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The Japanese registry for surgery of ischial pressure ulcers: STANDARDS-I.
Yanagi, Hideyuki; Terashi, Hiroto; Takahashi, Yoshimitsu; Okabe, Katsuyuki; Tanaka, Katsumi; Kimura, Chu; Ohura, Norihiko; Goto, Takahiro; Hashimoto, Ichiro; Noguchi, Madoka; Sasayama, Junichi; Shimada, Kenichi; Sugai, Ayumi; Tanba, Mitsuko; Nakayama, Takeo; Tsuboi, Ryoji; Sugama, Junko; Sanada, Hiromi.
Afiliación
  • Yanagi H; Kobe Academia Clinic, Hyogo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Terashi H; Department of Plastic Surgery, Kobe University, Hyogo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Takahashi Y; Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.
  • Okabe K; Okabe Plastic Surgery and Orthopedics Clinic, Kanagawa, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Tanaka K; Department of Plastic and Reconstructive Surgery, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Kimura C; Department of Plastic Surgery, Hakodate General Central Hospital, Hokkaido, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Ohura N; Department of Plastic Surgery, Kyorin University, Tokyo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Goto T; Department of Plastic and Reconstructive Surgery, Tohoku University, Miyagi, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Hashimoto I; Department of Plastic and Reconstructive Surgery, Tokushima University, Tokushima, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Noguchi M; Department of Nursing, Kobe University Hospital, Hyogo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Sasayama J; Hyogo Prefectural Rehabilitation Center, Hyogo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Shimada K; Department of Plastic Surgery, Kanazawa Medical University, Ishikawa, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Sugai A; Department of Nursing, Hoshigaoka Medical Center, Osaka, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Tanba M; Department of Nursing, Kyorin University Hospital, Tokyo, Japan; and The Working Group for the Surgical Indication, Japanese Society of Pressure Ulcers.
  • Nakayama T; Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan; and Scientific Education Committee, Japanese Society of Pressure Ulcers.
  • Tsuboi R; Department of Dermatology, Tokyo Medical University, Tokyo, Japan; and Scientific Education Committee, Japanese Society of Pressure Ulcers.
  • Sugama J; Wellness Promotion Science Center, Kanazawa University, Ishikawa, Japan; and Scientific Committee, Japanese Society of Pressure Ulcers.
  • Sanada H; Department of Gerontological Nursing/Wound Care Management, Division of Health Science and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan; and President, Japanese Society of Pressure Ulcers.
J Wound Care ; 27(3): 174-183, 2018 03 02.
Article en En | MEDLINE | ID: mdl-29509114
OBJECTIVE: To clarify the surgical indications and the appropriate perioperative management of ischial pressure ulcers (PUs). METHOD: A two-year prospective, nationwide registry study was carried out across 26 medical institutions in Japan. All participating institutions managed ischial PUs according to the standardisation of total management and surgical application for the refractory decubitus (STANDARDS-I) perioperative protocol. Analysis was conducted on a range of clinically or statistically important variables for the achievement of primary or secondary endpoints: complete wound healing and hospital discharge at three months, and complete wound healing at one month after surgery, respectively. RESULTS: A total of 59 patients took part in the study. All patients underwent surgery for ischial PUs during the study period. Patients who had achieved the primary endpoint had a higer preoperative functional independence measurement (FIM score), a higher 'G' score in the DESIGN-R scale and were more likely to have healed by primary intention. Patients who had achieved the secondary endpoint were more likely to have spastic paralysis, preoperative physiotherapy and localised infection of the wound, among other variables. CONCLUSION: This survey suggests that preoperative physiotherapy increases the speed of wound healing, and good granulation of the wound bed preoperatively increases the likelihood of woundless discharge from hospital, whereas the existence of comorbidities negatively influences the likelihood of woundless discharge from hospital. The study also suggests that the existence of spastic paralysis, preoperative infection of the wound, or surgical reduction of the ischial tubercle speeds up the healing of the wound. However, the wound failed to heal significantly more often in patients with increasing white blood cell count after surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cicatrización de Heridas / Sistema de Registros / Procedimientos de Cirugía Plástica / Úlcera por Presión Tipo de estudio: Guideline Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Wound Care Asunto de la revista: ENFERMAGEM Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cicatrización de Heridas / Sistema de Registros / Procedimientos de Cirugía Plástica / Úlcera por Presión Tipo de estudio: Guideline Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Wound Care Asunto de la revista: ENFERMAGEM Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido