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  4. Surgery for pressure ulcers in spinal cord-injured patients following a structured treatment programme: a 10-year follow-up

Surgery for pressure ulcers in spinal cord-injured patients following a structured treatment programme: a 10-year follow-up

International Wound Journal, 2017 · DOI: 10.1111/iwj.12609 · Published: March 1, 2017

Spinal Cord InjurySurgeryDermatology

Simple Explanation

This study assessed the long-term results of a structured treatment program for spinal cord-injured patients undergoing surgery for pressure ulcers. The program included specific guidelines for pre- and post-operative care and rehabilitation. The study found that the program led to good initial healing rates and low recurrence of ulcers, especially in the first few years after surgery. Patients also reported an improved health status. These findings suggest that structured treatment programs can be beneficial for spinal cord-injured patients who require surgery for pressure ulcers.

Study Duration
10 years
Participants
51 spinal cord-injured patients
Evidence Level
Not specified

Key Findings

  • 1
    At one month postoperatively, 96% of patients were completely healed.
  • 2
    Within 3 years of surgery, 11% of patients developed recurrent or new ulcers.
  • 3
    Health status values, measured using a visual analogue rating scale, improved from a median of 30 preoperatively to 70 at both 3 and 10 years postoperatively.

Research Summary

This study evaluated a structured treatment program for spinal cord-injured patients undergoing pressure ulcer surgery, with a 10-year follow-up. The program showed good initial healing, low ulcer recurrence, and improved health status, especially in the early postoperative years. The results suggest that a structured treatment program is beneficial for spinal cord-injured patients undergoing pressure ulcer surgery.

Practical Implications

Structured Care Programs

Implementing structured treatment programs can improve outcomes for spinal cord-injured patients undergoing pressure ulcer surgery.

Early Detection and Prevention

Focusing on early detection and prevention of ulcers is crucial for long-term success.

Multidisciplinary Collaboration

Collaboration between surgical and rehabilitation teams is essential for comprehensive patient care.

Study Limitations

  • 1
    Lack of a control group
  • 2
    Patient loss during the long follow-up
  • 3
    Difficult to estimate the program's impact

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