The difference of serum albumin level in grade 2 and 3 pressure ulcer patients | [Journal of Pakistan Association of Dermatologists • 2023]

Author(s):

1. AM Evanti: Departement of Dermatology and Venereology, Faculty of Medicine, Sebelas Maret University, Dr. Moewardi General Regional Hospital, Surakarta, Indonesia.

2. AW Pramudita: Departement of Dermatology and Venereology, Faculty of Medicine, Sebelas Maret University, Dr. Moewardi General Regional Hospital, Surakarta, Indonesia.

3. S Widhiati: Departement of Dermatology and Venereology, Faculty of Medicine, Sebelas Maret University, Dr. Moewardi General Regional Hospital, Surakarta, Indonesia.

Abstract:

Background Pressure ulcer is one of the complications in chronically bed ridden patients resulting in prolonged hospitalization, increased cost and burden for the patients. Malnutrition can increase the risk and worsen the condition. Albumin level is an effective prognostic indicator for assessing nutritional status because it can detect protein malnutrition. Early detection of hypoalbuminemia may help predicting the severity of pressure ulcer and optimal prevention can be carried out. Methods An observational analytical retrospective study was conducted in 34 subjects with grade 2 and 3 pressure ulcers at Dr. Moewardi Hospital Surakarta, Indonesia between April 2020 and April 2021. Bivariate analysis using parametric independent T test was applied to determine the differences in albumin levels and p<0.05 was considered significant. All data were analyzed with SPSS version 21. Results Nineteen males (55.8%) and 15 females (44.2%) with the mean age of 53.06±14.46 yr. met our inclusion criteria. Twenty-seven patients with grade 2 (82.4%) were more dominant than grade 3 with 7 patients (17.6%). The mean albumin levels of grade 2 and 3 pressure ulcers were 2.99±0.46 g/dl and of 2.73±0.43 g/dl. The most common ulcer site was sacrum (76.5%). There was no statistically difference in albumin levels of grade 2 and 3 pressure ulcer (p=0.223). Conclusion There was no significant difference in albumin level of patients with grade 2 and 3 pressure ulcer.

Page(s): 368-371

DOI: DOI not available

Published: Journal: Journal of Pakistan Association of Dermatologists, Volume: 33, Issue: 2, Year: 2023

Keywords:

Nutritional status , Pressure Ulcer , Prolonged bed rest , eolgtAlbumin

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