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  4. Evaluating the impact of using a wound-specific oral nutritional supplement to support wound healing in a rehabilitation setting

Evaluating the impact of using a wound-specific oral nutritional supplement to support wound healing in a rehabilitation setting

Int Wound J, 2023 · DOI: 10.1111/iwj.13849 · Published: January 1, 2023

Nutrition & DieteticsRehabilitationDermatology

Simple Explanation

Chronic wounds can negatively impact a patient's life, increase the risk of mortality, and create higher healthcare costs. Nutritional support may help prevent or treat non-healing wounds. This study looked at the impact of a wound-specific oral nutritional supplement (WS-ONS) on chronic wounds in rehabilitation patients. Patients who received the supplement had nearly twice the wound area reduction compared to those on a regular diet. The results suggest that WS-ONS can improve wound healing, especially in the early stages of care. Patients with larger wounds and lower functional independence were more likely to receive WS-ONS.

Study Duration
Between December 1, 2017 and December 31, 2019
Participants
341 patients (114 treatment, 227 control)
Evidence Level
Not specified

Key Findings

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    Patients receiving WS-ONS had a significantly greater reduction in wound surface area at discharge compared to the control group (61.1% vs 34.5%).
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    The likelihood of wound improvement was higher in the WS-ONS group, particularly during the first two weeks of care.
  • 3
    Patients with larger wounds and lower functional independence were more likely to be prescribed WS-ONS, indicating recognition of the need for nutritional support.

Research Summary

This retrospective study evaluated the impact of a wound-specific oral nutritional supplement (WS-ONS) on wound healing in rehabilitation inpatients. Patients receiving WS-ONS, along with standard wound care and a regular hospital diet, were compared to a control group receiving only standard wound care and a regular diet. The study found that patients receiving WS-ONS experienced a significantly greater reduction in wound surface area at discharge. The WS-ONS group also showed a higher likelihood of wound improvement, especially in the initial weeks of rehabilitation. The findings suggest that WS-ONS can accelerate wound healing in rehabilitation patients and support the benefits of wound-specific nutritional interventions in improving outcomes for individuals with pre-existing wounds.

Practical Implications

Improved Wound Healing

The use of WS-ONS can lead to faster and more significant wound healing in rehabilitation patients.

Targeted Nutritional Support

Identifying patients with larger wounds and lower functional independence allows for targeted nutritional support to improve their healing outcomes.

Cost Reduction

Accelerated wound healing may potentially reduce healthcare costs associated with prolonged wound care.

Study Limitations

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