Translational Medical and Surgical Sciences PhD Program, University of Parma.
General Surgery Unit, University Hospital of Parma.
Acta Biomed. 2021 Sep 2;92(4):e2021226. doi: 10.23750/abm.v92i4.10666.
The concept of WBP (wound bed preparation) has revolutionized the way to diagnose and correctly identify the best therapeutic path about the widespread clinical problem of difficult wounds. Starting from the modified TIME-H, authors conducted a preliminary study with the aim of assessing the impact of skin lesions and soft tissues for the surgical patient.
38 patients were preliminarily evaluated. The patients were classified according to the lesion examined, in particular among those who had an infectious or vascular etiology (SSTIs), and patients with surgical site lesions (SSI) and assigned to one of three categories prognosis: favorable (with healing expected within 12 weeks) (0-3A, 0-1B), intermediate (with healing expected over 12 weeks) (4-6A, 2-4B) and uncertain healing (7- 8A, 5-8B).
At the end of the one-year observation period, authors established the healing prediction rate among the studied lesions: the surgical site lesions presented the highest percentage of predictivity (88%), followed by the mixed etiology (72%) and the infectious/vascular injuries (63%) Conclusion.This modified-TIME-H can be considered as a versatile and useful scoringtool that should be used in daily clinical practice for the study and treatment of chronic wound diseases.
WBP（创面床准备）的概念彻底改变了诊断和正确识别广泛存在的临床难题（即难愈性创面）最佳治疗途径的方法。从改良的 TIME-H 开始，作者进行了一项初步研究，旨在评估皮肤损伤和软组织对手术患者的影响。
初步评估了 38 名患者。根据检查的病变将患者分类，特别是那些具有感染或血管病因（SSIs）的患者和手术部位病变（SSI）患者，并将其分为三种预后类别：预计 12 周内愈合（良好）（0-3A，0-1B）、预计 12 周以上愈合（中等）（4-6A，2-4B）和愈合不确定（不确定）（7-8A，5-8B）。
在为期一年的观察期结束时，作者确定了研究病变的愈合预测率：手术部位病变的预测率最高（88%），其次是混合病因（72%）和感染/血管损伤（63%）。结论：改良-TIME-H 可被视为一种通用且有用的评分工具，应在日常临床实践中用于研究和治疗慢性创面疾病。
