Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z, et al.
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Societ.... Date of publication 2018 Apr 1;volume 22(4):283-289.
1. Indian J Crit Care Med. 2018 Apr;22(4):283-289. doi: 10.4103/ijccm.IJCCM_277_17.
Pressure Ulcer and Nutrition.
Saghaleini SH(1), Dehghan K(2), Shadvar K(1), Sanaie S(3), Mahmoodpoor A(1),
Ostadi Z(1).
Author information:
(1)Department of Anesthesiology, Faculty of Medicine, Tabriz University of
Medical Sciences, Tabriz, Iran.
(2)Department of Anesthesiology, Faculty of Medicine, Urmia University of Medical
Sciences, Urmia, Iran.
(3)Tuberculosis and Lung Disease Research Center, Tabriz University of Medical
Sciences, Tabriz, Iran.
Pressure ulcers can diminish global life quality, contribute to rapid mortality
in some patients and pose a significant cost to health-care organizations.
Accordingly, their prevention and management are highly important. Nutritional
deprivation and insufficient dietary intake are the key risk factors for the
development of pressure ulcers and impaired wound healing. Unplanned weight loss
is a major risk factor for malnutrition and pressure ulcer development.
Suboptimal nutrition interferes with the function of the immune system, collagen
synthesis, and tensile strength. No laboratory test can exactly define an
individual's nutritional status. Although serum albumin, prealbumin, transferrin,
and retinol-binding protein as well as anthropometric measures such as height,
weight, and body mass index and the other laboratory values may be suitable to
establish the overall prognosis, still they might not well represent the
nutritional status. Although the ideal nutrient intake to encourage wound healing
is unknown, increased needs for energy, protein, zinc, and Vitamins A, C, and E
and also amino acids such as arginine and glutamine have been documented.
Hydration plays a vital role in the preservation and repair of skin integrity.
Dehydration disturbs cell metabolism and wound healing. Adequate fluid intake is
necessary to support the blood flow to wounded tissues and to prevent additional
breakdown of the skin. The main aim of the present article is to review the
current evidence related to hydration and nutrition for bedsore prevention and
management in adults.
DOI: 10.4103/ijccm.IJCCM_277_17
PMCID: PMC5930532
PMID: 29743767
Conflict of interest statement: There are no conflicts of interest.
