A 9-year retrospective evaluation of 102 pressure ulcer reconstructions

Abstract

• Objective: Several pressure ulcer (PU) risk factors including paralysis and age greater than 70 have been identified, while others such as nutrition are debated. The object of this study is to identify perioperative risk factors that may predict improved outcomes and reduced complications in primary and recurrent PU reconstructions. • Method: A retrospective chart review of patients treated surgically for PUs from 2004 to 2013 at the University of Toledo Medical Center, Toledo, Ohio, US, was completed. Data collected included ulcer and medical history, as well as risk factors, complications and postoperative outcome. Data were statistically analysed for perioperative variances between primary and recurrent ulcers and closure status. • Results: A total of 49 patients with 102 reconstructions were reviewed. Spinal cord injured patients accounted for 90% receiving flap coverage of ulcers. Numerous differences between primary and recurrent ulcers were identified, including ulcer location, patient nutritional status, wound infection, postoperative course and recurrence. Multivariate analysis revealed a flap reconstruction prediction model using creatinine, haematocrit, haemoglobin, and prealbumin that is able to successfully predict closure outcome in 83.6% of cases. • Conclusion: Many factors play a role in the development, course and treatment of PUs. It is vital to understand the role of patient risk factors in the development of PUs, to direct subsequent management and reconstruction, and to prevent future recurrences.

Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature

“…We identified 13 studies for the topic of pressure injuries (PIs). Of these 13 studies, 7 studies used a retrospective cohort design, 230 231 232 233 234 235 236 3 used a prospective cohort design, 237 238 239 1 used a clinical trial, 240 1 used a cross-sectional design, 241 and 1 used secondary data analysis. 242 A variety of data sources were used for the studies, including EHR data, 233 234 238 239 data warehouses, 230 231 235 236 a publicly available dataset, 232 sensor data, 240 242 and surveys as the primary collection tool.…”

“…Of these 13 studies, 7 studies used a retrospective cohort design, 230 231 232 233 234 235 236 3 used a prospective cohort design, 237 238 239 1 used a clinical trial, 240 1 used a cross-sectional design, 241 and 1 used secondary data analysis. 242 A variety of data sources were used for the studies, including EHR data, 233 234 238 239 data warehouses, 230 231 235 236 a publicly available dataset, 232 sensor data, 240 242 and surveys as the primary collection tool. 237 The samples across studies were adult patients admitted in hospitals, 230 231 232 234 236 238 239 adults in residential hospices, 237 elderly patients in nursing homes (NHs), 241 Medicare beneficiaries, 235 and adults (unspecified).…”

Palestinian Experience in Stage Four Pressure Ulcer

“…In this patient, fasciocutaneous flaps were chosen. With this precise technique and carefully maintaining blood supply, we believe there will be a reduced risk of complications, like wound dehiscence and recurrence which are the most common complications (12,13). There are a lot of obstacles when dealing with large, pressure injuries.…”

A model for predicting 7‐day pressure injury outcomes in paediatric patients: A machine learning approach

“…In the other prediction models constructed in this study, haemoglobin emerged as an influential factor in addition to HCT and RBC. Low HCT and haemoglobin levels indicate anaemia, a chronic disease that almost certainly contributes to delayed wound healing in PI (Kenneweg et al., 2015). For example, a retrospective cohort study by Takahashi et al.…”