J Korean Acad Fundam Nurs.  2014 Nov;21(4):413-422. 10.7739/jkafn.2014.21.4.413.

Nutrition-Related Factors Predicted Pressure Ulcers in Intensive Care Unit Patients

• Lee HN
• Park JS

• KMID: 2295620
• DOI: http://doi.org/10.7739/jkafn.2014.21.4.413

Abstract

PURPOSE
The purpose of this study was to identify the nutrition-related factors influencing the prevalence of pressure ulcers among patients admitted to an intensive care unit.
METHODS
Research participants were 112 patients who were admitted to the ICU of a university hospital. Data were collected through questionnaires which included general characteristics, diet-related characteristics, nutritional status, and pressure ulcer status. Multivariate logistic regression was used to identify independent factors association with prevalence of pressure ulcer.
RESULTS
The prevalence of pressure ulcers was 58 patients (51.8%) at 10th day after ICU admission. In multivariate analysis, prevalence of pressure ulcers at 10th day in ICU was significantly higher in the nutritional risk group (OR=6.43), malnutrition group (OR=88.02), and deceased serum albumin group (OR=28.83).
CONCLUSION
The results of this research indicate that scores on MNA (Mini Nutritional Assessment) and serum albumin were significant predictors of pressure ulcer prevalence in ICU patients. Therefore, regular MNA-SF and albumin checkups are needed to identify risk for pressure ulcer for ICU patients. In the case of decreased MNA-SF scores and serum albumin levels, more intensive pressure ulcer care is needed for ICU patients.

Keyword

Intensive care unit; Nutrition; Pressure ulcer

MeSH Terms

Humans
Intensive Care Units*
Logistic Models
Malnutrition
Multivariate Analysis
Nutritional Status
Pressure Ulcer*
Prevalence
Surveys and Questionnaires
Serum Albumin
Serum Albumin