Determinants of the Success of Flap Reconstruction: Outcome Analysis of 484 Surgeries for Pressure Injury

NCT05441293 | Completed

• 1 other identifier: WanFangW2
• Study Type: observational
• Target: 484
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background: Pressure injury (PI) mainly occurs in bedridden older adults or those with physical limitations. PI treatment is typically long-term, requiring coordination between health-care workers and the patient's caregiver. Here, we aimed to determine the appropriate timing to conduct flap reconstruction in patients with PIs and identify factors affecting surgical outcomes. Materials and Methods: 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. Next, these characteristics including the flap outcomes of our patients with PIs were analyzed, along with the risk factors for poor wound healing and complications.

Conditions

Pressure Injury

Outcome Measures

Primary Outcomes (1)

• Complete wound healing

  no presentation of wound drainage or wound dehiscence at the surgical site 14 days after drainage tube removal.

  from January 2016 to December 2021

Study Arms (2)

debridements group

During study peroid, the patient who received debridement surgery for pressure injury

Procedure: flap reconstruction

flap reconstructions group

During study peroid, the patient who received flap reconstruction surgery for pressure injury

Procedure: flap reconstruction

Interventions

flap reconstruction PROCEDURE

received flap reconstruction over sacrum, back, trochanter, ischium, elbow, and lower extremities

debridements group; flap reconstructions group

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

all patients who received debridement or flap reconstruction surgery for Pressure injury in Wan Fang Hospital from January 2016 to December 2021

You may qualify if:

• all patients who received debridement or flap reconstruction surgery for Pressure injury in Wan Fang Hospital from January 2016 to December 2021

You may not qualify if:

• the patients who did not received debridement or flap reconstruction surgery for Pressure injury

Sponsors & Collaborators

• Taipei Medical University WanFang Hospital: lead

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 28, 2022
• First Posted: July 1, 2022
• Study Start: January 1, 2016
• Primary Completion: December 1, 2021
• Study Completion: May 31, 2022
• Last Updated: July 1, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share