TY - JOUR
T1 - The impact of malnutrition and nutrition-related factors on the development and severity of pressure ulcers in older patients receiving home care
AU - Iizaka, Shinji
AU - Okuwa, Mayumi
AU - Sugama, Junko
AU - Sanada, Hiromi
N1 - Funding Information:
This work was supported by research grants from the Ministry of Health, Labor, and Welfare, 2007, Japan. The authors would like to acknowledge that I.S. was responsible for design, statistical analysis, results interpretation, and the writing of the manuscript. O.M. contributed to data collection and data management. S.J. and S.H. contributed to study conception, design, results interpretation, and review of the manuscript.
PY - 2010/2
Y1 - 2010/2
N2 - Background & aims: To investigate the impact of nutritional status and nutrition-related factors on the development and severity of pressure ulcers acquired in the home care setting. Methods: Two hundred and seven home care offices in Japan were selected at random and 290 patients with home-acquired pressure ulcers and 456 patients without pressure ulcers were analyzed. Data on nutritional status, caregiver knowledge, and health professional's nutritional management were collected. Pressure ulcers were categorized as superficial or full-thickness. Results: Malnutrition was significantly and most strongly associated with higher rate of the pressure ulcer after adjusting for other risk factors (OR, 2.29; 95% CI, 1.53-3.44). Assessment of the patient's nutritional status and adequate dietary intake by a health professional were significantly associated with lower odds for developing pressure ulcers (OR, 0.43, 0.47; 95% CI, 0.27-0.68, 0.28-0.79, respectively). Malnutrition was also significantly and most strongly associated with more severe pressure ulcers (OR, 1.88; 95% CI, 1.03-3.45). Assessment of a caregiver's nutritional knowledge by a health professional was a significant preventive factor for severe pressure ulcers. Conclusion: The quality of home care for risk factors such as pressure redistribution has improved, making nutritional management a more crucial factor in pressure ulcer prevention.
AB - Background & aims: To investigate the impact of nutritional status and nutrition-related factors on the development and severity of pressure ulcers acquired in the home care setting. Methods: Two hundred and seven home care offices in Japan were selected at random and 290 patients with home-acquired pressure ulcers and 456 patients without pressure ulcers were analyzed. Data on nutritional status, caregiver knowledge, and health professional's nutritional management were collected. Pressure ulcers were categorized as superficial or full-thickness. Results: Malnutrition was significantly and most strongly associated with higher rate of the pressure ulcer after adjusting for other risk factors (OR, 2.29; 95% CI, 1.53-3.44). Assessment of the patient's nutritional status and adequate dietary intake by a health professional were significantly associated with lower odds for developing pressure ulcers (OR, 0.43, 0.47; 95% CI, 0.27-0.68, 0.28-0.79, respectively). Malnutrition was also significantly and most strongly associated with more severe pressure ulcers (OR, 1.88; 95% CI, 1.03-3.45). Assessment of a caregiver's nutritional knowledge by a health professional was a significant preventive factor for severe pressure ulcers. Conclusion: The quality of home care for risk factors such as pressure redistribution has improved, making nutritional management a more crucial factor in pressure ulcer prevention.
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U2 - 10.1016/j.clnu.2009.05.018
DO - 10.1016/j.clnu.2009.05.018
M3 - Article
C2 - 19564062
AN - SCOPUS:75949087517
SN - 0261-5614
VL - 29
SP - 47
EP - 53
JO - Clinical Nutrition
JF - Clinical Nutrition
IS - 1
ER -
