P969 - NUTRITION IN WOUND MANAGEMENT: A CLINICAL PROTOCOL EXPERIENCE

P969

NUTRITION IN WOUND MANAGEMENT: A CLINICAL PROTOCOL EXPERIENCE

D. López¹, M. A. Martínez-Agudelo², R. A. Merchan-Chaverra¹, A. Rivera-Jaramillo¹, Y. Cuellar-Fernandez¹, M. C. Gomez-Univio¹, M. Londoño-Pereira¹, L. Ahumada-Ossa¹, C. Posada-Alvarez¹, P. Savino-Lloreda^1,*

¹Centro Latinoamericano de Nutrición (CELAN), Chia, ²Universidad CES, Medellin, Colombia

Rationale: Nutritional care plays a crucial role in wound treatment, as it directly influences the healing process. The objetive was to describe changes in nutritional status and wound healing following the implementation of a nutritional care protocol in patients from two cities in Colombia.

Methods: An observational cohort study was conducted with 31 patients, who received dietary counseling and a prescription for a special medical food. Clinical information, nutritional status according to GLIM criteria, and wound characteristics were collected. Data were summarized according to the nature of the variables.

Results: Thirty-one patients were identified (median age: 74 years, interquartile range [IQR] 62; 89 years), the majority being women (70.9%). The median follow-up period was 185 days (IQR 182; 198 days). The main clinical diagnoses were lower limb ulcers, arterial hypertension, neurological diseases (stroke, multiple sclerosis, and dementia), and type II diabetes. 77.4% of patients were malnourished. During follow-up, a decrease in malnutrition was observed (-22.6% 95% CI -45.5 to 0.0%, p=0.0603). A total of 53 wounds were identified, with venous ulcers (47.2%) and pressure injuries (43.4%) being the most common. At the end of the follow-up period, 6 of the 53 wounds (12.5%) had fully healed. Significant changes were observed in wound length (-1 cm 95% CI -2.5; -0.65 cm, p=0.0059), with a reduction in wound width (-0.5 cm 95% CI -2.0; -0.5 cm, p=0.0452). No clinical changes were observed in wound depth.

Conclusion: The nutritional care protocol showed an improvement in nutritional status and a reduction in wound dimensions in the patients. These results underline the importance of nutritional care in the management of patients with chronic wounds.

Disclosure of Interest: None declared