The journal of the American College of Clinical Wound Specialists最新文献

Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk 创伤患者压疮:脊髓损伤程度越高，发生压疮的风险越高

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.06.001

Areg Grigorian MD, Megumi Sugimoto BS, Victor Joe MD, Sebastian Schubl MD, Michael Lekawa MD, Matthew Dolich MD, Eric Kuncir MD, Cristobal Barrios Jr. MD, Jeffry Nahmias MD, MHPE

{"title":"Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk","authors":"Areg Grigorian MD, Megumi Sugimoto BS, Victor Joe MD, Sebastian Schubl MD, Michael Lekawa MD, Matthew Dolich MD, Eric Kuncir MD, Cristobal Barrios Jr. MD, Jeffry Nahmias MD, MHPE","doi":"10.1016/j.jccw.2018.06.001","DOIUrl":"10.1016/j.jccw.2018.06.001","url":null,"abstract":"<div><h3>Background</h3><p>In a systematic review<span>, the level of spinal cord injury<span> (SCI) was not associated with risk for pressure ulcer (PU). We hypothesized that in the acute trauma population, upper-SCI (cervical/thoracic) has greater risk for PU when compared to lower-SCI (lumbar/sacral). We additionally sought to identify risk factors for development of PUs in trauma.</span></span></p></div><div><h3>Methods</h3><p>A retrospective analysis of the NTDB (2007–2015) was performed. Covariates were included in a multivariable logistic regression analysis to determine risk for PU.</p></div><div><h3>Results</h3><p>Of 62,929 patients (0.9%) with SCI, most had an upper-SCI (83%). The overall rate of PUs in patients with SCI was 5.1%. More patients with upper-SCI developed PUs compared to lower-SCI (5.8% vs. 2.2%, p < 0.001). SCI was the strongest predictor for PU (OR = 13.77, CI = 13.25–14.31, p < 0.001). Upper-SCI demonstrated greater risk compared to lower-SCI (OR = 2.81, CI = 2.45–3.22, p < 0.001).</p></div><div><h3>Conclusions</h3><p>Contrary to previous reports, a higher SCI level is associated with a three-fold greater risk for PU compared to lower SCI.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36819675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Early Onset of Squamous Cell Carcinoma Arising From Tuberculosis Verrucosa Cutis 疣状结核引起的早期鳞状细胞癌

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.06.003

Jo Anne Lim MD, MRCP , Wooi Chiang Tan MD, MRCP, Adv M Derm , Boon Tat Khor MBBS, MRCP , Sunita Devi Hukam Gopal Chand MBBS, MRCP , Tharmalingam Palanivelu MBBS, FRCP

{"title":"Early Onset of Squamous Cell Carcinoma Arising From Tuberculosis Verrucosa Cutis","authors":"Jo Anne Lim MD, MRCP , Wooi Chiang Tan MD, MRCP, Adv M Derm , Boon Tat Khor MBBS, MRCP , Sunita Devi Hukam Gopal Chand MBBS, MRCP , Tharmalingam Palanivelu MBBS, FRCP","doi":"10.1016/j.jccw.2018.06.003","DOIUrl":"10.1016/j.jccw.2018.06.003","url":null,"abstract":"<div><p><span>A 72-year-old man presented with a chronic scaly verrucous plaque over his right knee for nine months. The lesion was preceded by a well healed scar sustained five years back from a road traffic accident. He was given multiple courses of systemic antibiotic and antifungal medications<span> but to no avail. A skin biopsy confirmed </span></span>cutaneous tuberculosis<span><span>. The area of plaque subsided significantly with antituberculosis treatment. However, during the second month of treatment, a new onset of a red fleshy granulating growth developed on the pre-existing site. A repeat skin biopsy revealed </span>squamous cell carcinoma (SCC). He was subsequently referred for surgical excision.</span></p><p>This is presumably the first reported case of SCC arising from tuberculosis verrucosa cutis. While most malignant transformations from tuberculosis has been thought to develop after a long period of time (usually more than twenty-five years), this case report showed that it may also occur within a short period of time. Awareness on this condition is important because any delay in diagnosis and treatment may have detrimental consequences.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36819677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Managing Wounds with Exposed Bone and Tendon with an Esterified Hyaluronic Acid Matrix (eHAM): A Literature Review and Personal Experience 用酯化透明质酸基质(eHAM)处理骨和肌腱外露伤口:文献回顾和个人经验

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.04.002

Richard Simman M.D. FACS, FACCWS , Michel H.E. Hermans M.D.

{"title":"Managing Wounds with Exposed Bone and Tendon with an Esterified Hyaluronic Acid Matrix (eHAM): A Literature Review and Personal Experience","authors":"Richard Simman M.D. FACS, FACCWS , Michel H.E. Hermans M.D.","doi":"10.1016/j.jccw.2018.04.002","DOIUrl":"10.1016/j.jccw.2018.04.002","url":null,"abstract":"<div><p><span>The loss of extracellular matrix<span> in combination with the exposure of structures such as bone and tendon pose a major challenge; the development of granulation tissue and subsequent reepithelialization over these structures is extremely slow and often may not happen at all. Replacement of the matrix has been shown to significantly increase the chances of healing since, with </span></span>revascularization<span> of the matrix, a wound bed is created that may either heal by secondary intention or via the application of a skin graft.</span></p><p><span>A literature search on an esterified hyaluronic acid-based matrix (eHAM) returned five articles on the treatment of wounds with tendon and </span>bone loss<span> in which the eHAM was used. The etiologies of the wounds described varied among the articles, as did treatment modalities. However, all of them received proper debridement<span> of necrosis with subsequent (although not always immediately) application of the eHAM. A very high percentage of all wounds reached the different primary endpoints in the studies, which were complete reepithelialization, complete coverage with granulation tissue and/or 10% coverage of the original wound size with epithelium, the latter being a strong indicator of the wound continuing to heal. The individual authors concluded that the esterified hyaluronic acid matrix (eHAM) is a valuable tool to assist in the complete healing of difficult to heal wounds.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36819671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Is Treating all Pressure Wound Patients with Vitamins A, C, Zinc and Arginine Justified?∗ 用维生素A、C、锌和精氨酸治疗所有压伤患者是否合理?∗

