Mini Nutritional Assessment Score and Visceral Proteins as Potential Predictors of Pressure Injuries in Home Care Patients With Stroke

Abstract

This study aimed to determine the presence of pressure injuries and their severity based on Mini Nutritional Assessment (MNA) score and visceral protein levels in stroke patients receiving home care services. A case-control study was conducted in a case group with pressure injury (n = 54) and in a control group with no pressure injury (n = 54). The MNA scores and serum albumin and prealbumin values were significantly lower in the case group than in the control group (P < .001). There were also significant differences according to the pressure injury stages. Lower MNA score and low levels of serum albumin and prealbumin are associated with the presence of pressure injuries and increased severity of pressure injuries.

Association between hypertension and pressure ulcer: A systematic review and meta‐analysis

“…To detect the source of heterogeneity that affects the pooled effect size of association between hypertension and PU, subgroup analyses were performed on patient source, research design and primary disease (Table 2 ). In the subgroup analysis of patient source, the meta‐analysis results indicated no significant association between hypertension and PU in Asia group (OR = 1.12, 95% CI = 0.83–1.50, I 2 = 63%, p = 0.46) 11 , 12 , 17 , 20 , 22 , 24 , 25 , 27 , 28 , 29 , 30 , 31 , 32 and Non‐Asia group (OR = 1.20, 95% CI = 0.75–1.94, I 2 = 88%, p = 0.45). 10 , 18 , 19 , 21 , 23 , 26 In the subgroup analysis of study design, the results also showed no significant association between hypertension and PU in cohort study (OR = 1.16, 95% CI = 0.84–1.61, I 2 = 63%, p = 0.36) 10 , 11 , 17 , 21 , 22 , 27 , 28 , 31 , 32 and case–control study (OR = 1.14, 95% CI = 0.79–1.64, I 2 = 82%, p = 0.49).…”

“… 10 , 18 , 19 , 21 , 23 , 26 In the subgroup analysis of study design, the results also showed no significant association between hypertension and PU in cohort study (OR = 1.16, 95% CI = 0.84–1.61, I 2 = 63%, p = 0.36) 10 , 11 , 17 , 21 , 22 , 27 , 28 , 31 , 32 and case–control study (OR = 1.14, 95% CI = 0.79–1.64, I 2 = 82%, p = 0.49). 12 , 18 , 19 , 20 , 23 , 24 , 25 , 26 , 29 , 30 Due to the primary disease difference, subgroup analysis was performed based on primary disease, and the results showed that there was a significant association between hypertension and PU in COVID‐19 patients(OR = 1.73, 95% CI = 1.35–2.22, I 2 = 0%, p < 0.0001), 10 , 21 , 26 whereas no association was found in stroke patients(OR = 0.80, 95% CI = 0.29–2.18, I 2 = 72%, p = 0.66), 24 , 30 geriatric disease (OR = 1.32, 95% CI = 0.78–2.24, I 2 = 0%, p = 0.30), 20 , 23 , 28 ICU patients(OR = 0.89, 95% CI = 0.56–1.42, I 2 = 61%, p = 0.62) 17 , 22 , 31 , 32 and surgical patients (OR = 1.10, 95% CI = 0.70–1.73, I 2 = 82%, p = 0.68). 11 , 12 , 18 , …”

“…I 2 = 72%, p = 0.66), 24,30 geriatric disease (OR = 1.32, 95% CI = 0.78-2.24, I 2 = 0%, p = 0.30), 20,23,28 ICU patients(OR = 0.89, 95% CI = 0.56-1.42, I 2 = 61%, p = 0.62) 17,22,31,32 and surgical patients (OR = 1.10, 95% CI = 0.70-1.73, I 2 = 82%, p = 0.68). 11,12,18,19,25,27,29 The impact of heterogeneity slightly decreased for the subgroup of primary disease, which indicated that primary disease might be the source of heterogeneity.…”

“…Pooled result from meta-analysis showed that there was no significantly statistical association between hypertension and the risk of PU (OR = 1.15, 95% CI = 0.90-1.47, p = 0.27, Figure 2). [10][11][12][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Furthermore, as shown in Figure 3, the results of sensitivity analysis using the leave-one-out strategy showed that the pooled result of the current meta-analysis was robust.…”

“…10,18,19,21,23,26 In the subgroup analysis of study design, the results also showed no significant association between hypertension and PU in cohort study (OR = 1.16, 95% CI = 0.84-1.61, I 2 = 63%, p = 0.36) 10,11,17,21,22,27,28,31,32 and case-control study (OR = 1.14, 95% CI = 0.79-1.64, I 2 = 82%, p = 0.49). 12,[18][19][20][23][24][25][26]29,30 Due to the primary disease difference, subgroup analysis was performed based on primary disease, and the results showed that there was a significant association between hypertension and PU in COVID-19 patients(OR = 1.73, 95% CI = 1.35-2.22, I 2 = 0%, p < 0.0001), 10,21,26 whereas no association was found in stroke patients(OR = 0.80, 95% CI = 0.29-2.18, F I G U R E 2 Forest plot for association between hypertension and PU.…”