دورية أكاديمية

Examining Factors That Contribute to Delayed Wound Healing in Children with Tracheostomy Wounds.

التفاصيل البيبلوغرافية
العنوان: Examining Factors That Contribute to Delayed Wound Healing in Children with Tracheostomy Wounds.
المؤلفون: Odom BH; At the University of Central Arkansas in Conway, Arkansas, Brian H. Odom, PhD, PT, CWS, is an Associate Professor, Harding University, in Searcy, Arkansas. Leah Lowe, PhD, PT, PCS, is Assistant Professor, University of Central Arkansas, Conway, Arkansas. Lisa VanHoose, PhD, MPH, PT, is Associate Professor and Physical Therapy Program Director, University of Louisiana Monroe. Jacqueline Rainey, DrPH, MCHES, is Associate Dean; and Charlotte Yates, PhD, PT, PCS, is Professor., Lowe L, VanHoose L, Rainey J, Yates C
المصدر: Advances in skin & wound care [Adv Skin Wound Care] 2020 Mar; Vol. 33 (3), pp. 1-4.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100911021 Publication Model: Print Cited Medium: Internet ISSN: 1538-8654 (Electronic) Linking ISSN: 15277941 NLM ISO Abbreviation: Adv Skin Wound Care
أسماء مطبوعة: Publication: <2002->: [Philadelphia, Pa.?] : Lippincott Williams & Wilkins
Original Publication: Springhouse, PA : Springhouse Corp., c2000-
مواضيع طبية MeSH: Length of Stay*, Postoperative Complications/*physiopathology , Tracheostomy/*adverse effects , Wound Healing/*physiology, Adolescent ; Arkansas ; Child ; Child, Preschool ; Databases, Factual ; Female ; Hospitals, Pediatric ; Humans ; Infant ; Logistic Models ; Male ; Multivariate Analysis ; Prognosis ; Retrospective Studies ; Risk Assessment ; Tracheostomy/methods
مستخلص: Objective: To identify variables that may contribute to delayed wound healing times in pediatric patients with tracheostomy wounds.
Design: Researchers identified 134 charts spanning January 2013 to June 2017; 95 charts met the inclusion criteria. The study examined Pressure Ulcer Scale for Healing (PUSH) scores, pressure injury staging, and albumin levels.
Setting: Arkansas Children's Hospital.
Patients: Patients (birth to 18 years) who developed or were admitted with a wound caused by a tracheostomy device.
Main Outcome Measure: Time in days to wound closure.
Main Results: There was a moderate positive correlation between albumin and days to healing (r = 0.432, n = 22, P = .045) with higher albumin levels associated with shorter healing times. The PUSH scores and pressure injury stage were significant in explaining 14.1% of variance in days to healing (F77,2 = 7.458; P < .001).
Conclusions: Wound healing appears to be multifactorial in nature in the pediatric population; albumin levels, pressure injury stage, and PUSH scores are all positively correlated with healing times. Further research is needed to investigate the contribution of race to healing time predication for the pediatric population.
References: Baharestani MM, Ratliff C. Pressure ulcers in neonates and children: an NPUAP whitepaper. Adv Skin Wound Care 2007;20:208, 210, 212, 214, 216, 218-220.
Freundlich K. Pressure injuries in medically complex children: a review. Children 2017;4:25.
Guo S, Dipietro LA. Factors affecting wound healing. J Dent Res 2010;89:219–29.
Baharestani M. An overview of neonatal and pediatric wound care knowledge and considerations. Ostomy Wound Manage 2007;56(6):34–55.
Wysocki AB. Anatomy and physiology of skin and soft tissue. In: Bryant RA, ed. Acute and Chronic Wounds: Nursing Management. 2nd ed. St Louis, MO: Mosby; 2002.
The Tendra Academy. Report from and Independent Multidisciplinary Advisory Group. Issues in Paediatric Wound Care: Minimizing Trauma and Pain. Norcross, GA: Molnlycke Health Care, Inc; 2004.
Leung A, Balaji S, Keswani S. Biology and function of fetal and pediatric skin. Facial Plast Surg Clin North Am 2013;21:1–6.
Stamatas G, Nikolovski J, Luedtke M, Kollias N, Wiegand B. Infant skin microstructure assessed in vivo differs from adult skin in organization and at the cellular level. Pediatr Dermatol 2010;27:125–31.
Oranges T, Dini V, Romanelli M. Skin physiology of the neonate and infant: clinical implications. Adv Wound Care 2015;4(10):587–95.
Cox J. Pressure injury risk factors in adult critical care patients: a review of the literature. Ostomy Wound Manage 2017;63:30–43.
Anderson K, Hamm R. Factors that impair wound healing. J Am Coll Clin Wound Spec 2014;4:84–91.
Ruben B. 11 comorbidities that inhibit wound healing. August 13, 2014. WoundSource. www.woundsource.com/blog/11-comorbidities-inhibit-wound-healing. Last accessed December 17, 2019.
Delmore BA, Ayello E. Pressure injuries caused by medical devices and other objects: a clinical update. Am J Nurs 2017;117:36–45.
Black J, Cuddigan J, Walko M, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358–65.
Odom B, Yates C, Lowe L, VanHoose L. Pediatric tracheostomy wound healing: a retrospective cohort study [published online October 26, 2019]. Adv Skin Wound Care.
Stotts N, Rodeheaver GT, Thomas DR, et al. An instrument to measure healing in pressure ulcers: development and validation of the Pressure Ulcer Scale for Healing (PUSH). J Gerontol A Biol Sci Med Sci 2001;56:M795–9.
National Pressure Injury Advisory Panel. Pressure injury stages. 2019. https://npiap.com/page/PressureInjuryStages. Last accessed January 2, 2020.
McClave S, Taylor B, Martindale R, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). J Parenteral Enteral Nutr 2016;2:159–211.
Pastar I, Stojadinovic O, Yin N, et al. Epithelialization in wound healing: a comprehensive review. Adv Wound Care 2014;3(7):445–64.
Sussman C, ed. Wound Care: A Collaborative Practice Manual for Health Professionals. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
Lantis C, Martson W, Farber A, et al. The influence of patient and wound variables on healing of venous leg ulcers in a randomized controlled trial of growth-arrested allogeneic keratinocytes and fibroblasts. J Vasc Surg 2013;58;2:433–9.
Pieper B. Vulnerable populations: considerations for wound care. Wound Manage Prev 2009;55:5.
Byun J, Park S, Caban A, Jones A, Gardner K. Linking race, cancer outcomes, and tissue repair. Am J Pathol 2018;188:317–28.
Bliss D, Gurvich O, Savik K, et al. Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Arch Gerontol Geriatr 2017;72:187–94.
تواريخ الأحداث: Date Created: 20200208 Date Completed: 20201125 Latest Revision: 20210202
رمز التحديث: 20221213
DOI: 10.1097/01.ASW.0000653156.13611.34
PMID: 32032107
قاعدة البيانات: MEDLINE
الوصف
تدمد:1538-8654
DOI:10.1097/01.ASW.0000653156.13611.34