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Pressure ulcers (PU) remain a major health care problem throughout the world. Although
malnutrition is considered to be one of the intrinsic risk factors for PU, more evidence
is needed to identify the exact relation between PU and malnutrition. This study aims
to identify whether there exists a relationship between PU and malnutrition in hospitals
and nursing homes.
A cross-sectional study was performed in April 2007 in hospitals and nursing homes
in Germany. PU were assessed using the Braden scale. Malnutrition was assessed by
low body mass index (BMI), undesired weight loss, and insufficient nutritional intake.
Two thousand three hundred ninety-three patients from 29 nursing homes and 4067 patients
from 22 hospitals participated in the study. PU in both hospital and nursing home
patients were significantly (P < 0.01) related to undesired weight loss (5%-10%).
Moreover low nutritional intake and low BMI (<18.5) were also significantly related
to PU in hospitals and nursing homes.
There is a significant relationship between malnutrition parameters like undesired
weight loss, BMI < 18.5, and low nutritional intake and PU.
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