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Yamamoto T, Fujioka M, Kitamura R, et al. Evaluation of Nutrition in the Healing of Pressure Ulcers: Are the EPUAP Nutritional Guidelines Sufficient To Heal Wounds?. Wounds. 2009;21(6):153-7
Yamamoto, T., Fujioka, M., Kitamura, R., Yakabe, A., Kimura, H., Katagiri, Y., & Nagatomo, H. (2009). Evaluation of Nutrition in the Healing of Pressure Ulcers: Are the EPUAP Nutritional Guidelines Sufficient To Heal Wounds?. Wounds : a compendium of clinical research and practice, 21(6), 153-7.
Yamamoto, Takahiro, et al. "Evaluation of Nutrition in the Healing of Pressure Ulcers: Are the EPUAP Nutritional Guidelines Sufficient To Heal Wounds?." Wounds : a compendium of clinical research and practice vol. 21,6 (2009): 153-7.
Yamamoto T, Fujioka M, Kitamura R, Yakabe A, Kimura H, Katagiri Y, Nagatomo H. Evaluation of Nutrition in the Healing of Pressure Ulcers: Are the EPUAP Nutritional Guidelines Sufficient To Heal Wounds?. Wounds. 2009 Jun;21(6):153-7. PMID: 25903438.
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Wounds. 2009 Jun;21(6):153-7.

Evaluation of Nutrition in the Healing of Pressure Ulcers: Are the EPUAP Nutritional Guidelines Sufficient To Heal Wounds?.

Wounds : a compendium of clinical research and practice

Takahiro Yamamoto, Masaki Fujioka, Riko Kitamura, Aya Yakabe, Hironori Kimura, Yoshinori Katagiri, Hiroyo Nagatomo

Affiliations

  1. Department of Plastic and Reconstructive Surgery, National Hospital Organization, Nagasaki Medical Center, Nagasaki, Japan; Email: [email protected].

PMID: 25903438

Abstract

 Malnutrition is a significant factor in the development of pressure ulcers and many nutritional guidelines for preventing pressure ulcers have been published. However, few clinical investigations have examined the energy required to heal pressure ulcers. The aim of the present study was to investigate the relationship between nutritional intake and improvement of pressure ulcers. Total calories, which were supplied by mouth through a feeding tube and via venous alimentation were examined for 40 hospitalized bedridden inpatients who had pressure ulcers. Of these patients, 21 whose wounds improved or healed and 19 whose wounds became worse or did not improve were eligible for this retrospective study. Pressure ulcers in patients who received more than 30 kcal/kg per day improved or healed, while those of patients who received less than 20 kcal/kg per day worsened or failed to improve. Furthermore, intake of 30 kcal/kg per day enabled serum albumin levels to improve. Energy intake of 30 kcal/kg per day is comparable to the predicted total energy expenditure and is thought to be essential for improving pressure ulcers in bedridden patients .

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