دورية أكاديمية

Risk factors associated with pressure ulcer recurrence after reconstruction: Analysis of a national database.

التفاصيل البيبلوغرافية
العنوان: Risk factors associated with pressure ulcer recurrence after reconstruction: Analysis of a national database.
المؤلفون: McCranie, Alec S.1, Constantine, Ryan S.1, Lee, Nayun1, Le, Elliot L. H.1, Gehring, Michael1, Iorio, Matthew L.1 matt.iorio@cuanschutz.edu
المصدر: Wound Repair & Regeneration. Sep/Oct2023, Vol. 31 Issue 5, p641-646. 6p.
مصطلحات موضوعية: *PRESSURE ulcers, *MULTIPLE regression analysis, *PLASTIC surgery, *RETROSPECTIVE studies, *DISEASE relapse, *RISK assessment, *OSTEOMYELITIS, *COMORBIDITY, *LONGITUDINAL method, *BLOOD protein disorders, *PARAPLEGIA, *DISEASE risk factors
مستخلص: In this study, we sought to clarify the patient traits and comorbidities that are associated with pressure injury recurrence following pressure injury reconstruction. An insurance claims database, PearlDiver, was used to conduct a retrospective cohort study. The two cohorts included patients who underwent pressure injury reconstruction without recurrence and patients who experienced recurrence with subsequent reconstruction. Multiple logistic regression analysis was used to identify risk factors for recurrence after reconstruction. Recurrence was associated with hypoalbuminemia (p < 0.05), paraplegia (p < 0.05), and osteomyelitis (p < 0.05). In patients with osteomyelitis, primary closure was associated with recurrence (p < 0.05) while flap reconstruction was not (p > 0.05). Osteomyelitis was not associated with recurrence after flap reconstruction. Prior to reconstruction, patients with osteomyelitis and hypoalbuminemia should have their nutrition and infection optimised. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:10671927
DOI:10.1111/wrr.13110