Comorbidity, Malnutrition, Multimorbidity, Pressure Ulcer Prevention
Conditions
Keywords
Multimorbidity, Comorbidity, Malnutrition, Pressure Ulcer, Supplements, Immunonutrients
Brief summary
The goal of this study is to evaluate the efficacy of a hypercaloric, hyperproteic enteral formula enriched with immunonutrients in preventing and treating pressure injuries in hospitalized malnourished patients. Participants will take enteral formula (a complete hyperproteic and hypercaloric oral nutritional supplement with a fibre mixture enriched in omega 3, L-arginine and nucleotides, providing vitamin C and Zinc) or a hyperproteic and hypercaloric oral nutritional supplement with fibre mixture every day for 30 days.
Interventions
A complete hyperproteic and hypercaloric diet with a mixture of fibres enriched in omega 3, L-arginine and nucleotides (which provides vitamin C and Zinc) was administered.
A complete high-protein and high-calorie diet with mixed fibre was administered.
Sponsors
Study design
Intervention model description
A single-blind parallel Randomized Controlled Clinical Trial.
Eligibility
Inclusion criteria
* Hospitalized chronic patients with complex needs in the Internal Medicine Department of a regional hospital. * Malnourished or at risk of malnutrition. * Moderate-high risk of developing pressure-related injuries or the presence of pressure-related injuries.
Exclusion criteria
* Limitations in oral intake (due to pathologies, state of health, among others). * Contraindications for using the oral route and digestive intolerance or allergy to any of the components of the products.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of pressure-related injuries | 15 and 30 days | Dichotomous variable: Yes/No. |
| Risk of developing pressure-related injuries | 15 and 30 days | Measurement instrument: Braden scale (low risk, moderate risk, high risk). |
| Categorization of pressure-related injuries | 15 and 30 days | Measurement instrument: PUSH scale (I, II, III, IV). |
| Pressure-related injuries healing | 15 and 30 days | Measurement instrument: PUSH scale (closed, epithelial tissue, granulation tissue, sphacelium, necrotic tissue). |
| Degree of dependence | 0, 15, and 30 days. | Measurement instruments (description): Barthel score (independent, mild, moderate, severe). |
| Weight loss | 0, 15 and 30 days. | Measurement instruments (description): Weight scale (kg). |
| % of dietary intake | 15 and 30 days. | 0%, 25%, 50%, 75%, 100% intake. |
| ONS adherence | 15 and 30 days. | 0%, 25%, 50%, 75%, 100% intake. |
Countries
Spain