In geriatric patients, there is a plethora of nutritional and illness-related parameters, resulting in a complex situation which hampers identification of risk factors.In the planned prospective study, the point and period prevalence of wound healing disorders (WHD) is examined at admission and at discharge in a cohort of 517 male and female geriatric patients. As the investigators are also interested to study the occurrence of WHD in patients with malnutrition (and other geriatric phenomena) compared to the prevalence of WHD in patients with a good nutritional Status.
The investigators will determine the prevalence of impaired wound healing upon admission to the hospital as well as the incidence of new wound healing disorders during hospital stay with specific focus on malnutrition and other important nutritional parameters in geriatric patients. Therefore the investigators intend to study consecutively admitted patients both at admission and at discharge and monitor them during hospital stay. The investigators will investigate the associations between the individual nutritional status and body composition parameters (such as sarcopenia) and WHD in geriatric patients, taking both medical variables and the frailty syndrome into account.
Study Type
OBSERVATIONAL
Enrollment
517
Charite University Medicine, Research Group on Geriatrics
Berlin, Germany
RECRUITINGPrevalence of wound healing disturbances
Number of wound healing disturbances upon admission to the hospital in General
Time frame: Baseline
Nutritional Parameter
Mini Nutritional Assessment - Short Form (questionnaire)
Time frame: Baseline and up to 3 weeks
Functional Parameter
Timed Up \& Go Test
Time frame: Baseline and up to 3 weeks
Functional Parameter
4m-walk Test to measure gait speed
Time frame: Baseline and up to 3 weeks
Functional Parameter
Lung Test to measure respiratory force
Time frame: Baseline and up to 3 weeks
Strength Parameter
Hand grip strength
Time frame: Baseline and up to 3 weeks
Strength Parameter
Knee extension strength
Time frame: Baseline and up to 3 weeks
Frailty
Frailty Status according to Fried criteria
Time frame: Baseline and up to 3 weeks
Index of quality of life
EQ-5D-5L (questionnaire) to measure quality of life
Time frame: Baseline and up to 3 weeks, after 3 months and after 6 months
Body composition
Bioelectric impedance analysis
Time frame: Baseline and up to 3 weeks
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