scholarly journals Analysis of epidemiological characteristics and surgical treatment of patients with pressure ulcer

2021 ◽  
pp. 93-93
Author(s):  
Dragana Petrovic-Popovic ◽  
Milan Stojicic ◽  
Maja Nikolic-Zivanovic
Keyword(s):  
Surgical Treatment ◽  
Pressure Ulcer ◽  
Traffic Accidents ◽  
Pressure Ulcers ◽  
Stage Iv ◽  
Clinical Center ◽  
Bony Prominence ◽  
The University ◽  
Epidemiological Characteristics ◽  
Reconstructive Methods

Introduction/Objective. A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence. It appears as a result of pressure or combination of pressure and shear. Pressure ulcers can be identified within a wide variety of patient subpopulations and a major role in their treatment plays epidemiological and etiological aspects. Methods. A retrospective study of data analysis included 72 patients with pressure ulcers that were hospitalized and surgically treated during a five-year period at the Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center of Serbia in Belgrade. Main data features used in the analysis were: gender, age, principal diseases, comorbidities and biochemical indicators of malnutrition. The patients' data was obtained from the existing patients? records. Additionally, the study analyzed the method of treating pressure ulcers, types of reconstructive methods in surgical treatment, as well as the incidence rate of partial osteotomy. Results. A total of 72 patients with pressure ulcers were included into this study with 54.7 ? 16.1 mean age. Three times more patients injured in traffic accidents were male (75% vs. 25%), while the most of the patients with multiple sclerosis were female (85.7%). More than 95% of patients who had pressure ulcers of III or IV stage were treated surgically with a reconstructive method of transposition or rotation myocutaneous flap. The patient with pressure ulcer of stage IV was usually treated with partial osteotomy. Conclusion. A surgical reconstructive treatment with fasciocutaneous and myocutanaeous flaps represents a gold standard for treating patients with pressure ulcers. These procedures provide reconstruction with adequate flap coverage and obliteration of dead space with well-vascularized tissue but with necessity of further implementation of antidecubitus measures.

scholarly journals Socioeconomic effects of pressure ulcer

2021 ◽  
Vol 64 (1) ◽  
pp. 11-15
Author(s):  
Jun-Ho Lee
Keyword(s):  
Pressure Ulcer ◽  
Outpatient Care ◽  
Complex Disease ◽  
Pressure Ulcers ◽  
Cost Effective ◽  
Treatment And Prevention ◽  
Medical Institutions ◽  
Bony Prominence ◽  
Hospitalization Period ◽  
Socioeconomic Burden

A pressure ulcer is defined as localized ischemic skin or soft tissue damage resulting from disruption of the blood supply by pressure over the bony prominence. However, it is not just a wound that causes pain to individuals, but also a complex disease that causes socioeconomic losses. In 2019, total 30,983 patients with pressure ulcers were treated at medical institutions in Korea, and 76 billion Korean won (KRW) was spent on this treatment. Inpatient care cost amounted to 65.5 billion KRW, whereas outpatient care cost amounted to 9.8 billion KRW. The average hospitalization cost per patient was 6,696,605 KRW, and the average hospitalization period was 57.4 days, averaging 116,707 KRW per patient per day. The average outpatient care cost per patient was 421,134 KRW, and the average period in the clinic was 8.9 days, calculated at 47,428 KRW per day. The development of pressure ulcers inevitably causes socioeconomic losses and puts strain on limited medical resources; therefore, the best socioeconomic solution is prevention. Prevention has been shown to be much more efficient in cost-effective studies on treatment and prevention. Therefore, investment of more resources to prevent the development of pressure ulcers is the best solution to reduce the related socioeconomic burden.

scholarly journals Pressure Ulcer Assessment and Documentation

2015 ◽  
Author(s):  
Cynthia Ruggiero
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Adult Learning Theory ◽  
Stage Iv ◽  
Staff Nurses ◽  
Advanced Practice ◽  
Accurate Assessment ◽  
Post Intervention ◽  
Nursing Activity ◽  
Hospital Acquired

<p>Accurate assessment and documentation of skin is an important nursing activity yet the task of identifying and documenting wounds can be difficult. New regulations from the Centers for Medicare and Medicaid dictate that hospitals will not receive payment for the treatment of stage III or stage IV hospital-acquired pressure ulcers. Literature supports that accurate assessment and documentation of a pressure ulcer is important to the care of the patient, to provide legal documentation, and for reimbursement. The purpose of this project was to develop and implement a pressure ulcer assessment and documentation pocket guide. The development of the pocket guide was guided by Malcolm Knowles’ adult learning theory and developed by evaluating different pocket guides, the NPUAP website, and evidence based literature. The project employed an intervention, post intervention evaluation design. The sample was drawn from nurse members of the Pressure Ulcer Prevalence Committee at the Miriam Hospital in Providence, RI. Nurse members of the committee who agreed to participate utilized the Pressure Ulcer Assessment and Documentation Pocket Guide to assess patients during the monthly meeting and then completed an evaluation. The guide was evaluated as being valuable in assessing and documenting pressure ulcers and it was recommended for distribution to staff nurses. Use of the tool has the potential to improve assessment, identification, and documentation of pressure ulcers. Implications for advanced practice are discussed.</p>

