Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 441345
Title Relación entre el estado nutricional y el riesgo de presentar úlceras por presión en pacientes incluidos en el programa de atención domiciliaria = Relationship between nutritional status and the risk of having pressure ulcers in patients included in a home care program
Author(s) Sancho, A.; Albiol, R.; Mach Casellas, N.
Source Atención Primaria 44 (2012)10. - ISSN 0212-6567 - p. 586 - 594.
DOI http://dx.doi.org/10.1016/j.aprim.2011.09.003
Department(s) LR - Backoffice
Publication type Refereed Article in a scientific journal
Publication year 2012
Keyword(s) sores - older
Abstract Objective: The objective of the present study was to evaluate the relationship between the nutritional status and the risk of pressure ulcers (PU) in patients within home care programs (ATDOM). We also evaluated the relationship between the level of cognitive impairment, physical dependence, underlying diseases and the nutritional status. Scope: Patients in home care program in Primary Health Care. Patients: 100 home care patients. Main variables: age, sex, caregiver, illness, BMI, haemoglobin, haematocrit, lymphocyte count, albumin, cholesterol, Barthel index, Pfeiffer, nutritional assessment (MNA) and Braden scale. Results: Fourteen percent of the ATDOM patients had malnutrition and 46% a high risk of malnutrition. The degree of dependency, and the level of cognitive impairment increased (P <001) the risk of pressure ulcers. Furthermore, the nutritional status affected the risk of pressure ulcers (P <001) with OR 3.73 higher in malnourished patients. Values of 3.76 +/- 0.05 g/dL albumin and cholesterol of 176.43 +/- 6.38 were associated with an increased risk of ulceration. There was a significant relationship between nutritional status (P <01) and the degree of dependence. In malnourished patients albumin levels decreased to 3.46 +/- 0.098, with averages of 11.41 +/- 154.95 mg/dL cholesterol. Finally, a lower BMI was significantly related to malnutrition. Conclusions: The present study demonstrates that 14% of the ATDOM patients showed malnutrition, and 46% a high risk of malnutrition. Malnutrition, the degree of physical dependence and severity of cognitive impairment is associated with an increased risk of ulceration, which justify the need for carrying out some personalised measurements on ATDOM patients.
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