Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance

The diagnosis of malnutrition should be one of the pillars of comprehensive patient care, especially in the case of patients with large wounds, prolonged healing, or comorbidities. The condition for a reliable and accurate nutritional diagnosis is to link it with the parameters of nutritional status...

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Autores principales: Skórka, Mateusz, Więch, Paweł, Przybek-Mita, Joanna, Malisiewicz, Anna, Pytlak, Kamila, Bazaliński, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10343395/
https://www.ncbi.nlm.nih.gov/pubmed/37447196
http://dx.doi.org/10.3390/nu15132869
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author Skórka, Mateusz
Więch, Paweł
Przybek-Mita, Joanna
Malisiewicz, Anna
Pytlak, Kamila
Bazaliński, Dariusz
author_facet Skórka, Mateusz
Więch, Paweł
Przybek-Mita, Joanna
Malisiewicz, Anna
Pytlak, Kamila
Bazaliński, Dariusz
author_sort Skórka, Mateusz
collection PubMed
description The diagnosis of malnutrition should be one of the pillars of comprehensive patient care, especially in the case of patients with large wounds, prolonged healing, or comorbidities. The condition for a reliable and accurate nutritional diagnosis is to link it with the parameters of nutritional status assessment at the basic level (anthropometric measurements and clinical assessment) and in depth (biochemical tests and bioelectrical impedance). A prospective study included a sample of 60 patients with coexisting chronic wounds (venous ulcers, diabetic foot syndrome, pressure injury) treated at the Wound Treatment Clinic of Fr. B. Markiewicz Podkarpackie Oncology Center (Poland). The method of estimation and diagnostic survey was used; the research tool was a scientific research protocol consisting of four parts. Self-care capacity was assessed based on the Barthel scale, nutritional status using blood biochemical parameters, and electrical bioimpedance. Wounds were classified according to the extent, depth of tissue structures, and potential infection. Subjects with pressure ulcers had statistically significantly lower fat-free mass component indices compared to those with diabetic foot syndrome and venous ulceration. The subjects with pressure ulcers had significantly lower values of body composition components compared to those with diabetic foot syndrome and venous ulcers. In the group of patients with pressure ulcers, the lowest values of albumin (3.20 g/dL), hemoglobin (10.81 g/dL), and nutritional risk index (NRI) (88.13 pts.) scores were confirmed. Subjects with pressure ulcers with limited self-care presented a non-physiological nutritional status, indicating a risk of malnutrition. Local actions related to wound treatment should be preceded by a general examination, considering the state of augmented nutrition with the use of electrical bioimpedance.
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spelling pubmed-103433952023-07-14 Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance Skórka, Mateusz Więch, Paweł Przybek-Mita, Joanna Malisiewicz, Anna Pytlak, Kamila Bazaliński, Dariusz Nutrients Article The diagnosis of malnutrition should be one of the pillars of comprehensive patient care, especially in the case of patients with large wounds, prolonged healing, or comorbidities. The condition for a reliable and accurate nutritional diagnosis is to link it with the parameters of nutritional status assessment at the basic level (anthropometric measurements and clinical assessment) and in depth (biochemical tests and bioelectrical impedance). A prospective study included a sample of 60 patients with coexisting chronic wounds (venous ulcers, diabetic foot syndrome, pressure injury) treated at the Wound Treatment Clinic of Fr. B. Markiewicz Podkarpackie Oncology Center (Poland). The method of estimation and diagnostic survey was used; the research tool was a scientific research protocol consisting of four parts. Self-care capacity was assessed based on the Barthel scale, nutritional status using blood biochemical parameters, and electrical bioimpedance. Wounds were classified according to the extent, depth of tissue structures, and potential infection. Subjects with pressure ulcers had statistically significantly lower fat-free mass component indices compared to those with diabetic foot syndrome and venous ulceration. The subjects with pressure ulcers had significantly lower values of body composition components compared to those with diabetic foot syndrome and venous ulcers. In the group of patients with pressure ulcers, the lowest values of albumin (3.20 g/dL), hemoglobin (10.81 g/dL), and nutritional risk index (NRI) (88.13 pts.) scores were confirmed. Subjects with pressure ulcers with limited self-care presented a non-physiological nutritional status, indicating a risk of malnutrition. Local actions related to wound treatment should be preceded by a general examination, considering the state of augmented nutrition with the use of electrical bioimpedance. MDPI 2023-06-25 /pmc/articles/PMC10343395/ /pubmed/37447196 http://dx.doi.org/10.3390/nu15132869 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Skórka, Mateusz
Więch, Paweł
Przybek-Mita, Joanna
Malisiewicz, Anna
Pytlak, Kamila
Bazaliński, Dariusz
Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title_full Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title_fullStr Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title_full_unstemmed Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title_short Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance
title_sort nutritional status of people with a coexisting chronic wound and extended assessment using bioelectrical impedance
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10343395/
https://www.ncbi.nlm.nih.gov/pubmed/37447196
http://dx.doi.org/10.3390/nu15132869
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