巴西南部一家大学医院中压疮患者的预后因素
PROGNOSTIC FACTORS IN PATIENTS WITH PRESSURE SORES IN A UNIVERSITY HOSPITAL IN SOUTHERN BRAZIL.
作者信息
Walter Gustavo Palmeiro, Seidel William, Giustina Renata Della, Bins-Ely Jorge, Maurici Rosemeri, Narciso-Schiavon Janaína Luz
机构信息
. Plastic Surgery Division, Hospital Universitario Polydoro Ernani de Sao Thiago, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
. Postgraduate Program in Intensive and Palliative Care, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
出版信息
Acta Ortop Bras. 2017 Nov-Dec;25(6):243-247. doi: 10.1590/1413-785220172506169042.
OBJECTIVE
Despite advances in medical care, patients who are hospitalized or have spinal cord injuries often develop pressure sores. The objective of this study was to describe the epidemiological characteristics of pressure sores and evaluate factors associated with recurrence and cure.
METHODS
In this historical cohort study, clinical and laboratory data were collected from medical records between 1997 and 2016.
RESULTS
Sixty individuals with pressure ulcers were included; mean patient age was 38.1±16.5 (37.0) years, 83.3% were men, and 86.8% identified as white. Most patients (85.1%) had paraplegia, amputation, or trauma of the lower limbs with motor sequelae; the remainder (14.9%) were quadriplegic. Most (78.3%) underwent surgery, and the mean follow-up time was 1.8±2.5 years. The lesions were cured in 25 patients; they recurred in 25% of the patients, and recurrence was seen to be associated with the location of the lesions. Patients with recurrent lesions had more medical consultations and a longer treatment time. Individuals whose ulcers had healed had fewer lesions, higher body mass index (BMI), and a higher proportion of these patients underwent surgery.
CONCLUSIONS
BMI and location and number of lesions are prognostic factors.
目的
尽管医疗护理有所进步，但住院患者或脊髓损伤患者仍常发生压疮。本研究的目的是描述压疮的流行病学特征，并评估与复发和治愈相关的因素。
方法
在这项历史性队列研究中，收集了1997年至2016年间病历中的临床和实验室数据。
结果
纳入了60例压疮患者；患者平均年龄为38.1±16.5（37.0）岁，83.3%为男性，86.8%为白人。大多数患者（85.1%）患有截瘫、截肢或下肢创伤并伴有运动后遗症；其余患者（14.9%）为四肢瘫痪。大多数患者（78.3%）接受了手术，平均随访时间为1.8±2.5年。25例患者的病变得到治愈；25%的患者出现复发，且复发与病变部位有关。复发病变的患者会诊次数更多，治疗时间更长。溃疡已愈合的患者病变较少，体重指数（BMI）较高，且这些患者接受手术的比例更高。
结论
BMI、病变部位和数量是预后因素。
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