Examining Factors That Contribute to Delayed Wound Healing in Children with Tracheostomy Wounds
Autor: | Jacqueline Rainey, Brian H Odom, Lisa VanHoose, Charlotte Yates, Leah Lowe |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Adolescent Databases Factual Healing time Dermatology Risk Assessment Tracheostomy device 030207 dermatology & venereal diseases 03 medical and health sciences Postoperative Complications Tracheostomy 0302 clinical medicine Internal medicine medicine Humans Stage (cooking) Child Retrospective Studies Advanced and Specialized Nursing Wound Healing Delayed wound healing Arkansas Pressure injury business.industry Infant 030208 emergency & critical care medicine Retrospective cohort study Length of Stay Hospitals Pediatric Prognosis Logistic Models Child Preschool Multivariate Analysis Female Wound healing business Pediatric population |
Zdroj: | Advances in Skin & Wound Care. 33:1-4 |
ISSN: | 1538-8654 1527-7941 |
DOI: | 10.1097/01.asw.0000653156.13611.34 |
Popis: | Objective To identify variables that may contribute to delayed wound healing times in pediatric patients with tracheostomy wounds. Design Researchers identified 134 charts spanning January 2013 to June 2017; 95 charts met the inclusion criteria. The study examined Pressure Ulcer Scale for Healing (PUSH) scores, pressure injury staging, and albumin levels. Setting Arkansas Children's Hospital. Patients Patients (birth to 18 years) who developed or were admitted with a wound caused by a tracheostomy device. Main outcome measure Time in days to wound closure. Main results There was a moderate positive correlation between albumin and days to healing (r = 0.432, n = 22, P = .045) with higher albumin levels associated with shorter healing times. The PUSH scores and pressure injury stage were significant in explaining 14.1% of variance in days to healing (F77,2 = 7.458; P Conclusions Wound healing appears to be multifactorial in nature in the pediatric population; albumin levels, pressure injury stage, and PUSH scores are all positively correlated with healing times. Further research is needed to investigate the contribution of race to healing time predication for the pediatric population. |
Databáze: | OpenAIRE |
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