Pressure Ulcers: Risk Stratification and Prognostic Factors That Promote Recurrence After Reconstructive Surgery

The International Journal of Lower Extremity Wounds
Wimon Sirimaharaj, Chirakan Charoenvicha

Abstract

The aim of this study was to identify overall recurrence rates after reconstructive surgery in patients with pressure ulcers and to identify risk factors that associated with recurrence after reconstructive surgery. This study was done in Faculty of Medicine Chiang Mai University, including recurrence at the same site as well as on new sites, between January 1998 and December 2015. 165 patients with 272 pressure ulcers were retrospectively collected and analyzed. The overall pressure ulcer recurrence rate was 16.54% (45 from 272 ulcers) from an overall patient recurrence of 19.39% (32 from 165 patients). From multivariable analysis, we found 9 prognostic factors that were statistically significant for recurrence after surgery, divided into 2 groups: uncontrollable and controllable factors. Uncontrollable factors consisted of being female (hazard ratio [HR]=1.90;95%CI=1.54-2.34), being older than 45 years (HR=1.67;95%CI=1.40-2.0), and location of pressure ulcers on ischium (HR=1.65; 95% CI=1.51-1.80) and sacrum (HR=1.17;95%CI=1.10-1.23). Controllable factors included spasticity (HR=1.11;95%CI=1.04-1.20), incomplete healing before discharge (HR=5.42;95% CI=3.95-7.44), serum albumin level ≤3 g/dL (HR=1.27;95%CI=1.13-1.43), pressur...Continue Reading

References

Jan 10, 2008·Plastic and Reconstructive Surgery·John Bauer, Linda G Phillips
Jun 3, 2010·Plastic and Reconstructive Surgery·Kari A KeysDavid W Mathes
Feb 3, 2011·Plastic and Reconstructive Surgery·Catherine N Tchanque-Fossuo, William M Kuzon
Oct 27, 2012·Diabetes Care·M Sue KirkmanCarrie S Swift
Dec 15, 2012·Circulation·Alan S GoUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Nov 28, 2013·Plastic and Reconstructive Surgery·Carolyn A Cushing, Linda G Phillips

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