Prise en charge des plaies en structure d’urgence

Lefort, Hugues; Zanker, C.; Fromantin, Isabelle; Claret, Pierre‐Géraud; Douay, B; Ganansia, O.; Conte, Philippe Le; Martinez, M.; Rothman, Christophe; Revol, M.; Valdenaire, Guillaume

doi:10.1007/s13341-017-0780-y

Cited by 6 publications

(2 citation statements)

References 57 publications

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“…Written advice sheet is based on evidence-based recommendations. [ 5 8 10 ] The aim of the written advice sheet is to inform patients about how to manage their wound and to limit complications. The written advice sheet is composed of 3 parts: suture removal date according to wound location, procedural steps of the wound care, and listing of signs of complications.…”

Section: Methodsmentioning

confidence: 99%

“…To improve patients' compliance to wound care, we implemented an advice sheet based on consensus conference recommendations and gave it to injured patients. [ 8 ] Our goal was to compare follow-up compliance for ED patients with two different discharge organization processes. We also evaluated several patients and wound characteristics as possible factors affecting greater outpatient follow-up compliance.…”

Section: Introductionmentioning

confidence: 99%

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Establishing a written advice sheet to patients consulting for wound to emergency ward improves postemergency care

et al. 2021

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OBJECTIVES: Sutures require follow-up visits for favorable evolution. To improve postemergency wound care, we decided to include a standardized advice sheet for patients based on current recommendations. The objective is to assess its effectiveness on outpatients' compliance after being discharged from the emergency department (ED). METHODS: We performed a prospective, pre–post design trial in an ED of a teaching hospital. We included for two consecutive months all patients aged ≥16 years old and consulting for wounds that needed suturing, and we excluded chronic wounds, burns, and hand wounds since they all need special care. During the 1 st month, all patients received during ED visit usual verbal instructions concerning the postemergency care (Group A). During the 2 nd month, all patients received usual verbal instructions and a standardized written advice sheet that detailed postemergency wound care (Group B). We organized telephone follow-up after the suture removal date and asked about dressing changes, appearance of infection signs, and respect of suture removal date. We compared patients;' characteristics in the two groups and performed a multivariable logistic regression using compliance to discharge instructions as our endpoint. RESULTS: For 2 months, 509 patients consulted for wounds. 119 (23.4%) patients were included in the study and followed. Baseline characteristics of patients did not differ between the two groups. Patients who received the advice sheet (Group B) had a better compliance in postemergency care (91.7% vs. 72.9%; P = 0.01). Moreover, there were significantly less dressing changes in Group B than in Group A (5.3 [2.2] vs. 12.9 [7.7]; P < 0.01) and suture removal date was more in agreement with recommendations in Group B (83.9% vs. 66.7%; P = 0.03). Occurrence of infection was not significantly different between groups (9.7% vs. 13.7%; P = 0.37). CONCLUSION: For the management of wound care, discharge hospital process including a written advice sheet improves outpatients' compliance and postemergency care.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%