Long term outcomes following pretibial injury: mortality and effects on social care

Injury
L S ReesS Wharton

Abstract

Pretibial injuries are common, and those patients requiring hospital admission are often elderly with significant comorbidity. The long term impact on social care and associated mortality seen in this patient group has not been reported previously. It was our impression that pretibial injury is often a marker of increasing social and/or medical needs of the patient, and that a significant proportion of these patients underwent long term changes in social circumstances following injury. A review of 109 patients with pretibial injuries over a 3-year period admitted to the Plastic Surgery Unit at Derriford Hospital, Plymouth, UK. Overall mortality and changes in social circumstances within a 6-month period following discharge from hospital were recorded. The overall mortality was 11%. Twenty-five percent of patients underwent an escalation of their social care requirements immediately on discharge from hospital. At 6 months only 78% of patients who were living independently at home prior to admission had returned home. Increasing age, cardiovascular comorbidities, length of time to operation were significantly associated with deterioration in social circumstances and death. Mortality following pretibial injury is higher than that ...Continue Reading

References

May 1, 1990·British Journal of Plastic Surgery·D C HaiartJ M Griffiths
Apr 1, 1973·British Journal of Plastic Surgery·S N Tandon, A B Sutherland
Apr 8, 1995·BMJ : British Medical Journal·C J ToddN Rushton
Nov 13, 1993·BMJ : British Medical Journal·G S KeeneG A Pryor
Feb 1, 1993·Annals of Internal Medicine·M C Creditor
Oct 20, 1999·The Australian and New Zealand Journal of Surgery·A K Cree, S Nade
Oct 4, 2003·BMJ : British Medical Journal·Stephen E Roberts, Michael J Goldacre
Jul 24, 2004·Journal of the American Geriatrics Society·Cynthia J BrownSharon K Inouye

❮ Previous
Next ❯

Citations

Sep 2, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·G E Glass, A Jain
Nov 22, 2011·International Wound Journal·Heather M McClellandPaul Underwood
Feb 13, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·T SeppäläV Koljonen
Jul 15, 2021·Journal of Wound Care·Christian AsherCatherine Milroy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.