Complications and their associations following the surgical repair of pressure ulcers - 06/12/18
, Andrew M. Simpson, MD , James Willcockson, MD , Daniel P. Donato, MD , Isak A. Goodwin, MD , Jayant P. Agarwal, MD Abstract |
Background |
Despite high expenditure, there is little national data on rates of complications following pressure ulcer repair. Complications, mortality and their predictors following surgical repair of pressure ulcers were evaluated.
Methods |
Patients undergoing pressure ulcer repair were identified in the NSQIP database from 2005 to 2015. Regression models were used to identify risk factors for complications.
Results |
1248 cases were identified with a complication rate of 35.0%. Obesity was associated with increased risk of complications, whereas flap closure was associated with fewer complications. Thirty-day mortality was 3.3%. Elderly age and diabetes were associated with increased mortality.
Conclusions |
Elderly age, diabetes and dependency are associated with increased mortality following pressure ulcer surgery. Flap repair is associated with decreased complications. Pressure ulcer reconstruction requires careful patient selection and surgical technique to mitigate risks and mortality.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The NSQIP database from 2005 to 2015 was queried, 1248 cases were identified with an overall complication rate of 35%. |
• | Obesity (OR 1.325; p = .0436) was independently associated with an increased risk of complications. |
• | Age ≥65 years (OR 5.665; p < .001) and diabetes (OR 2.960; p = .0010) were independent predictors of mortality after repair. |
• | Flap closure (OR 0.706; p = .0080) was associated with fewer complications. |
Keywords : Pressure ulcers, NSQIP, Flap surgery, Complications, Outcomes
Plan
Vol 216 - N° 6
P. 1177-1181 - décembre 2018 Retour au numéro
Article précédent
- Octogenarians have worse clinical outcomes after thyroidectomy
- Zeyad T. Sahli, Sheng Zhou, Omar Najjar, Oluwadamilola Onasanya, Dorry Segev, Allan Massie, Martha A. Zeiger, Aarti Mathur
- Parenchyma-sparing, local pancreatic head resection for premalignant and low-malignant neoplasms – A systematic review and meta-analysis
- Hans G. Beger, Benjamin Mayer, Bertram Poch
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?