[abstract] NUTRITION ASSESSMENT IN MANAGEMENT OF PROBLEM WOUNDS.

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[abstract] NUTRITION ASSESSMENT IN MANAGEMENT OF PROBLEM WOUNDS.

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Title: [abstract] NUTRITION ASSESSMENT IN MANAGEMENT OF PROBLEM WOUNDS.
Author: Strauss, MB; Syms, MB; Borer, KM; Strauss, WG
Abstract: BACKGROUND: Adequate nutrition is essential for wound healing. Many patients with problem wounds have nutritional states incompatible with wound healing. Information from the nutrition assessment supplements clinical decisions for managing problem wounds. Nutritional depletion is a rediable problem that in almost all situations can be managed with appropriate interventions. METHODS: In order to objectify the nutritional assessment, we have selected four criteria which reflect the patent's nutritional status. Each factor is graded on a non-continuous 0-2 scale. Because of its importance the prealbumin criterion is double weighted thereby giving the nutritional score a 0-to-l0 point range. Scoring for nutritional status is as follows: Criteria, 2 Points, 1 Point, 0 Points; Calories (Ideal intake), >75% or <125%, 50%-75% or 125%-150%, <50% or >150%; Albumin (GM/DL), >3.2, 2.8-3.2, <2.8; Prealbumin (MG/DL), >17.0, 10-17, <10; Prealbumin (Double weighted), SAA, SAA, SAA; Ideal Weight, 90%-110%, 76-89% or 111-120%, >75% or >120%. RESULTS: In 28 patients with problem wounds studied prospectively 22 (87%) healed or were healing at the time of hospital discharge. In this group the average nutrition score improved .98 points whereas the average wound score increased 4.1 points. In the treatment failures the numbers were .16 and -1.08 points respectively. CONCLUSIONS: The Nutrition Score supplements the clinical assessment of a patient with a problem wound. Nutrition scores respond, albeit slowly, to interventions. Healing and infection control are incompatible with low nutrition scores. Even in cases where the wound does not improve nutrition scores may improve. Improvement in nutrition scores parallel the improvements observed in the wound.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/6613
Date: 2000

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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