| Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients. | |
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MedLine Citation:
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PMID: 15900149 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Masamitsu Kuwahara; Hideyuki Tada; Kumi Mashiba; Satoshi Yurugi; Hiroshi Iioka; Katsunori Niitsuma; Yukiko Yasuda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 54 ISSN: 0148-7043 ISO Abbreviation: Ann Plast Surg Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-18 Completed Date: 2005-10-06 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 629-32 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, Hikone Central Hospital, Shiga Prefecture, Hikone-Shi Nishiima-chou, Japan. makuwa@naramed-u.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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