Outcomes of present-on-admission pressure injuries at discharge and potential prognostic factors: A historical cohort study in China

Zhao, Jing; Cao, Yinan; Yang, Cheng; Sun, Hang; Chen, Tao; Zhong, Yuan; Zhang, Liuxin; Zhou, Yufeng; Wang, Jie

doi:10.1016/j.jtv.2021.10.006

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…The findings of the study suggested that the healing rate of pressure injuries present at admission (POA-PIs) is notably limited. Furthermore, the only established prognostic factor for POA-PIs is the extent of wound depth [21].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Pressure Ulcer in Orthopaedic Bedridden Patients With a Higher Braden Pressure Ulcer Score in a Tertiary Care Government Hospital in Jammu

2023

IJFMR

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In this research, our primary objective was to determine the prevalence of pressure ulcers (PU) in bedridden patients with risk of higher Braden Pressure Ulcer scores who were admitted to the orthopaedic wards at the tertiary care government hospital in Jammu. Methodology To achieve this, we conducted a cross-sectional point prevalence study utilising the Braden Pressure Ulcer Risk Assessment Scale and the European Pressure Ulcer Advisory Panel (EPUAP) grading scale and data form. Our research sample consisted of 180 bedridden patients with higher Braden scores admitted to the orthopaedic ward of the selected facility. We monitored these patients using an observational checklist based on the established EPUAP minimal dataset form and grading scale. We conveniently selected patients who had moderate to severe Braden Pressure Ulcer Risk scores. Result Our findings revealed that 22.8% of the bedridden patients with moderate to high-risk Braden pressure ulcer scores developed pressure ulcers. Among the respondents, the majority (67.78%) were categorised as high risk, followed by severe risk (18.89%) and moderate risk (13.33%). Of those who developed pressure ulcers, 28 had Grade 1 ulcers and 12 had Grade 2 ulcers. The most common locations for these ulcers were the sacrum (40%), followed by the iliac region (35%), and the buttocks (25%). We did not observe any significant association between clinical variables and the incidence of pressure ulcers, except for skin turgor.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Pressure Ulcer in Orthopaedic Bedridden Patients With a Higher Braden Pressure Ulcer Score in a Tertiary Care Government Hospital in Jammu

2023

IJFMR

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“…The skin flap not only has the thickness of full-layer skin, but also has subcutaneous tissue. After the repair and healing of the flap, the thickness of the healed wound is the same as that of normal skin, and the skin has good compression and wear resistance ( 9 , 10 ). When encounter a large and deep defect wound, the recovery time of skin flap transfer is significantly shorter than that of single negative pressure treatment or conservative dressing change ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Application of the Jigsaw Puzzle Flap Based on Freestyle Perforators to Repair Large and Deep Ulcers on the Buttocks

et al. 2022

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BackgroundDecubitus ulcers are common skin injuries in plastic and burn surgery departments, usually occur in patients with a long disease course and poor underlying health. Designing a reconstruction procedure with safety blood supply to a large volume soft tissue and resulting in minimal trauma is a priority for surgeons.MethodsThe free-style perforators on the potential donor sites surrounding the ulcers were detected by Doppler, and the area of the ulcer was divided into several sections based on the location of pre-design perforator flaps. According to the insertion point of the perforators, small V-Y advancement flaps, propeller flaps and rotation flaps pedicled with freestyle perforators were formed and moderately modified during surgery. All of the small flaps were transplanted from donor sites to the defect and reassembled into a new composite flap to repair the ulcer. The donor sites were directly closed. The area of the flaps ranged from 7.0 × 10.5 cm to 8.0 × 22.0 cm and the diameter of the pedicle perforators ranged from 0.5 to 4.0 mm.ResultsIn 30 patients, 65 flaps were constructed, and all of the flaps survived with direct closure of all donor sites. One case with effusion healed 1 month postoperatively through draining and application of a mild pressure dressing. After a 3–24 months follow-up period, all of the patients were satisfied with post-operative function and appearance, and only one case had a local recurrence 6 months postoperatively.ConclusionThe jigsaw puzzle flap based on freestyle perforators can repair the large skin and soft tissue defects caused by decubitus ulcers on the buttocks, with direct donor flap area closure. This method is easy to perform with a safe blood supply and minimal trauma resulting from the avoidance of microvascular anastomosis and the conventional myocutaneous flap.

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Outcomes of hospital-acquired pressure injuries and present-on-admission pressure injuries: A propensity score matching analysis

Liu

Zhang

Jiang

et al. 2023

Journal of Tissue Viability

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Outcomes of present-on-admission pressure injuries at discharge and potential prognostic factors: A historical cohort study in China

Cited by 3 publications

References 31 publications

Prevalence of Pressure Ulcer in Orthopaedic Bedridden Patients With a Higher Braden Pressure Ulcer Score in a Tertiary Care Government Hospital in Jammu

Prevalence of Pressure Ulcer in Orthopaedic Bedridden Patients With a Higher Braden Pressure Ulcer Score in a Tertiary Care Government Hospital in Jammu

Application of the Jigsaw Puzzle Flap Based on Freestyle Perforators to Repair Large and Deep Ulcers on the Buttocks

Outcomes of hospital-acquired pressure injuries and present-on-admission pressure injuries: A propensity score matching analysis

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