Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury
Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patien...
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| Veröffentlicht in: | International wound journal 2023-10, Vol.20 (8), p.3105-3115 |
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| creator | Huang, Ching‐Ya Lee, Sheng‐Lian Chiu, Wen‐Kuan Chen, Chiehfeng Chen, Jin‐Hua Wang, Hsian‐Jenn |
| description | Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patients who received debridement or flap reconstruction surgery for PIs in our hospital from January 2016 to December 2021. The extracted data included patient demographics, surgical records, blood test results, vital signs, and flap outcomes. In total, 484 surgical procedures (364 debridements and 120 flaps) were performed on 216 patients. Serum albumin level of ≥2.5 g/dL remarkably increased the likelihood of complete wound healing (odds ratio [OR] = 4.12, P = .032) and reduced the risk of postoperative complications (OR = 0.26, P = .040). In contrast, advanced age (OR = 1.04, P = .045) and serum creatinine level ≥2 mg/dL (OR = 5.07, P = .016) increased the risk of postoperative complications. Thus, patients with a favourable nutrition status have a higher likelihood of achieving complete wound healing. By contrast, patients who are older and have serum creatinine ≥2 mg/dL and serum albumin |
| doi_str_mv | 10.1111/iwj.14185 |
| format | Article |
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Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patients who received debridement or flap reconstruction surgery for PIs in our hospital from January 2016 to December 2021. The extracted data included patient demographics, surgical records, blood test results, vital signs, and flap outcomes. In total, 484 surgical procedures (364 debridements and 120 flaps) were performed on 216 patients. Serum albumin level of ≥2.5 g/dL remarkably increased the likelihood of complete wound healing (odds ratio [OR] = 4.12, P = .032) and reduced the risk of postoperative complications (OR = 0.26, P = .040). In contrast, advanced age (OR = 1.04, P = .045) and serum creatinine level ≥2 mg/dL (OR = 5.07, P = .016) increased the risk of postoperative complications. Thus, patients with a favourable nutrition status have a higher likelihood of achieving complete wound healing. By contrast, patients who are older and have serum creatinine ≥2 mg/dL and serum albumin <2.5 g/dL tend to develop more postoperative complications. Overall, thorough correction for patient inflammation, infection, anaemia, and malnutrition status can provide optimal flap surgery outcomes.</description><identifier>ISSN: 1742-4801</identifier><identifier>ISSN: 1742-481X</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.14185</identifier><identifier>PMID: 37157923</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Blood pressure ; Blood tests ; Body mass index ; Body temperature ; Cardiovascular disease ; Coronary vessels ; Creatinine ; Debridement ; Dementia ; Demographics ; Diabetes ; flap reconstruction ; Hemodialysis ; Hemoglobin ; Hospitals ; Hypertension ; Infections ; Original ; Parkinson's disease ; Patients ; Plastic surgery ; pressure injury ; Proteins ; Regression analysis ; risk factor ; Statistical analysis ; Vein & artery diseases ; Vital signs ; Wound healing</subject><ispartof>International wound journal, 2023-10, Vol.20 (8), p.3105-3115</ispartof><rights>2023 The Authors. published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4045-260abffcbf93cc529eb7e1462cae198bac598691add2cdd01929b6073cb29db83</cites><orcidid>0000-0002-1595-6553 ; 0000-0003-0190-8857 ; 0000-0002-2166-6173</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502293/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502293/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37157923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Ching‐Ya</creatorcontrib><creatorcontrib>Lee, Sheng‐Lian</creatorcontrib><creatorcontrib>Chiu, Wen‐Kuan</creatorcontrib><creatorcontrib>Chen, Chiehfeng</creatorcontrib><creatorcontrib>Chen, Jin‐Hua</creatorcontrib><creatorcontrib>Wang, Hsian‐Jenn</creatorcontrib><title>Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury</title><title>International wound journal</title><addtitle>Int Wound J</addtitle><description>Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patients who received debridement or flap reconstruction surgery for PIs in our hospital from January 2016 to December 2021. The extracted data included patient demographics, surgical records, blood test results, vital signs, and flap outcomes. In total, 484 surgical procedures (364 debridements and 120 flaps) were performed on 216 patients. Serum albumin level of ≥2.5 g/dL remarkably increased the likelihood of complete wound healing (odds ratio [OR] = 4.12, P = .032) and reduced the risk of postoperative complications (OR = 0.26, P = .040). In contrast, advanced age (OR = 1.04, P = .045) and serum creatinine level ≥2 mg/dL (OR = 5.07, P = .016) increased the risk of postoperative complications. Thus, patients with a favourable nutrition status have a higher likelihood of achieving complete wound healing. By contrast, patients who are older and have serum creatinine ≥2 mg/dL and serum albumin <2.5 g/dL tend to develop more postoperative complications. Overall, thorough correction for patient inflammation, infection, anaemia, and malnutrition status can provide optimal flap surgery outcomes.