Efficacy of nutritional support protocol for patients with pressure ulcer: comparison of before and after the protocol

Woo, Hyang‐Ok; Oh, Seung-Young; Lim, Leerang; Im, Hyunjae; Lee, Hannah; Ryu, Ho Geol

doi:10.1016/j.nut.2022.111638

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…Protein malnutrition and hypoalbuminemia manifest as oedema of systemic fluid distribution, resulting in impaired nutrient delivery, and tissue and skin clearance of waste products that affect perfusion, resulting in impaired tissue tolerance (Cox & Schallom, 2021). BMI is also the most common risk factor for pressure injury and may affect wound healing (Rastogi & Layon, 2021; Woo et al, 2022). The BMI of the FPI group in this study was 20.15 (kg/m 2 ), which was still lower than the 22.54 (kg/m 2 ) of the non‐FPI group.…”

Section: Discussionmentioning

confidence: 99%

“…Although the BMI of the FPI group was within the normal range, it was lower than the non‐FPI group; previous studies have shown that the lower the BMI score, the higher the development of pressure injury (Jacq et al, 2021; Rastogi & Layon, 2021). Woo et al (2022) proposed that nutritional support can be used to correct malnutrition, which is one of the aggravating factors of pressure injury. Protein is the most important nutrient responsible for the synthesis of enzymes related to the healing of pressure injuries, and for patients, important nutritional support factors include vitamins A, C, E and trace elements such as zinc (Woo et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Woo et al (2022) proposed that nutritional support can be used to correct malnutrition, which is one of the aggravating factors of pressure injury. Protein is the most important nutrient responsible for the synthesis of enzymes related to the healing of pressure injuries, and for patients, important nutritional support factors include vitamins A, C, E and trace elements such as zinc (Woo et al, 2022).…”

Section: Bmi Is More Likely To Be a Factor In Fpimentioning

confidence: 99%

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Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study

Pai

et al. 2022

Journal of Clinical Nursing

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Aims and ObjectivesThis study aimed to investigate factors associated with facial pressure injury (FPI) in patients receiving non‐invasive positive pressure ventilation (NIPPV) during hospitalisation in the intensive care unit (ICU) and to identify predictors of FPI.BackgroundNon‐invasive positive pressure ventilation is a method of treating patients with acute and chronic respiratory failure. However, FPI may occur due to unsuitable nasal‐oral NIPPV masks and discomfort in contact with the skin surface.DesignA retrospective case–control study.MethodsFrom January 2018 to October 2020, a total of 397 patients admitted to a national hospital in Taiwan were enrolled. Patients received NIPPV and routinely used under‐mask prophylactic dressings during hospitalisation. Patients were divided into the non‐FPI group (n = 357) and the FPI group (n = 40). Demographic, clinical characteristics, acute physiology and chronic health evaluation II scores, and Braden Scale scores were collected from medical records. Logistic regression analysis was performed to examine the contribution of each factor to the FPI, and odds ratios were reported. The STROBE checklist was used in this retrospective case–control study.ResultsThere were significant differences between the groups in age, serum albumin, C‐reactive protein, body mass index (BMI), disease severity, Braden Scale score, length of stay, duration of mechanical ventilation and use of corticosteroids. Logistic regression analysis revealed that the risk factor for FPI was the Braden Scale score [OR = 1.630 (1.176–2.260)], BMI [OR = 0.396 (0.210–1.784)] and corticosteroids [OR = 0.394 (0.159–1.811)], which were predictors of FPI in patients with NIPPV.ConclusionsFacial pressure injury may still occur in patients who routinely use prophylactic dressings under NIPPV masks. This study provides information on continuing education training for FPI to more accurately identify high‐risk and timely preventive measures to reduce FPI.Relevance to Clinical PracticeAddressing FPI‐related factors to prevent facial skin damage and reduce comorbidities in patients using NIPPV masks.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Bmi Is More Likely To Be a Factor In Fpimentioning

confidence: 99%

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Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study

Pai

et al. 2022

Journal of Clinical Nursing

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Causal association of micronutrients and supplements with pressure ulcer: A Mendelian randomization study

Huang,

Shang,

2024

Skin Research and Technology

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BackgroundPressure ulcer (PU) is known to be associated with abnormalities of micronutrient status. However, to date, it is not clear whether a causal relationship exists between circulating levels of micronutrients and their supplementations and PU.MethodsA two‐sample Mendelian randomization (MR) study was conducted using summary statistics from Genome‐Wide Association Studies (GWAS). Genetic instrumental variables (IVs) for 13 micronutrients were identified from a GWAS of 67 582 participants, IVs for supplement zinc were acquired from 18 826 cases and 44 255 880 controls, and IVs for PU were obtained from 663 PUs and 207 482 controls. The MR analysis was conducted using the MR base platform. The main analysis method was inverse variance weighted (IVW) analysis, supplemented by MR Egger, Weighted median, Weighted mode, and Simple mode analyses. Heterogeneity was assessed using Cochran's Q statistic for MR‐IVW and Rucker's Q statistic for MR‐Egger. Pleiotropy was determined by the MR‐Egger regression. Sensitivity analysis was conducted using the leave‐one‐out method, and publication bias was evaluated using funnel plots.ResultsGenetically predicted lower circulating zinc levels were found to be causally linked to the development of PU (OR = 0.758, 95%CI 0.583–0.987, P = 0.040). However, there was no significant evidence of a causal relationship between supplemental zinc intake and PU development (P > 0.05). Additionally, no causal association was observed between the other circulating micronutrients and the occurrence of PU. Furthermore, there was no indication of horizontal pleiotropy or heterogeneity among genetic variants (P > 0.05), and the robustness of the findings was confirmed through leave‐one‐out tests and funnel plots.ConclusionsOur findings indicate a potential causal association between circulating zinc levels and decreased risk of PU. However, zinc supplementation did not demonstrate a significant reduction in the risk of PU. Further research is warranted to elucidate the underlying mechanisms through which zinc influences the pathogenesis of PU and evaluate the efficacy of zinc supplementation in the prevention and management of PU.

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Efficacy of nutritional support protocol for patients with pressure ulcer: comparison of before and after the protocol

Cited by 2 publications

References 34 publications

Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study

Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study

Causal association of micronutrients and supplements with pressure ulcer: A Mendelian randomization study

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