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Date Published: 28/12/2025
Online Published: 28/12/2025
Abstract Views: 6
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DOI: https://doi.org/10.56283/1859-0381/707
Issue
Vol. 21 No. 6 (2025)
Section
CASE STUDY
How to Cite
1.
Vũ TT, NGUYEN TT. NUTRITIONAL RECOVERY FROM PRESSURE ULCERS: A CASE REPORT. Tạp chí Dinh dưỡng và Thực phẩm. 2025;21(6):128-135. doi:10.56283/1859-0381/707

NUTRITIONAL RECOVERY FROM PRESSURE ULCERS: A CASE REPORT

Thi Thanh VU1, , Thi Thuong NGUYEN1
1 Tam Anh General Hospital, Hanoi, Vietnam

Main Article Content

Abstract

Pressure ulcers are areas of necrosis and ulceration where soft tissues are compressed between a bony protrusion and a hard outer surface. They are caused by uncompensated mechanical pressure combined with friction, shear forces, and moisture. Risk factors for pressure ulcers include age over 65, reduced tissue circulation and perfusion, malnutrition, decreased sensation, and incontinence. Severity ranges from pale erythema to full-thickness necrosis.

We report a case of successful treatment of pressure ulcers in the buttocks of a critically ill patient with a diagnosis of abdominal aortic aneurysm below the renal artery, with abdominal aortic graft stenting, mild heart failure with reduced EF, chronic coronary artery disease, left hemispheric cerebral infarction, hypertension, acute renal failure, bilateral synovitis of the knee, bilateral osteoarthritis of the knee, spinal degeneration, Alzheimer's disease requiring mechanical ventilation, and bilateral buttock ulcers with multiple stage III lesions. The right buttock had necrotic tissue and a deep, wide cavity approximately 10x5cm, while the left buttock had a deep, wide cavity approximately 10.5x6cm, with numerous pseudomembranous tissues within the cavity, treated with enteral, intravenous, and oral nutrition after 43 days.

Keywords

Pressure ulcer, clinical nutrition, recovery, elderly.

Article Details

References

1. Haesler E. National Pressure Ulcer Advisory Panel EPUAPaPPPIA. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide . Osborne Park, Western Australia: Cambridge Media; 2014.
2. Cooper KL. Evidence-based prevention of pressure ulcers in the intensive care unit. Critical Care Nurse . 2013;33(6):57–66.
3. Gebhardt KS. Part 1. Causes of pressure ulcers. Nurs Times. 2002;98:4.
4. Apostolopoulou E, Tselebis A, Terzis K, Kamarinou E, Lambropoulos I, Kalliakmanis A. Pressure ulcer incidence and risk factors in ventilated intensive care patients. Health Science Journal . 2014;8(3):333.
5. Gregory, Dean B. Andropoulos. Pediatric Normal Laboratory Values. Edited by George A. Fifth Edition. Published 2012 by Blackwell Publishing Ltd.
6. World health Organization (2000). Obesity: Preventing and Managing the global epidemic.
7. Kottner J, Cuddigan J, Carville K, Balzer K, Berlowitz D, Law S, Litchford M, Mitchell P, Moore Z, Pittman J, Sigaudo-Roussel D, Yee CY, Haesler E. Pressure ulcer/injury classification today: An international perspective. J Tissue Viability. 2020;29(3):197-203.
8. Woźniak A, Smółka I, Dusińska A, Misiąg W, Chabowski M. Pressure ulcer incidence and blood lactate levels in intensive care unit patients. Journal of Inflammation Research . 2022;15:1249–1257.
9. El-Marsi J, Zein-El-Dine S, Zein B, Doumit R, Kurdahi BL. Predictors of pressure injuries in a critical care unit in Lebanon. Journal of Wound, Ostomy and Continence Nursing. 2018;45(2):131–136.
10. Tayyib N, Coyer F, Lewis P. Saudi Arabian adult intensive care unit pressure ulcer incidence and risk factors: a prospective cohort study. International Wound Journal . 2016;13(5):912–919.
11. Leroy GM, Georges EA, Serge DZ, Motto B. Epidemiology and therapeutics aspects of pressure ulcers in two sub-Sahara African university teaching hospitals. ARC Journal of Surgery . 2018;4(2):1–7.
12. Mutabazi G., Silver J. Abstract: Notes from the field: establishing baseline data for pressure ulcers in a Rwandan intensive care unit. Rwanda Journal . 2015;2(2):112.
13. WendyP Chaboyer, Lukman Thalib, Emma L Harbeck. Incidence and Prevalence of Pressure Injuries in Adult Intensive Care Patient: A Systematic Review and Meta-Analysis. Crit Care Med. 2018;46(11).
14. Clark M, Schols JM, Benati G, et al. Pressure ulcers and nutrition: a new European guideline. J Wound Care 2004;13:267-72.
15. Hartgrink HH, Wille J, König P, Hermans J, Breslau PJ. Pressure sores and tube feeding in patients with a fracture of the hip: A randomized clinical trial. Clin Nutr. 1998;17:287–92.
16. Breslow RA, Bergstrom N. Nutritional prediction of pressure ulcers. J Am Diet Assoc. 1994;94:1301–4.
17. Cox J, Rasmussen L. Enteral nutrition in the prevention and treatment of pressure ulcers in adult critical care patients. Crit Care Nurse. 2014;34:15–27.
18. Dorner B, Posthauer ME, Thomas D. National Pressure Ulcer Advisory Panel. The role of nutrition in pressure ulcer prevention and treatment: National Pressure Ulcer Advisory Panel white paper. Adv Skin Wound Care. 2009;22:212–21.
19. Osland EJ, Ali A, Isenring E, Ball P, Davis M, Gillanders L. Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. Asia Pac J Clin Nutr. 2014;23:545–54.
20. da Silva JSV, Seres DS, Sabino K, Adams SC, Berdahl GJ, Citty SW, Cober MP, Evans DC, Greaves JR, Gura KM, Michalski A, Plogsted S, Sacks GS, Tucker AM, Worthington P, Walker RN, Ayers P., Parenteral Nutrition Safety and Clinical Practice Committees, American Society for Parenteral and Enteral Nutrition. ASPEN Consensus Recommendations for Refeeding Syndrome. Nutr Clin Pract. 2020 Apr;35(2):178-195.
21. Cederholm T, Jensen GL, Correia MITD, et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community. Journal of Parenteral and Enteral Nutrition (JPEN). 2019;43(1):32-40.