Document Detail

Reporting outcomes for stage IV pressure ulcer healing: a proposal.
MedLine Citation:
PMID:  12669674     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To calculate the average daily healing rate for Stage IV pressure ulcers. To create and analyze wound healing curves. DESIGN: Retrospective analysis of healing rates of Stage IV pressure ulcers. SETTING: Veterans Affairs Transitional Care Unit at the VA North Texas Health Care System. PARTICIPANTS: Nine residents with pelvic Stage IV pressure ulcers that were fully healed. INTERVENTIONS: A sodium chloride-impregnated gauze or calcium alginate was the primary dressing, followed by a hydrocolloid or foam dressing. Eschar was removed by sharp, mechanical debridement, and fibrous necrotic tissue was removed with wet-to-dry dressings. MAIN OUTCOME MEASURES: Wounds were measured weekly using linear length and width in centimeters; measurements were multiplied to obtain wound area. The end of treatment was considered to be full epithelialization of the wound. RESULTS: Wound area reduction in square centimeters per day generally increased as initial wound area increased. However, the reduction in pressure ulcer area did not occur at a strict linear rate. The wound healing curves demonstrated the granulation, contraction, and epithelialization phases of wound healing. CONCLUSIONS: Calculation of an average daily healing rate is a useful method for determining pressure ulcer healing outcomes. Averaging together wound healing curves would enable health care providers to more accurately predict future healing times and quickly assess delays in healing. A standardized method for reporting healing rates would also help establish a baseline rate of pressure ulcer healing.
G S Brown
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  13     ISSN:  1527-7941     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:    2000 Nov-Dec
Date Detail:
Created Date:  2003-04-02     Completed Date:  2003-04-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  277-83     Citation Subset:  N    
VA North Texas Health Care System, Dallas, TX, USA.
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MeSH Terms
Anthropometry / methods*
Models, Biological
Pressure Ulcer / pathology*,  therapy*
Reference Standards
Retrospective Studies
Treatment Outcome
Wound Healing / physiology*

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

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