title: Effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay, and charges to patients.
abstract: The burden of pressure ulcers will intensify because of a rapidly increasing elderly population. The aim of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on pressure ulcer wound healing, length of hospital stays, and charges for pressure ulcer management. The pre/post quasi-experimental design study comprised of 100 patients (50 patients in each group) 60 years or older with pressure ulcer. Research questions were analyzed using descriptive statistics, frequencies, chi-square tests, and t tests. Study findings indicate that the intervention was effective in improving pressure ulcer wound healing, decreasing both hospital length of stay (LOS) for treatment of pressure ulcer and total hospital LOS, while showing no significant additional charges for treatment of pressure ulcers. The older adults are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life.
authors.affiliation: Sister Emmanuel Hospital, Miami, FL 33157, USA. Beverlin.allen@hcahealthcare.com
authors.forename: Beverlin
authors.initials: B
authors.lastname: Allen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003191:Comprehensive Health Care; D005260:Female; D017722:Hospital Charges / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data*; D008297:Male; D009747:Nutritional Physiological Phenomena; D003668:Pressure Ulcer / Q000191:economics* / Q000628:therapy*; D015397:Program Evaluation; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing