Determinants of the success in flap reconstruction—Outcome analysis of 120 flaps in 484 procedures for pressure injury

Ching Ya Huang, Sheng Lian Lee, Wen Kuan Chiu, Chiehfeng Chen, Jin Hua Chen, Hsian Jenn Wang

研究成果: 雜誌貢獻文章同行評審

摘要

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.
原文英語
頁(從 - 到)3105-3115
頁數11
期刊International Wound Journal
20
發行號8
DOIs
出版狀態已發佈 - 10月 2023

ASJC Scopus subject areas

  • 手術
  • 皮膚科

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