objective: In this study, we aimed to investigate changes in the Geriatric Nutritional Risk Index (GNRI), a nutrition-related prognostic indicator, in our convalescent rehabilitation ward and determine how this index relates to activities of daily living (ADL) ability at discharge. Methods: We retrospectively analyzed data of 107 patients admitted to our convalescent rehabilitation ward between April and September 2023. We used the GNRI as the nutritional risk index and Functional Independence Measure (FIM) as the ADL index. Conclusion: Body weight and GNRI scores decreased after admission but stopped decreasing after the fifth month due to a gradual increase in energy intake. At discharge, the FIM score was positively associated with the GNRI score. We expected that active nutritional therapy from the beginning of hospitalization would increase the GNRI by the time of discharge and eventually improve ADL ability at discharge.