Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study

Background. Poor nutritional status affects the normal process of the wound healing stage. There is limited evidence regarding the association between malnutrition and wound healing in Ethiopia. Objective. To assess the association between nutritional status and wound healing progress among adult in...

Full description

Saved in:
Bibliographic Details
Main Authors: Netsanet Fentahun, Yeabsira Anteneh, Yonatan Menber
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2021/8824951
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546844653125632
author Netsanet Fentahun
Yeabsira Anteneh
Yonatan Menber
author_facet Netsanet Fentahun
Yeabsira Anteneh
Yonatan Menber
author_sort Netsanet Fentahun
collection DOAJ
description Background. Poor nutritional status affects the normal process of the wound healing stage. There is limited evidence regarding the association between malnutrition and wound healing in Ethiopia. Objective. To assess the association between nutritional status and wound healing progress among adult individuals who had undergone abdominal surgery at Public Hospitals, Ethiopia. Methods. A prospective cohort study was conducted on 310 adult patients who had undergone abdominal surgery from August to December 2019. Data were collected using a standardized, structured, and pretested questionnaire. Anthropometric and serum albumin measurements were used to measure nutritional status. A multivariable Cox-regression analyses model was fitted to show the association between malnutrition and wound healing and p value < 0.05 was used to declare statistical significance value. Results. The cumulative incidence rate of good wound healing was 65.5% (95% CI: 60.0–71.0). Patients who had normal preoperative body mass index (adjusted hazard ratio (AHR) = 2.22 (95% CI: 1.55–3.19)) and normal range of serum albumin level (≥3.5) (AHR = 1.56 (95% CI: 1.05–2.29)) were significantly associated with better wound healing outcomes. Conclusion. Nutritional status had a strong association with good wound healing outcomes. Therefore, nutritional status screening should be done for all adult patients before undergoing abdominal surgery to improve wound healing outcomes and reduce hospital stays.
format Article
id doaj-art-ebea1c7972334e7faf53560963e6e7eb
institution Kabale University
issn 2090-0724
2090-0732
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Journal of Nutrition and Metabolism
spelling doaj-art-ebea1c7972334e7faf53560963e6e7eb2025-02-03T06:47:02ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322021-01-01202110.1155/2021/88249518824951Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort StudyNetsanet Fentahun0Yeabsira Anteneh1Yonatan Menber2Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaFelege Hiwot Comprehensive Specialized Hospital, Bahir Dar, EthiopiaDepartment of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, EthiopiaBackground. Poor nutritional status affects the normal process of the wound healing stage. There is limited evidence regarding the association between malnutrition and wound healing in Ethiopia. Objective. To assess the association between nutritional status and wound healing progress among adult individuals who had undergone abdominal surgery at Public Hospitals, Ethiopia. Methods. A prospective cohort study was conducted on 310 adult patients who had undergone abdominal surgery from August to December 2019. Data were collected using a standardized, structured, and pretested questionnaire. Anthropometric and serum albumin measurements were used to measure nutritional status. A multivariable Cox-regression analyses model was fitted to show the association between malnutrition and wound healing and p value < 0.05 was used to declare statistical significance value. Results. The cumulative incidence rate of good wound healing was 65.5% (95% CI: 60.0–71.0). Patients who had normal preoperative body mass index (adjusted hazard ratio (AHR) = 2.22 (95% CI: 1.55–3.19)) and normal range of serum albumin level (≥3.5) (AHR = 1.56 (95% CI: 1.05–2.29)) were significantly associated with better wound healing outcomes. Conclusion. Nutritional status had a strong association with good wound healing outcomes. Therefore, nutritional status screening should be done for all adult patients before undergoing abdominal surgery to improve wound healing outcomes and reduce hospital stays.http://dx.doi.org/10.1155/2021/8824951
spellingShingle Netsanet Fentahun
Yeabsira Anteneh
Yonatan Menber
Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
Journal of Nutrition and Metabolism
title Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
title_full Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
title_fullStr Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
title_full_unstemmed Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
title_short Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study
title_sort malnutrition in the outcome of wound healing at public hospitals in bahir dar city northwest ethiopia a prospective cohort study
url http://dx.doi.org/10.1155/2021/8824951
work_keys_str_mv AT netsanetfentahun malnutritionintheoutcomeofwoundhealingatpublichospitalsinbahirdarcitynorthwestethiopiaaprospectivecohortstudy
AT yeabsiraanteneh malnutritionintheoutcomeofwoundhealingatpublichospitalsinbahirdarcitynorthwestethiopiaaprospectivecohortstudy
AT yonatanmenber malnutritionintheoutcomeofwoundhealingatpublichospitalsinbahirdarcitynorthwestethiopiaaprospectivecohortstudy