VITAMIN-C DEPLETION AND PRESSURE SORES IN ELDERLY PATIENTS WITH FEMORAL-NECK FRACTURE

Objective-To evaluate the contribution of specific nutritional deficiencies (as indicated by zinc; vitamin A, C, and E; albumin; and haemoglobin concentrations) to the risk of pressure sores. Design-Observational cohort study. Setting-St James's University Hospital, Leeds. Subjects-21 elderly patients presenting consecutively to the orthopaedic unit with femoral neck fracture. Main outcome measure-Full thickness epidermal break over a pressure bearing surface. Results-10 patients (48%) developed a pressure sore during their hospital stay. Indices of zinc status and concentrations of albumin, haemoglobin, and vitamins A and E were similar in patients who developed a pressure sore and those who did not. Mean leucocyte vitamin C concentration, however, was 6.3 (SD 2.2) mug/10(8) cells in patients who developed a pressure sore as compared with 12.8 (4.6) mug/10(8) cells in patients who did not. Conclusions-Low concentrations of leucocyte vitamin C appear to be associated with subsequent development of pressure sores in elderly patients with femoral neck fractures.