The development and healing of pressure sores related to the nutritional state

Ek, Anna‐Christina; Unosson, Mitra; Larsson, Jörgen; Schenck, H von; Bjurulf, Per

doi:10.1016/0261-5614(91)90002-t

Cited by 180 publications

(137 citation statements)

References 9 publications

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“…Since malnutrition is a common consequence of chronic disease and old age, many elderly people living in service flats are at nutritional risk (Karlsson et al, 1999;Saletti et al, 2000). Malnutrition is associated with increased infection rates (Chandra, 1993), poor wound healing, and pressure sores (Ek et al, 1991). Undernutrition also increases the risk of deterioration in physical condition (Covinsky et al, 1999;Potter et al, 2001) and thus of hospitalisation and mortality (Larsson et al, 1990;Cederholm et al, 1995;Flodin et al, 2000;Sacks et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Nutritional status, well-being and functional ability in frail elderly service flat residents

Koochek²,

et al. 2004

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Objective: To investigate nutritional status and its relationship to cognition, well-being, functional ability and energy intake in frail elderly service flat residents. Design: Cross-sectional and prospective study. Setting: Two municipal service flat complexes. Subjects: A total of 80 residents (median age 85.5 (79-90) y) with regular home care assistance participated. A subgroup of 35 residents took part in a re-examination 1 y later. Methods: Mini Nutritional Assessment (MNA), Short Portable Mental Status Questionnaire, Barthel Index and Health Index were used for the evaluation of nutritional, cognitive and ADL function and well-being, respectively. Results: In all, 30% of the frail and chronically ill service flat residents were assessed as malnourished and 59% were at risk of malnutrition. The malnourished residents had worse cognitive conditions (Po0.001) and well-being (Po0.05), lower functional ability (Po0.01) and they had a greater need for daily assistance (Po0.05) than the other residents. The median night fast period was 14.0 (12.5-15.0) h. Five subjects classified as malnourished at baseline had lost a median of À9.6 kg (range À11.0 to þ 7.3 kg) (Po0.05) in body weight at the 1-y follow-up, which contrasted significantly from the weight stability in residents classified as at risk for malnutrition or well-nourished. Conclusion: Out of 10 residents, nine were assessed to have impending nutritional problems that related to impaired wellbeing, cognition, and functional ability. Malnourished residents had a significant weight loss over one year. Studies are needed to determine whether weight loss and nutrition-related dysfunction in service flat residents are preventable or treatable.

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Section: Introductionmentioning

confidence: 99%

Nutritional status, well-being and functional ability in frail elderly service flat residents

Koochek²,

et al. 2004

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“…There is interest in the occurrence and effects of malnutrition in hospital patients [6,27], and it is common in those with osteoporotic hip fractures [8,16,20] and major amputees [9,17,22]. Malnourished patients have a greater risk of delayed healing, decubitus, infection, congestive heart failure, progressive weakness, apathy and death [11,15,16,22,28]. Supplementary nutrition improved the clinical outcome after hip fracture, with significantly fewer complications, deaths and shorter hospital stays [2,8,26].…”

Section: Introductionmentioning

confidence: 99%

Improved wound healing in transtibial amputees receiving supplementary nutrition

Eneroth

Apelqvist

Larsson

et al. 1997

International Orthopaedics

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“…Moreover, mortality rates of 18.7% have been reported in some studies (Redelings, Lee, and Sorvillo, 2005). Adequate nutrition is suggested as a major factor in the prevention and management of pressure ulcers (Lee et al, 2006;Ek, Unosson, Larsson, Von Schenck, and Bjurulf, 1991). Despite the, social, psychological and physiological impact of pressure ulcers interventional studies related to the management of pressure ulcers remain limited.…”

Section: Discussionmentioning

confidence: 99%

“…The relationship between nutritional state and the development of pressure ulcers was evaluated using serum protein analysis, anthropometry, and delayed hypersensitivity skin testing by Ek, Unosson, Larsson, Von Schenck, and Bjurulf, (1991 Review of the literature demonstrates that nutrition profoundly influences pressure ulcer formation and healing, both negatively and positively. Inadequate nutrition (abnormal serum protein, anthropometry, and energy) is a significant risk factor for the development of pressure ulcers; especially in the elderly (Meijers et al, 2008).…”

Section: Psychosocial Risk Factorsmentioning

confidence: 99%

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Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients

Allen¹

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Allen, Beverlin, "Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients" (2010 The dissertation of Beverlin Allen is approved. The elderly are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life. The burden of pressure ulcers will intensify because of a rapidly increasing elderly population in the United States (US). Poor nutrition is a major predictor of pressure ulcer formation. The purpose of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on: 1) pressure ulcer wound healing 2) length of hospital stays, and 3) charges for pressure ulcer management. Interim Dean Sharon PontiusUsing a pre-intervention/post intervention quasi-experimental design the study sample was composed of 100 patients 60 years or older, admitted with or acquiring a pressure ulcer. A pre-intervention group (n= 50) received routine pressure ulcer care (standard diet, dressing changes, and equipment). A post-intervention group received routine care plus an interdisciplinary nutrition intervention (physical therapy, speech therapy, occupational therapy, added protein and calories to the diet). Research questions were vi analyzed using descriptive statistics, frequencies, Chi-Square Tests, and T-tests.

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The development and healing of pressure sores related to the nutritional state

Cited by 180 publications

References 9 publications

Nutritional status, well-being and functional ability in frail elderly service flat residents

Nutritional status, well-being and functional ability in frail elderly service flat residents

Improved wound healing in transtibial amputees receiving supplementary nutrition

Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients

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