Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients
Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients
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DOI：
10.1097/01.sap.0000164465.40841.0b
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发表时间：
2005-06-01
影响因子：
1.5
通讯作者：
Yasuda, Y
中科院分区：
文献类型：
--
作者：
Kuwahara, M;Tada, H;Yasuda, Y
我们对16例因脑血管疾病而不能活动的老年和长期住院患者的骶骨压疮进行了手术。患者的平均年龄为76岁。8例采用局部筋膜瓣治疗，8例采用单纯封闭治疗。随访1 ~ 4年。复发率和死亡率进行了回顾性研究。16例患者中37.5%复发，43.8%无复发死亡。局部筋膜瓣组的复发率为37.5%，单纯闭合组为37.5%。随访期间总死亡率为68.8%。由于术后死亡率较高，因此，我们不仅要关注局部减压，还要关注任何基础疾病。由于死亡率如此之高，应该使用尽可能侵入性最小的手术。由于单纯缝合的复发率与局部筋膜瓣相同，因此应考虑将单纯缝合作为一种重建方法。
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.