Department of Internal Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.
College of Medicine, Kaohsiung Medical University, Sanmin District, Kaohsiung City, Taiwan.
Wounds. 2020 Jun;32(6):152-158.
Detailed understandings regarding the outcomes and characteristics of healing in wounds of different etiologies are lacking.
In the present study, data on 265 patients treated at an outpatient physical therapy wound care clinic were extracted.
Using Kaplan-Meier analyses, wound healing outcomes for different wound etiologies were evaluated and compared.
The results revealed venous leg ulcers (VLUs) healed faster than non-VLUs, pressure ulcers (PUs), diabetic foot ulcers (DFUs), and arterial wounds but not faster than surgical and traumatic wounds (STWs). The estimated medians (mean for arterial wounds) of total treatment durations for complete wound closure were 87, 152, 100, 170, 525.44, 773 days in VLUs, non-VLUs, STWs, DFUs, arterial wounds, and PUs, respectively. Compared with patients with VLUs, patients with non-VLUs were younger (69.72 vs. 61.35, respectively), had a higher proportion of men (odds ratio [OR] = 2.26), were less likely to have more than 1 wound (OR = 0.25), reached complete wound closure upon discharge (OR = 0.41), or had a body mass index value greater than or equal to 25 (OR = 0.39).
Venous leg ulcers and other wound etiologies (ie, STWs, PUs, DFUs, and arterial wounds) appear to differ in wound healing outcomes and certain characteristics. These results may be of interest to clinicians, patients, health care policy makers, and insurers. Future research is warranted to compare wound healing outcomes and patient characteristics among different settings.
对于不同病因的伤口愈合结果和特征，我们缺乏详细的了解。
本研究从一家门诊物理治疗伤口护理诊所提取了 265 例患者的数据。
使用 Kaplan-Meier 分析，评估和比较不同伤口病因的伤口愈合结果。
结果显示，静脉性腿部溃疡（venous leg ulcers，VLUs）的愈合速度快于非-VLUs、压力性溃疡（pressure ulcers，PUs）、糖尿病足溃疡（diabetic foot ulcers，DFUs）和动脉性伤口，但与手术和创伤性伤口（surgical and traumatic wounds，STWs）相比则不然。完全愈合的总治疗持续时间的估计中位数（动脉性伤口的平均值）分别为 VLUs、非-VLUs、STWs、DFUs、动脉性伤口和 PUs 中的 87、152、100、170、525.44 和 773 天。与 VLUs 患者相比，非-VLUs 患者更年轻（69.72 岁比 61.35 岁），男性比例更高（比值比 [odds ratio，OR] = 2.26），有一个以上伤口的可能性更小（OR = 0.25），在出院时达到完全愈合（OR = 0.41）或体质量指数值大于或等于 25（OR = 0.39）的可能性更小。
静脉性腿部溃疡和其他伤口病因（即 STWs、PUs、DFUs 和动脉性伤口）在伤口愈合结果和某些特征上似乎有所不同。这些结果可能引起临床医生、患者、医疗保健政策制定者和保险公司的兴趣。需要进一步研究以比较不同环境下的伤口愈合结果和患者特征。
