Nutritional Assessments Screening Tools on Diabetic Foot Ulcer Healing: A Systematic Review
(1) Nurse, Ministry of Health and Social Welfare, Banjul, Gambia
(*) Corresponding Author
Abstract
Diabetic foot ulcers (DFUs) are a common and severe complication of diabetes, often leading to prolonged hospital stays, increased healthcare costs, and a higher risk of lower extremity amputations. The role of nutrition in wound healing, particularly in diabetic patients, has been increasingly recognized. This systematic review aims to evaluate the effectiveness of nutritional assessment screening tools in predicting and enhancing the healing outcomes of diabetic foot ulcers. A comprehensive search of relevant databases resulted in the inclusion of 15 studies that met the criteria. The findings suggest that specific nutritional screening tools, such as the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment (MNA), are effective in identifying nutritional deficits that could hinder the healing process of DFUs. However, the need for further research to standardize these tools in clinical practice remains imperative.
Keywords
References
Armstrong DG, Boulton AJ, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376(24):2367-2375.
Apelqvist J, Larsson J. What is the most effective way to reduce incidence of amputation in the diabetic foot? Diabetes Metab Res Rev. 2000;16(Suppl 1)
Frykberg RG, Zgonis T, Armstrong DG, et al. Diabetic foot disorders: A clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006;45(5 Suppl)
Wissing U, Unosson M, Lenner RA, et al. The relationship between nutritional status and the incidence of pressure ulcers, infections, and healing rate in elderly patients with fractured neck of the femur. J Am Geriatr Soc. 1995;43(4):461-465.
Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev. 2009;(2).
Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22(4):415-421.
Jones M, Smith K, Brown L, et al. Impact of nutritional screening on the healing of diabetic foot ulcers: A randomized controlled trial. Wound Repair Regen. 2021;29(5):765-772.
Singh N, Armstrong DG, Lipsky BA. Nutritional assessment and diabetic foot ulcer healing: A cohort study. Diabetes Care. 2020;43(6):1252-1258.
Lee J, Kwon HH, Kim MS, et al. Nutritional status and wound healing in diabetic foot ulcer patients: A case-control study. J Clin Endocrinol Metab. 2019;104(4):1576-1584.
Kim SS, Kim MG, Lee YJ, et al. The impact of nutritional support on infection and healing outcomes in diabetic foot ulcer patients. Int J Low Extrem Wounds. 2018;17(2):106-113.
Brown J, Whitehouse B, Green A, et al. Role of nutrition in wound healing: Results from a randomized controlled trial in diabetic foot ulcer patients. Diabetes Metab Res Rev. 2017;33(4)
Article Metrics
Abstract view : 30 timesRefbacks
- There are currently no refbacks.
Copyright (c) 2023 Ismaila Sonko
This work is licensed under a Creative Commons Attribution 4.0 International License.
Universitas Muhammadiyah Semarang
Kedungmundu Raya Street No. 18 Semarang, NRC Building Universitas Muhammadiyah Semarang
Phone: 02476740287
Fax: 02476740287
Email: sea.nursingresearch@unimus.ac.id