Approach to the pressure sores in geriatric patients

• Main Authors: Emre İnözü, Hülda Rıfat Özakpınar, Mustafa Durgun, Avni Tolga Eryılmaz, Caferi Tayyar Selçuk, Ali Teoman Tellioğlu
• Format: Article
• Language: English
• Published: Dicle University Medical School 2012-09-01
• Series: Dicle Medical Journal
• Subjects: Pressure sore; geriatric medicine; malnutrition; nutritional support
• Online Access: http://www.diclemedj.org/upload/sayi/3/Dicle%20Med%20J-01169.pdf

Objectives: The aim of this study was to evaluate the follow-up results of nutritionally supported geriatric patientswho were admitted for their pressure sores then plannedtheir treatment.Materials and methods: In this study, we analyzed thehospitalized geriatric pressure sore patients in our clinicwho were admitted between 2006 and 2011. We calculatedBody Mass Index and the blood albumin levels of allhospitalized geriatric patients. In this patient group proteinenergy malnutrition and deficiency were analyzed andproper nutrition support was provided accordingly. Afterrecovering from malnutrition further treatment surpassed.Results: The mean albumin levels of the hospitalized patientswas 2,53 ± 0,25 g/dL after nutritional support thoselevels increased to mean 3,95 ± 0,42 g/dL . Of all thosepatients 75% were operated when their general conditionallowed us for a surgery. Due to their high risk wedid not perform any surgical operation to the remaining25%.. Post operative mean hospitalization period was 12(8-21) days. Majority of the patients (78.6%) were treatedsuccessfully either with surgical or conservative treatmentmodalities.Conclusions: The success of the geriatric pressure soretreatment is highly related with the proper nutritional supportfor the ongoing malnutrition-like pathologies. Beforeoperation nutritional support not only makes a healthygranulation tissue but also yields fast and reliable woundhealing. Despite their chronic health problems many ofour geriatric patients were treated surgically for their pressuresores.Key words: Pressure sore, geriatric medicine, malnutrition,nutritional support