Determinants of the success in flap reconstruction - Outcome analysis of 120 flaps in 484
procedures for pressure injury

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題名:	Determinants of the success in flap reconstruction - Outcome analysis of 120 flaps in 484 procedures for pressure injury
作者:	邱文寬 Huang, Ching-Ya;Lee, Sheng-Lian;Chiu, Wen-Kuan;Chen, Chiehfeng;Chen, Jin-Hua;Wang, Hsian-Jenn
貢獻者:	醫學系外科學科
關鍵詞:	flap reconstruction;pressure injury;risk factor;wound healing.
日期:	2023-10
上傳時間:	2024-12-04 14:04:36 (UTC+8)
摘要:	Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. Here; we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. We retrospectively reviewed the data of all patients who received debridement or flap reconstruction surgery for PIs in our hospital from January 2016 to December 2021. The extracted data included patient demographics; surgical records; blood test results; vital signs; and flap outcomes. In total; 484 surgical procedures (364 debridements and 120 flaps) were performed on 216 patients. Serum albumin level of ?2.5 g/dL remarkably increased the likelihood of complete wound healing (odds ratio [OR] = 4.12; P = .032) and reduced the risk of postoperative complications (OR = 0.26; P = .040). In contrast; advanced age (OR = 1.04; P = .045) and serum creatinine level ?2 mg/dL (OR = 5.07; P = .016) increased the risk of postoperative complications. Thus; patients with a favourable nutrition status have a higher likelihood of achieving complete wound healing. By contrast; patients who are older and have serum creatinine ?2 mg/dL and serum albumin <2.5 g/dL tend to develop more postoperative complications. Overall; thorough correction for patient inflammation; infection; anaemia; and malnutrition status can provide optimal flap surgery outcomes.
關聯:	International wound journal; 20(8); 3105–3115
描述:	【112-2 升等】臺北醫學大學教師升等專門著作職別：專任送審等級：副教授著作送審
附註:	代表著作名稱：《Determinants of the success in flap reconstruction - Outcome analysis of 120 flaps in 484 procedures for pressure injury》 ? 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
資料類型:	article
顯示於類別:	[教師升等送審著作] 112 [外科學科] 期刊論文

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