dc.contributorUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:32:40Z
dc.date.available2014-05-20T13:32:40Z
dc.date.created2014-05-20T13:32:40Z
dc.date.issued2012-09-01
dc.identifierNutrition. New York: Elsevier B.V., v. 28, n. 9, p. 874-878, 2012.
dc.identifier0899-9007
dc.identifierhttp://hdl.handle.net/11449/11149
dc.identifier10.1016/j.nut.2011.11.010
dc.identifierWOS:000307911500009
dc.identifier5016839015394547
dc.identifier1213140801402647
dc.identifier7438704034471673
dc.identifier0000-0002-5843-6232
dc.description.abstractObjective: Pressure ulcer (PU) is a frequent complication of hip fracture. Studies were carried out to identify the risk factors of PU development after hip fractures. The objective of the study was to determine the role of anthropometric measurements and handgrip strength as predictors of PUs in patients with hip fractures during their hospital stay and 30 d after discharge, which has not yet been established.Methods: Ninety-two consecutive patients with hip fractures who were older than 65 y old and admitted to an orthopedic unit were prospectively evaluated. Within the first 72 h of admission, each patient's characteristics were recorded, anthropometric measurements were taken (circumferences of the arm, waist, thigh, calf, triceps, and biceps and subscapular and suprailiac skinfolds), handgrip strength was measured, and blood samples were collected. PU evaluations were performed during the hospital stay and 30 d after hospital discharge.Results: Three patients were excluded because of PUs before hospitalization. Eighty-nine patients (average age 80.6 +/- 7.5 y) were studied; 70.8% were women, and 49.4% developed PUs during their hospital stay. In a univariate analysis, length of hospital stay (P = 0.001) and handgrip strength (P = 0.02), but not body circumferences and skinfolds, were associated with PUs during a hospital stay. Only handgrip strength (P = 0.007) was associated with PUs 30 d after hospital discharge. In a multivariate analysis, only handgrip strength was found to predict PU development at these points.Conclusion: Handgrip strength was found to predict PU development in patients with hip fractures during their hospital stay and 30 d after discharge. (C) 2012 Elsevier B.V. All rights reserved.
dc.languageeng
dc.publisherElsevier B.V.
dc.relationNutrition
dc.relation3.734
dc.relation1,300
dc.rightsAcesso restrito
dc.sourceWeb of Science
dc.subjectMuscle strength
dc.subjectSkinfold thicknesses
dc.subjectBody circumferences
dc.subjectSarcopenia
dc.titleHandgrip strength predicts pressure ulcers in patients with hip fractures
dc.typeArtículos de revistas


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