scholarly journals Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000–2010: A Retrospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Shkelzen B. Duci ◽  
Hysni M. Arifi ◽  
Mimoza E. Selmani ◽  
Agon Y. Mekaj ◽  
Musli M. Gashi ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Pressure Ulcers ◽  
Calculated Data ◽  
Duration Of Treatment ◽  
Statistical Parameters ◽  
Surgical Interventions ◽  
Plastic And Reconstructive Surgery ◽  
Clinical Center ◽  
The Difference ◽  
The University

Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000–2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with χ2-test and the difference is significant if P<0.05. Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high.

Role of Patient Specifics on Mechanical Risk and Load Relief During Support of Bony Prominences

2013 ◽  
Author(s):  
Ahmet Erdemir
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Region Of Interest ◽  
Clinical Effectiveness ◽  
Incidence Rates ◽  
Patient Specific ◽  
Support Surface ◽  
Load Relief ◽  
Bony Prominence ◽  
Pressure Ulcer Development

Prolonged mechanical loading of tissue in between a bony prominence and a support surface can lead to pressure ulcers. Despite recent initiatives to curb down incidence rates, the health care burden of pressure ulcer prevention remains significant [1]. Etiology of pressure ulcers are commonly attributed to interface pressures. As a result, interventions, e.g., support surfaces, routinely aim to reduce contact pressures. However, the clinical effectiveness of such an objective can be questionable [2]. Recent studies have shown that internal mechanics of the tissue can be associated with pressure ulcer development [3], potentially indicating the inefficacy of interventions targeted solely at contact pressure relief. Tissue characteristics at a bony prominence, e.g., tissue thickness and material properties, also influence load distribution within and on the surface of the tissue. Given the variability in patient populations and for a bony region of interest [4], it is possible that patient specific risk and load relief (with the use of support surface) may differ widely.

Prevention and management of pressure ulcers

2001 ◽  
Vol 11 (2) ◽  
pp. 115-130 ◽  
Author(s):  
David R Thomas
Keyword(s):  
Differential Diagnosis ◽  
Blood Supply ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Venous Stasis ◽  
Pathological Changes ◽  
Bony Prominence ◽  
Wound Type ◽  
Chronic Ulcers ◽  
Arterial Insufficiency

A pressure ulcer is the visible evidence of pathological changes in blood supply to the dermal and underlying tissues, usually due to compression of the tissue over a bony prominence. Pressure ulcers are one of several types of chronic ulcers of the skin, including venous stasis, diabetic ulcers, and arterial insufficiency ulcers. The differential diagnosis of pressure ulcers is imperative, since the management of each wound type differs substantially.

scholarly journals Epidemiological characteristics of patients with pelvic tumors submitted to surgical treatment

2018 ◽  
Vol 53 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Jairo Greco Garcia ◽  
Adriano Martinez ◽  
Reynaldo Jesus Garcia Filho ◽  
Marcelo Toledo Petrilli ◽  
Dan Carai Viola
Keyword(s):  
Surgical Treatment ◽  
Pelvic Tumors ◽  
Epidemiological Characteristics

Analysis of Driver's Characteristics Based on Internet of Vehicles

2014 ◽  
Vol 505-506 ◽  
pp. 1148-1152
Author(s):  
Jian Qun Wang ◽  
Xiao Qing Xue ◽  
Ning Cao
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Classification Model ◽  
Economic Losses ◽  
Lane Changing ◽  
Internet Of Vehicles ◽  
Factors Affecting ◽  
The Road ◽  
The University ◽  
Driver’S Characteristics

The road traffic accidents caused huge economic losses and casualties, so it had been focused by the researchers. Lane changing characteristic is the most relevant characteristic with safety. The intent of lane changing was discussed. Firstly, the factors affecting the intent were analyzed, the speed satisfaction value and the space satisfaction value were proposed; then the data from the University of California, Berkeley was extracted and the number of vehicles changed lane more often and the vehicle ID were obtained; the BP neural network classification model was established, it was trained and testified by actual data. The results shown the method could predict the intent accurately.

From the Cochrane Library: Foam surfaces for preventing pressure ulcers (Preprint)

2021 ◽  
Author(s):  
Yvonne Nong ◽  
Torunn Sivesind ◽  
Robert P. Dellavalle
Keyword(s):  
Systematic Review ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Cochrane Library ◽  
Cochrane Systematic Review ◽  
Pressure Ulcer Prevention ◽  
The Cochrane Library ◽  
Ulcer Prevention

UNSTRUCTURED This article summarizes an important Cochrane systematic review on the evidence of foam surfaces for pressure ulcer prevention.

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