Nutritional intakes of patients at risk of pressure ulcers in the clinical setting

Roberts, Shelley, Chaboyer, Wendy, Leveritt, Michael, Banks, Merrilyn and Desbrow, Ben (2014) Nutritional intakes of patients at risk of pressure ulcers in the clinical setting. Nutrition, 30 7-8: 841-846. doi:10.1016/j.nut.2013.11.019

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Author Roberts, Shelley
Chaboyer, Wendy
Leveritt, Michael
Banks, Merrilyn
Desbrow, Ben
Title Nutritional intakes of patients at risk of pressure ulcers in the clinical setting
Journal name Nutrition   Check publisher's open access policy
ISSN 0899-9007
1873-1244
Publication date 2014-07
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.nut.2013.11.019
Open Access Status
Volume 30
Issue 7-8
Start page 841
End page 846
Total pages 6
Place of publication New York, NY, United States
Publisher Elsevier
Collection year 2014
Language eng
Formatted abstract
Objective Malnutrition is a risk factor for pressure ulcers. The aim of this study was to describe the energy and protein intakes of hospitalised patients at risk of pressure ulcers and identify predictors of eating inadequately.

Research Methods & Procedures An observational study was conducted in four wards at two hospitals in Queensland, Australia. Adult patients with restricted mobility were observed for 24 hours, and information such as oral intake and observed nutritional practices was collected. A chart audit gathered other demographics, clinical, anthropometric and dietary information. T-tests or one-way analysis of variance tests were used to identify differences in total energy and protein intakes. Univariate and multivariate regression analysis was conducted to determine predictors of eating inadequately (i.e. intake of <75% of estimated energy and protein requirements).

Results Mean energy and protein intakes of the 184 patients were 5917±2956kJ and 54±28g, respectively. Estimated energy and protein requirements were calculated for 93 patients. Only 45% (n=42) and 53% (n=49) met ≥75% of estimated energy and protein requirements, respectively. In multivariate analysis, patients on the renal ward were 4.1 and 4.6 times more likely to be eating inadequately for energy and protein, respectively (p<0.05). Patients who consumed any amount of oral nutrition support were 5.1 and 15.5 times more likely be eating adequately for energy and protein, respectively (p< 0.05).

Conclusions Renal patients appear to be more likely to be eating inadequately, whilst any consumption of oral nutrition support seems to increase likelihood of eating adequately.
Keyword Pressure ulcer
Nutrition
Oral intake
Hospital
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Authors prepub title: "Nutritional intakes of patients at risk of pressure injury in the clinical setting". Available online 4 December 2013.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Thu, 01 May 2014, 14:20:08 EST by Michael Leveritt on behalf of School of Human Movement and Nutrition Sciences