P240 - NUTRITION STATUS IN PATIENTS WITH CHRONIC WOUNDS IN SURGICAL UNITS IN NATIONAL HOSPITAL OF SRI LANKA, COLOMBO

P240

NUTRITION STATUS IN PATIENTS WITH CHRONIC WOUNDS IN SURGICAL UNITS IN NATIONAL HOSPITAL OF SRI LANKA, COLOMBO

P. K. Mallawaarachchi¹, A. Banagala², S. Mallawaarachchi^3,4,*, R. Jayawardena⁵

¹Medical Nutrition Unit, Lady Ridgeway Hospital for children, ²Surgical Unit, National Hospital Sri Lanka, Colombo, ³Medical Nutrition Unit, National Cancer Institute, Maharagama, ⁴Medical Nutrition Unit, NCIM, Colombo, ⁵Physiology, Faculty of Medicine, University of Colombo, Sri Lanka

Rationale: Identifying the nutritional status and other associations linked with nutrition of patients with chronic wounds are imperative in better clinical outcome of them.

Methods: This study was a cross sectional descriptive study. Sample was 159 adults with chronic wounds who were receiving the inpatient care in the general surgical wards in National hospital of Sri Lanka, Colombo. For data collection, an interviewer-administered questionnaire was used. Data analysis was done by Statistical Package for Social Sciences software version 22. If the p value is less than 0.05 it was considered as significant.

Results: According to the Global Leadership Initiative of Malnutrition (GLIM) criteria, majority (47.2%, n=75) had moderate malnutrition. Severe malnutrition was present in 34 % (n=54) of individuals, while overall 81.2% (n=129) were malnourished.

Vitamin mineral, vitamin C and Zinc were prescribed to only minority (19%, 40% and 32% respectively) of the sample. Only 29 (18.2%) patients received the adequate calories while only 35 (22%) patients were on adequate proteins. It was found that there was a statistically significant association between nutrition status and calorie, protein adequacy. Nutrition therapy has been received by only in 31.4% (n= 50). There was a statistically significant association between nutrition status and nutrition therapy (P<0.001).

Conclusion: According to the GLIM criteria, majority (81.2%) of patients with chronic wounds were malnourished. Malnutrition was high in patients who have not received the nutrition therapy and in patients with poor calorie and protein intake. To overcome the malnutrition related disease burden, further collaborative activities to disseminate guidelines and best practice are recommended.

Disclosure of Interest: None declared