Survey of nutritional status in newly hospitalized patients with stage III or stage IV pressure ulcers

Adv Skin Wound Care. 2000 Jul-Aug;13(4 Pt 1):164-8.

Abstract

Objective: To examine the nutritional status of newly hospitalized patients with Stage III or Stage IV pressure ulcers.

Design: Descriptive survey.

Study participants: 405 newly admitted hospitalized non-ICU patients were eligible for inclusion in the study. Patients included in the study had Stage III or Stage IV pressure ulcers on their trunk, had weight indices available, and had prealbumin levels measured. One hundred and twenty patients were included in the analysis.

Interventions and main outcome measures: Measurements of weight, prealbumin and albumin levels, nutritional intake, type of diet, gender, age, type of pressure ulcer, and type of residence prior to admission.

Results: Analysis of the data revealed that a majority of the patients were elderly, had a Stage III sacral ulcer, were below their usual body weight, had a low prealbumin level, and were not taking in enough nutrition to meet their needs.

Conclusion: The results of this study suggest that a majority of newly hospitalized patients with severe pressure ulcers are malnourished and aggressive nutritional therapy may be warranted.

MeSH terms

  • Aged
  • Body Weight
  • Female
  • Hospitalization*
  • Humans
  • Male
  • Middle Aged
  • Nutrition Disorders / blood
  • Nutrition Disorders / complications*
  • Nutrition Disorders / diagnosis*
  • Nutritional Status*
  • Prealbumin / metabolism
  • Pressure Ulcer / classification
  • Pressure Ulcer / complications*
  • Prospective Studies
  • Retrospective Studies
  • Risk Factors
  • Serum Albumin / analysis
  • Severity of Illness Index

Substances

  • Prealbumin
  • Serum Albumin