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The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility

BACKGROUND: Malnutrition is common in elderly and is a risk factor for pressure ulcers. AIM: The aim of the present study was to determine the prevalence of malnutrition in geriatric and palliative patients hospitalised in long-term care facility, and to examine the influence of nutritional status o...

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Autores principales: Neloska, Lenche, Damevska, Katerina, Nikolchev, Andjelka, Pavleska, Lidija, Petreska-Zovic, Biljana, Kostov, Milenko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Institute of Immunobiology and Human Genetics 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042627/
https://www.ncbi.nlm.nih.gov/pubmed/27703567
http://dx.doi.org/10.3889/oamjms.2016.094
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author Neloska, Lenche
Damevska, Katerina
Nikolchev, Andjelka
Pavleska, Lidija
Petreska-Zovic, Biljana
Kostov, Milenko
author_facet Neloska, Lenche
Damevska, Katerina
Nikolchev, Andjelka
Pavleska, Lidija
Petreska-Zovic, Biljana
Kostov, Milenko
author_sort Neloska, Lenche
collection PubMed
description BACKGROUND: Malnutrition is common in elderly and is a risk factor for pressure ulcers. AIM: The aim of the present study was to determine the prevalence of malnutrition in geriatric and palliative patients hospitalised in long-term care facility, and to examine the influence of nutritional status on the prevalence of pressure ulcers (PU). MATERIAL AND METHODS: Descriptive, observational and cross-sectional study including 2099 patients admitted to the Hospital during a 24 month period (January 2013 to December 2014). We recorded: demographic data, body mass index (BMI), Braden score, laboratory parameters of interest (albumin, total protein, RBC count, haemoglobin and iron levels) and presence or absence of malnutrition and pressure ulcers. RESULTS: The pressure ulcer prevalence was 12.9% (256 out of 2099). Based on the BMI classification, 61.7% of patients had a good nutritional status, 27.4% were undernourished, and 2.1% were considered malnourished. Nutritional status was statistically significantly different between patients with and without PU (p < 0.0001). This study also showed that hypoproteinemia, hypoalbuminemia, low RBC was positively associated with PU prevalence. CONCLUSION: The results highlight the impact of nutritional status on the prevalence of pressure ulcers in hospitalised geriatric and palliative population. It is of paramount importance to correctly evaluate the presence of malnutrition in patients at risk of pressure ulcers.
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spelling pubmed-50426272016-10-04 The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility Neloska, Lenche Damevska, Katerina Nikolchev, Andjelka Pavleska, Lidija Petreska-Zovic, Biljana Kostov, Milenko Open Access Maced J Med Sci Clinical Science BACKGROUND: Malnutrition is common in elderly and is a risk factor for pressure ulcers. AIM: The aim of the present study was to determine the prevalence of malnutrition in geriatric and palliative patients hospitalised in long-term care facility, and to examine the influence of nutritional status on the prevalence of pressure ulcers (PU). MATERIAL AND METHODS: Descriptive, observational and cross-sectional study including 2099 patients admitted to the Hospital during a 24 month period (January 2013 to December 2014). We recorded: demographic data, body mass index (BMI), Braden score, laboratory parameters of interest (albumin, total protein, RBC count, haemoglobin and iron levels) and presence or absence of malnutrition and pressure ulcers. RESULTS: The pressure ulcer prevalence was 12.9% (256 out of 2099). Based on the BMI classification, 61.7% of patients had a good nutritional status, 27.4% were undernourished, and 2.1% were considered malnourished. Nutritional status was statistically significantly different between patients with and without PU (p < 0.0001). This study also showed that hypoproteinemia, hypoalbuminemia, low RBC was positively associated with PU prevalence. CONCLUSION: The results highlight the impact of nutritional status on the prevalence of pressure ulcers in hospitalised geriatric and palliative population. It is of paramount importance to correctly evaluate the presence of malnutrition in patients at risk of pressure ulcers. Institute of Immunobiology and Human Genetics 2016-09-15 2016-08-22 /pmc/articles/PMC5042627/ /pubmed/27703567 http://dx.doi.org/10.3889/oamjms.2016.094 Text en Copyright: © 2016 Lenche Neloska, Katerina Damevska, Andjelka Nikolchev, Lidija Pavleska, Biljana Petreska-Zovic, Milenko Kostov. http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Clinical Science
Neloska, Lenche
Damevska, Katerina
Nikolchev, Andjelka
Pavleska, Lidija
Petreska-Zovic, Biljana
Kostov, Milenko
The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title_full The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title_fullStr The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title_full_unstemmed The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title_short The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility
title_sort association between malnutrition and pressure ulcers in elderly in long-term care facility
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042627/
https://www.ncbi.nlm.nih.gov/pubmed/27703567
http://dx.doi.org/10.3889/oamjms.2016.094
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