Assessment of wound healing in relation to nutritional status of the patients in common surgical condition in tertiary care centre

Abstract

Background: Wound healing depends upon a balance between general factors which include nutritional status of the patient and local factors. Assessment of wound healing in relation to nutritional status of the patients in common surgical conditions.Methods: 46 surgical patients admitted in S.R.N. Hospital, Motilal Nehru Medical College, Allahabad during the period from July 2017 to July 2018, were included. Clinical, anthropometric examination, assessment of wound healing and factors affecting wound healing was done.Results: The mean age of the males patients were 38 years and that of female 33 years. Out of 46 patients included in our study 71.74% were male and 28.26% were females, and among these 15.15% of male and 38.46% female were malnourished. Percentage of wound contraction was 11.38% among the healthy and 2.30% in malnourished group, while the percentage of infection was 14% and 13% among healthy males and female and 20% each for malnourished males and females. Loss of weight was 9.4% and 10.1% among healthy male and female and 6.54% and 7.5% for malnourished male and females. The percentage of wound disruption in our study was 9% among malnourished group.Conclusions: Wound infection and disruption collectively increased the mortality and morbidity significantly in patients of malnourished group. Socio economic status has indirect correlation with wound healing. Malnourishment has a definite effect on wound healing.

Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study

“…In this study nutritional status was found to be significantly associated with wound healing outcomes. This result was in agreement with other studies done in India [ 14 ], Italy [ 22 ], India [ 15 ], and Korea [ 21 ]. This finding could be explained by the fact that the patients had a good nutritional status which enhances the growth hormone and collagen production that increase tensile strength and decrease risk factor of wound healing dalliance.…”

“…In this study nutritional status was found to be significantly associated with wound healing outcomes. is result was in agreement with other studies done in India [14], Italy [22], India [15], and Korea [21].…”

“…The study population was adult patients (≥18 years) who underwent abdominal surgery at the surgical ward of Bahir Dar City Public hospitals. The sample size was calculated by considering 95% confidence level (CL), 80% of power (1- β ), and taking nutritional status with1:1 ratio (well-nourished vs. malnourished) as exposure variable [ 14 ] and 10% nonresponse rate. The final sample size was 310 adult patients (155 for well-nourished and 155 malnourished patients) who had undergone abdominal surgery.…”

“…While on serum albumin measurement operated surgical patients with normal nutritional status had a higher probability of wound healing than the counterpart [ 13 ]. The percentage of postoperative wound healing incidence rate was 11.40% from the healthy individuals but 2.30% in malnourished patients [ 14 ]. Based on serum albumin measure, the incidence rate of delayed wound healing was 12% and 28% from the well-nourished and undernourished, respectively.…”

An IoT assisted clinical decision support system for wound healthcare monitoring

“…The main purpose of wound management is to assure healthy on-time wound healing, which could assure by maintaining a balance between different wound factors (local and general). [1][2][3][4] This balance between local and general factors shall assure by regular monitoring of wound. This regular check on biological on-going wound healing mechanism will ultimately prevent wound from infection, inappropriate tissues regeneration and impaired healing.…”