Document Detail


Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients.
MedLine Citation:
PMID:  15900149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We operated on 16 sacral pressure ulcers in elderly and long-term residential patients who were immobile as a result of cerebral vascular disease. The mean age of patients was 76 years. Eight ulcers were treated with local fascial flaps and 8 by simple closure. The follow-up period was from 1 to 4 years. Recurrence and mortality rates were examined retrospectively. In the 16 patients, recurrence occurred in 37.5%, and 43.8% died without recurrence. The recurrence rate was 37.5% for local fascial flaps and 37.5% for simple closure. Overall mortality was 68.8% in the follow-up period. Because postoperative death was common, we should not only focus on reducing local pressure but also pay attention to any underlying disease. Because of this high mortality rate, the least invasive procedure possible should be used. Because the recurrence rate of simple closure was the same as for local fascial flaps, simple closure should be considered as a reconstructive method.
Authors:
Masamitsu Kuwahara; Hideyuki Tada; Kumi Mashiba; Satoshi Yurugi; Hiroshi Iioka; Katsunori Niitsuma; Yukiko Yasuda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  54     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-18     Completed Date:  2005-10-06     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  629-32     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Hikone Central Hospital, Shiga Prefecture, Hikone-Shi Nishiima-chou, Japan. makuwa@naramed-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Cerebrovascular Disorders / complications*
Female
Follow-Up Studies
Humans
Immobilization / adverse effects
Male
Middle Aged
Pressure Ulcer / etiology,  mortality,  surgery*
Reconstructive Surgical Procedures / methods*
Recurrence
Retrospective Studies
Surgical Flaps
Time Factors
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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