Clinical characteristics and healing outcomes of patients with pressure injuries: insights from Singapore's first chronic wounds registry.
| Autor: | Aloweni, Fazila, Bishnoi, Priya, Gunasegaran, Nanthakumahrie, Ju Xia Zhang, Yi Zhen Ng, Tze Tec Chong, Shin Yuh Ang |
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| Předmět: |
WOUND healing
SKIN diseases RESEARCH funding SYMPTOMS REPORTING of diseases TREATMENT effectiveness RETROSPECTIVE studies DESCRIPTIVE statistics WOUND infections CHI-squared test MANN Whitney U Test ODDS ratio TISSUE wounds CONFIDENCE intervals DATA analysis software COMPARATIVE studies PRESSURE ulcers CHRONIC wounds & injuries COMORBIDITY |
| Zdroj: | Journal of Wound Management; Jul2024, Vol. 25 Issue 2, p58-63, 6p |
| Abstrakt: | Aim To evaluate and provide insights on the clinical characteristics and healing outcomes of patients with pressure injuries (PIs) over six months using data from the Chronic Wounds Registry (CWR) database. Method This was a retrospective database review study where data were extracted from Singapore's CWR. The patient's basic demographic, co-morbidities, wound-related clinical data, and wound images were analysed. The study outcomes were on clinical characteristics and healing outcomes over six months. Results A total of 63 patients with 63 PIs were included in the study; 46.0% of the PIs were community-acquired, and the rest were hospital-acquired. The mean age was 67.3 years, and 56% were males. The most common ethnicity was Chinese (66.7%), followed by Malays (20.6%) and Indians (7.9%). At baseline, 30.2% of patients had deep tissue injury (DTI), 44.8% had stage I/II, and 13.8% had stage III/IV PIs. Twenty-nine (46.0%) of the PIs healed within six months, while 12 (19%) still had ongoing PIs at month 6. Wounds that failed to heal at six months exhibited a higher proportion of wound infection (33.3% vs 6.9%, p=0.02), wound bed slough (46.7% vs 10.3%, p=0.02), maceration of peri-wound skin (46.7% vs 3.5%, p=0.001)), and exudate (75.0% vs 38.0%, p=0.03). Conclusion While nearly half of the PIs healed within six months, ongoing cases were more likely to exhibit infection, sloughing, skin maceration, and excess exudate, indicating these factors as critical targets for improving healing rates in PIs care. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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