Nutrition
Volume 26, Issue 9 , Pages 896-901 , September 2010

Malnutrition and pressure ulcer risk in adults in Australian health care facilities

  • Merrilyn Banks, Ph.D.

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
    • Department of Nutrition & Dietetics, Royal Brisbane & Women's Hospital, Herston, Queensland, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +07-3636-7997; fax: +07-3636-1874.
  • ,
  • Judith Bauer, Ph.D.

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
    • The Wesley Hospital & Wesley Research Institute, Toowong, Queensland, Australia
  • ,
  • Nicholas Graves, Ph.D.

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
  • ,
  • Susan Ash, Ph.D.

      Affiliations

    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
    • Department of Nutrition & Dietetics, Royal Brisbane & Women's Hospital, Herston, Queensland, Australia

Received 28 November 2008 ,Accepted 26 September 2009.

References 

  1. Stratton R, Green CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Wallingford, UK: CABI Publishing; 2003;
  2. Banks M, Ash S, Bauer J, Gaskill D. Prevalence of malnutrition in adults in Queensland public hospitals and residential aged care facilities. Nutr Diet. 2007;64:172–178
  3. Edington J, Boorman J, Durrant ER, Perkins A, Giffin CV, James R, et al. Prevalence of malnutrition on admission to four hospitals in England. Clin Nutr. 2000;19:191–195
  4. Correia MITD, Campos ACL. Prevalence of hospital malnutrition in Latin America: the Multicenter ELAN Study. Nutrition. 2003;19:823–825
  5. Kondrup J, Johansen N, Plum LM, Bak L, Hojlund Larsen I, Martinsen A, et al. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr. 2002;21:461–468
  6. Braunschweig C, Gomez S, Sheean PM. Impacts of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days. J Am Diet Assoc. 2000;100:1316–1322
  7. Correia MITD, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003;22:235–239
  8. Thomas DR. Hospital acquired pressure ulcers and risk of death. J Am Geriatr Soc. 1996;44:1435–1437
  9. Allman RM, Goode PS, Patrick MM, Burst N, Baroclucci AA. Pressure ulcer risk factors among hospitalized patients with activity limitation. JAMA. 1995;273:865–870
  10. Breslow RA, Bergstrom N. Nutritional prediction of pressure ulcers. J Am Diet Assoc. 1994;94:1301–1304
  11. Casimiro C, Garcia-de-Lorenzo A, Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition. 2002;18:408–414
  12. Horn SD, Bender SA, Ferguson ML, Smout RJ, Bergstrom N, Taler G, et al. The national pressure ulcer long-term care study: pressure ulcer development in long-term care residents. J Am Geriatr Soc. 2004;52:359–367
  13. Ek A, Unosson M, Larsson J, von Schenck H, Bjurulf P. The development and healing of pressure sores related to the nutritional state. Clin Nutr. 1991;10:245–250
  14. Fisher AR, Wells G, Harrison MB. Factors associated with pressure ulcers in adults in acute care hospitals. Adv Skin Wound Care. 2004;17:80–90
  15. Lindgren M, Unosson M, Krantz A, Ek A. Pressure ulcer risk factors in patients undergoing surgery. J Adv Nurs. 2005;50:605–612
  16. Maklebust J, Magnan MA. Risk factors associated with having a pressure ulcer: a secondary data analysis. Adv Wound Care. 1994;7:25–42
  17. Oot-Giromini B, Bidwell FC, Heller NB, Parks ML, Prebish EM, Wicks P, et al. Pressure ulcer prevention versus treatment, comparative product cost study. Decubitus. 1989;2:42–54
  18. Schoonhoven L, Grobbee DE, Donders ART, Algra A, Grypdonck MH, Bousema MT, et al. Prediction of pressure ulcer development in hospitalized patients: a tool for risk assessment. Qual Safety Health Care. 2006;15:65–70
  19. Australian Wound Management Association . Clinical practice guidelines for the prediction and prevention of pressure ulcers. West Leederville, WA: Cambridge Publishing; 2001;
  20. Thomas DR. Prevention and treatment of pressure ulcers. J Am Med Dir Assoc. 2006;7:46–59
  21. Joint Commission for Healthcare Organizations. National patient safety goals; 2007. Available at: www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals. Accessed May 31, 2007.
  22. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27:5–15
  23. Australian Council on Healthcare Standards. Table of EQuIP 4 functions, standards and criteria; 2006. Available at: www.achs.org.au/pdf/E4A3_poster.mandcriteria.pdf. Accessed June 4, 2007.
  24. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is Subjective Global Assessment of nutritional status?. JPEN. 1987;11:8–13
  25. Dambach B, Salle A, Marteau C, Mouzet J-B, Ghali A, Favreau A-M, et al. Energy requirements are not greater in elderly patients suffering from pressure ulcers. J Am Geriatr Soc. 2005;53:478–482
  26. Raffoul W, Far MS, Cayexu M-C, Berger MM. Nutritional status and food intake in nine patients with chronic low-limb ulcers and pressure ulcers: importance of oral supplements. Nutrition. 2006;22:82–88
  27. Stratton R, Ek A, Moore MEZ, Rigby P, Wolfe R, Elia M. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis. Ageing Res Rev. 2005;4:422–450
  28. European Pressure Ulcer Advisory Panel. Pressure ulcer prevention guidelines; 1998. Available at: www.epuap.org. Accessed May 30, 2007.
  29. Royal College of Nursing and National Institute for Clinical Excellence. The management of pressure ulcers in primary and secondary care. A clinical practice guideline 2005. Available at: www.nice.org.uk/nicemedia/pdf/CGo29fullguidelines.pdf. Accessed May 27, 2007.
  30. Whitney J, Phillips L, Aslam R, Barbul A, Gottrup F, Gould L, et al. Guidelines for the treatment of pressure ulcers. Wound Repair Regen. 2006;14:663–679
  31. European Pressure Ulcer Advisory Panel. Nutritional guidelines for pressure ulcer prevention and treatment; 2003. Available at: www.epuap.org. Accessed May 30, 2007.
  32. Schols JM. de Jager-v d Ende MA. Nutritional intervention in pressure ulcer guidelines: an inventory. Nutrition. 2004;20:548–553

 Funding support for this work was provided by the Royal Brisbane & Women's Hospital Research Foundation. The nutritional status audits were in part funded by the Queensland Health Pressure Ulcer Prevention Project.

PII: S0899-9007(09)00420-1

doi: 10.1016/j.nut.2009.09.024

Nutrition
Volume 26, Issue 9 , Pages 896-901 , September 2010