Older adults with wounds: identifying nutritional risk, the magnitude of the problem and dietary factors influencing healing.

Older adults with wounds: using assessment tools to identify nutritional risk, the magnitude of the problem and dietary factors influencing healing.

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12607000308493

Enrollment

100

Registered

2007-06-13

Start date

2007-08-06

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The main aim of this study is to identify nutritional issues that may impact nutritional status and on the healing on lower limb wounds or pressure ulcers in an inpatient population of Older Adults. A range of assessment methods will be utilised at designated time points during the participants' hospital admission. It is currently hypothesized that this group of patients are at an increased risk of under nutrition which may impact on the healing of their wounds. The results of this study will allow the investigators to identify the extent of nutritional issues within this group of patients, and some of the factors that may be contributing to undernutrition and poorer wound healing.

Interventions

Older adult inpatients with wounds at the Repatriation General Hospital (SA) will have their nutritional status assessed using the Mini-Nutritional Assessment (MNA), a validated and reliable nutrition assessment tool. In addition to this, participants will have their body composition measured using a Bioelectrical Impedance Assay (BIA), and their weight and height will be measured using standard protocols. The investigators will interview the participants to obtain information on their nutritional intake to enable comparisons to be made to recommendations for nutrition and wound healing. These measures will be repeated every 5-6 days during their hospital stay, to a maximum of 3 measurement intervals. Patients with wounds at RGH have their wounds assessed by a registered nurse using standardised hospital-wide protocols. Data will be collected from the nursing documentation to allow the investigators to determine wound healing. The BIA, MNA and the standardised interview (using the multiple replicate 24hr recall) are not currently practices of usual care. Currently, patients are assessed on an individual basis by a dietitian using a diet history or record of intake, compared with estimated nutritional requirements.

Eligibility

Sex/Gender

All

Age

65 Years to No maximum

Healthy volunteers

Inclusion criteria

All older adults with wounds, who are inpatients within the Repatriation General Hospital.

Exclusion criteria

Palliative/terminal care patients, ICU patients, and patients receiving enteral or parenteral feeding.

Outcome results