Banks M, Bauer J, Graves N, Ash S, et al.
Nutrition (Burbank, Los Angeles County, Calif.). Date of publication 2010 Sep 1;volume 26(9):896-901.
1. Nutrition. 2010 Sep;26(9):896-901. doi: 10.1016/j.nut.2009.09.024. Epub 2009 Dec
16.
Malnutrition and pressure ulcer risk in adults in Australian health care
facilities.
Banks M(1), Bauer J, Graves N, Ash S.
Author information:
(1)Institute of Health and Biomedical Innovation, Queensland University of
Technology, Kelvin Grove, Queensland, Australia. merrilyn_banks@health.qld.gov.au
Comment in
Nutrition. 2010 Sep;26(9):861.
OBJECTIVE: To determine the effect of nutritional status on the presence and
severity of pressure ulcer.
METHODS: A multicenter, cross-sectional audit of nutritional status of a
convenience sample of subjects was carried out as part of a large audit of
pressure ulcers in a sample of Queensland, Australia, public healthcare
facilities in 2002 and 2003. Dietitians in 20 hospitals and 6 residential aged
care facilities conducted single-day nutritional status audits of 2208 acute and
839 aged care subjects using the Subjective Global Assessment. The effect of
nutritional status on the presence and severity (highest stage and number of
pressure ulcers) was determined by logistic regression in a model controlling for
age, gender, medical specialty, and facility location. The potential clustering
effect of facility was accounted for in the model using an analysis of correlated
data approach.
RESULTS: Subjects with malnutrition had adjusted odds ratios of 2.6 (95%
confidence interval 1.8-3.5, P<0.001) of having a pressure ulcer in acute care
facilities and 2.0 (95% confidence interval 1.5-2.7, P<0.001) for residential
aged care facilities. There was also increased odds ratio of having a pressure
ulcer, and having a more severe pressure ulcer (higher stage pressure ulcer
and/or a higher number) with increased severity of malnutrition.
CONCLUSION: Malnutrition was associated with at least twice the odds ratio of
having a pressure ulcer of in public health care facilities in Queensland. Action
must be taken to identify, prevent, and treat malnutrition, especially in
patients at risk of pressure ulcer.
(c) 2010. Published by Elsevier Inc. All rights reserved.
DOI: 10.1016/j.nut.2009.09.024
PMID: 20018484 [Indexed for MEDLINE]