</description><subject>Blood pressure</subject><subject>Blood tests</subject><subject>Body mass index</subject><subject>Body temperature</subject><subject>Cardiovascular disease</subject><subject>Coronary vessels</subject><subject>Creatinine</subject><subject>Debridement</subject><subject>Dementia</subject><subject>Demographics</subject><subject>Diabetes</subject><subject>flap reconstruction</subject><subject>Hemodialysis</subject><subject>Hemoglobin</subject><subject>Hospitals</subject><subject>Hypertension</subject><subject>Infections</subject><subject>Original</subject><subject>Parkinson's disease</subject><subject>Patients</subject><subject>Plastic surgery</subject><subject>pressure injury</subject><subject>Proteins</subject><subject>Regression analysis</subject><subject>risk factor</subject><subject>Statistical analysis</subject><subject>Vein & artery diseases</subject><subject>Vital signs</subject><subject>Wound healing</subject><issn>1742-4801</issn><issn>1742-481X</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc9u1DAQhy0EoqVw4AWQJS5w2NZ24sQ-oar8K6rUCwhuljOZUK8Se7Fjyt54CJ6QJ8HNlhUg4Ys9ms-fRvMj5DFnx7ycE3e9PuY1V_IOOeRtLVa14p_u7t-MH5AHKa0ZE1rK9j45qFouWy2qQ_LtJc4YJ-etnxMNA52vkKYMgClR5-kw2g2NCMGnOWaYXfA_v_-4zDOECan1dtwmt3zkgi308q1WNd3EANjniIkOIZayKEtV2usctw_JvcGOCR_d3kfkw-tX78_eri4u35yfnV6soGa1XImG2W4YoBt0BSCFxq5FXjcCLHKtOgtSq0Zz2_cC-p5xLXTXsLaCTui-U9URebHzbnI3YQ_o52hHs4lusnFrgnXm7453V-Zz-Go4k0wIXRXDs1tDDF8yptlMLgGOo_UYcjJC8bJNJpsb9Ok_6DrkWJaUTMU0a5hSC_V8R0EMKUUc9tNwZm4CNSVQswRa2Cd_jr8nfydYgJMdcO1G3P7fZM4_vtspfwEr-627</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Huang, Ching‐Ya</creator><creator>Lee, Sheng‐Lian</creator><creator>Chiu, Wen‐Kuan</creator><creator>Chen, Chiehfeng</creator><creator>Chen, Jin‐Hua</creator><creator>Wang, Hsian‐Jenn</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1595-6553</orcidid><orcidid>https://orcid.org/0000-0003-0190-8857</orcidid><orcidid>https://orcid.org/0000-0002-2166-6173</orcidid></search><sort><creationdate>202310</creationdate><title>Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury</title><author>Huang, Ching‐Ya ; Lee, Sheng‐Lian ; Chiu, Wen‐Kuan ; Chen, Chiehfeng ; Chen, Jin‐Hua ; Wang, Hsian‐Jenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4045-260abffcbf93cc529eb7e1462cae198bac598691add2cdd01929b6073cb29db83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blood pressure</topic><topic>Blood tests</topic><topic>Body mass index</topic><topic>Body temperature</topic><topic>Cardiovascular disease</topic><topic>Coronary vessels</topic><topic>Creatinine</topic><topic>Debridement</topic><topic>Dementia</topic><topic>Demographics</topic><topic>Diabetes</topic><topic>flap reconstruction</topic><topic>Hemodialysis</topic><topic>Hemoglobin</topic><topic>Hospitals</topic><topic>Hypertension</topic><topic>Infections</topic><topic>Original</topic><topic>Parkinson's disease</topic><topic>Patients</topic><topic>Plastic surgery</topic><topic>pressure injury</topic><topic>Proteins</topic><topic>Regression analysis</topic><topic>risk factor</topic><topic>Statistical analysis</topic><topic>Vein & artery diseases</topic><topic>Vital signs</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Ching‐Ya</creatorcontrib><creatorcontrib>Lee, Sheng‐Lian</creatorcontrib><creatorcontrib>Chiu, Wen‐Kuan</creatorcontrib><creatorcontrib>Chen, Chiehfeng</creatorcontrib><creatorcontrib>Chen, Jin‐Hua</creatorcontrib><creatorcontrib>Wang, Hsian‐Jenn</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International wound journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Ching‐Ya</au><au>Lee, Sheng‐Lian</au><au>Chiu, Wen‐Kuan</au><au>Chen, Chiehfeng</au><au>Chen, Jin‐Hua</au><au>Wang, Hsian‐Jenn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury</atitle><jtitle>International wound journal</jtitle><addtitle>Int Wound J</addtitle><date>2023-10</date><risdate>2023</risdate><volume>20</volume><issue>8</issue><spage>3105</spage><epage>3115</epage><pages>3105-3115</pages><issn>1742-4801</issn><issn>1742-481X</issn><eissn>1742-481X</eissn><abstract>Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patients who received debridement or flap reconstruction surgery for PIs in our hospital from January 2016 to December 2021. The extracted data included patient demographics, surgical records, blood test results, vital signs, and flap outcomes. In total, 484 surgical procedures (364 debridements and 120 flaps) were performed on 216 patients. Serum albumin level of ≥2.5 g/dL remarkably increased the likelihood of complete wound healing (odds ratio [OR] = 4.12, P = .032) and reduced the risk of postoperative complications (OR = 0.26, P = .040). In contrast, advanced age (OR = 1.04, P = .045) and serum creatinine level ≥2 mg/dL (OR = 5.07, P = .016) increased the risk of postoperative complications. Thus, patients with a favourable nutrition status have a higher likelihood of achieving complete wound healing. By contrast, patients who are older and have serum creatinine ≥2 mg/dL and serum albumin <2.5 g/dL tend to develop more postoperative complications. Overall, thorough correction for patient inflammation, infection, anaemia, and malnutrition status can provide optimal flap surgery outcomes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>37157923</pmid><doi>10.1111/iwj.14185</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1595-6553</orcidid><orcidid>https://orcid.org/0000-0003-0190-8857</orcidid><orcidid>https://orcid.org/0000-0002-2166-6173</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Blood pressure Blood tests Body mass index Body temperature Cardiovascular disease Coronary vessels Creatinine Debridement Dementia Demographics Diabetes flap reconstruction Hemodialysis Hemoglobin Hospitals Hypertension Infections Original Parkinson's disease Patients Plastic surgery pressure injury Proteins Regression analysis risk factor Statistical analysis Vein & artery diseases Vital signs Wound healing |
| title | Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury |
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