American Journal of Public Health Research, 2021, Vol. 9, No. 3, 100-105
Available online at http://pubs.sciepub.com/ajphr/9/3/3
Published by Science and Education Publishing
Are Nutritional Screening Scores Associated with the
Serum Albumin Levels and the Presence of Bedsores in
Bedridden and Chairbound Home Care Patients?
, Nilüfer Acar-Tek2,*
Department of Nutrition and Dietetics, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, Karaman, Turkey 2
Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, Ankara, Turkey
Received March 04, 2021; Revised April 10, 2021; Accepted April 18, 2021
Abstract Based on the fact that immobile bedridden patients have a high risk of developing bedsores and
infection, we evaluated whether the presence of bedsores and low serum albumin levels significantly alter the scores
of long and short forms of Mini Nutritional Assessment and body mass index. From January to July 2016, 143
bedridden/chairbound home care patients were visited with the Karaman State Hospital home healthcare team. The
Mini Nutritional Assessment and Mini Nutritional Assessment-short form were used for nutritional evaluation. The
retrospective serum albumin levels that had been analysed in the last 30 days, were recorded from the patients’ files.
Also, the skin integrity was evaluated by the home care physician to detect the presence of bedsores. The mean Mini
Nutritional Assessment and Mini Nutritional Assessment-short form scores of the patients were 13.2±7.0 and
6.4±3.8, respectively. The mean serum albumin level was 3.2±0.6 g/dL, and 33 patients had bedsores. The Mini
Nutritional Assessment and Mini Nutritional Assessment-short form scores, and body mass index values in patients
with normal serum albumin levels were significantly higher than those in patients with low serum albumin levels.
Moreover, these nutritional parameters in patients with bedsores were significantly lower than those in patients
without bedsores. Lastly, the serum albumin levels were found to be significantly positively correlated with all these
nutritional parameters. (r=0.477 for Mini Nutritional Assessment; r=0.456 for Mini Nutritional Assessment-short
form; r=0.451 for body mass index). Low Mini Nutritional Assessment and Mini Nutritional Assessment-short form
scores were significantly related to the presence of bedsores, providing strong evidence that malnutrition may be a
major risk factor for bedsore formation. An effective, comprehensive, and holistic treatment protocol and care plan,
including nutritional intervention, is important and necessary for immobile home care patients.
Keywords: nutritional assessment, bedridden patients, bedsore, serum albumin, body mass index