The effectiveness of oral nutritional supplementation in the healing of pressure ulcers

Autor: L. Wagenaar, J.M. Xandri Graupera, W. Wouters-Wesseling, L. Frias Soriano, M.A. Lage Vzquez Ma, C. Prez-Portabella Maristany
Rok vydání: 2004
Předmět:
Zdroj: Journal of Wound Care. 13:319-322
ISSN: 2052-2916
0969-0700
DOI: 10.12968/jowc.2004.13.8.26654
Popis: Objective: To investigate the effectiveness of an oral nutritional supplement that is rich in protein and enriched with arginine, vitamin C and zinc on the healing of pressure ulcers. Method: Thirty-nine patients with grade III or IV pressure ulcers were enrolled into this open intervention study. Subjects received an oral nutritional supplement daily for three weeks. Wound area and the wound condition of the ulcers were assessed weekly. Results: After three weeks of supplementation, median wound area reduced significantly (p2 (1.6–176.6cm2) to 19.2cm2 (1.2–132.7cm2), a reduction of 29%. Median healing of wound area was 0.34cm2 per day, taking approximately two days to heal 1cm2. Within three weeks the amount of exudate in infected ulcers (p=0.012) and the incidence of necrotic tissue (p=0.001) reduced significantly. Conclusion: Nutritional intervention in the form of a specific oral nutritional supplement resulted in a significant reduction in wound area and an improvement in wound condition in patients with grade III and IV pressure ulcers within three weeks. Declaration of interest: This study was supported by Nutricia, Madrid, Spain.
Databáze: OpenAIRE