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.06.002

Richard Simman MD, FACS, FACCWS

引用次数: 0

A Narrative Review of the Benefits and Risks of Total Contact Casts in the Management of Diabetic Foot Ulcers 全接触型石膏治疗糖尿病足溃疡的利弊综述

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.05.002

Grace Messenger MRes , Richard Masoetsa MSc , Imtiaz Hussain BSc

引用次数: 12

Omegaven Improves Skin Morphometric Indices in Diabetic Rat Model Wound Healing Omegaven改善糖尿病大鼠模型伤口愈合的皮肤形态学指标

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.04.001

Saeid Babaei (Associated professor) , Mahmoodreza Nakhaei (Assistant professor) , Hadi Ansarihadipour (Assistant professor) , Mohammadhassan Sakhaei (Assistant professor) , Sirvan Hosseini (Nursing student) , Amene Nikgoftar (Anatomical Sciences MSc Student)

{"title":"Omegaven Improves Skin Morphometric Indices in Diabetic Rat Model Wound Healing","authors":"Saeid Babaei (Associated professor) , Mahmoodreza Nakhaei (Assistant professor) , Hadi Ansarihadipour (Assistant professor) , Mohammadhassan Sakhaei (Assistant professor) , Sirvan Hosseini (Nursing student) , Amene Nikgoftar (Anatomical Sciences MSc Student)","doi":"10.1016/j.jccw.2018.04.001","DOIUrl":"10.1016/j.jccw.2018.04.001","url":null,"abstract":"<div><p>The global prevalence of diabetes is estimated to be 200 million people, and it is likely to increase to 333 million people by 2025. Different cells, are known to participate in three main phases of wound healing. Omega-3 fatty acids influence cytokines and growth factors which affects the presence of inflammatory cells in wound area as well, but how this event specifically influences the role of fibroblasts, macrophages and angiogenesis in wound healing is not obviously understood. In this experimental study seventy male Wistar rats after induction of diabetes type-one by streptozotocin (STZ) (55 mg/kg) were divided into two groups, Experimental group receiving omegaven intraperitoneally and control group which underwent the injection of mineral oil. Streptozotocin was used for the induction of diabetes type 1. Diabetic male wistar rats were scarified at 1, 3, 5, 7 and 15 days after the excision was made. To estimate orphometric indices, histological sections were provided by stereological methods. It was found that wound area significantly decreased on day 7 in experimental group by omega-3 fatty acids. The number of fibroblasts increased significantly on days 5 and 7 in the experimental group. The number of neovascular significantly decreased on day 7 in the experimental group. This study implied that it seems omegaven is able to improve morphometric indices during wound healing and make healing faster.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36809505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing 乳房环扎术:一种治疗乳周裂开的创新方法

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.05.001

Giuseppe Cottone MD , Francesco Amendola MD , Rocco Caminiti MD , Vittoria Carlotta Magenes MS (medical student) , Marta Paderi MS , Franz Wilhelm Baruffaldi Preis MD

{"title":"Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing","authors":"Giuseppe Cottone MD , Francesco Amendola MD , Rocco Caminiti MD , Vittoria Carlotta Magenes MS (medical student) , Marta Paderi MS , Franz Wilhelm Baruffaldi Preis MD","doi":"10.1016/j.jccw.2018.05.001","DOIUrl":"10.1016/j.jccw.2018.05.001","url":null,"abstract":"<div><p>The perimammary zone is a critical area for healing, due to high incidence of dehiscences, expecially sternal ones. Although deep sternal wound complications are nowadays less common after cardiac surgery, in some at risk patients, dehiscences still represent important complications of major cardiac or vascular surgeries and they are directly correlated to an increased risk of patient's morbidity and mortality. A heavy breast represents a source of tension on the perimammary wound, inhibiting or delaying a complete recovery.</p><p>We report the case of a 66-year-old female patient with a critical post-surgical sternal dehiscence and multiple chronic comorbidities. The dehiscence was managed with a routinely performed primary intention closure combined with an innovative breast cerclage. To our opinion, this is the first reported description of a breast cerclage used as an expedient to reduce tension on the wound and minimize the risk of relapse, allowing a rapid and complete healing. This novel technique has proved to be effective and satisfactory in the achievement of both a functional and aesthetic results and we are confident that it could become a fully-fledged wound healing issue in chest wall reconstruction.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36819672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Skin Perfusion Pressure and Wound Closure Time in Lower Extremity Wounds 下肢创面皮肤灌注压与伤口愈合时间的关系

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.10.001

Kazu Suzuki DPM, Zoe Birnbaum BS, Ryan Lockhart BS

{"title":"Skin Perfusion Pressure and Wound Closure Time in Lower Extremity Wounds","authors":"Kazu Suzuki DPM, Zoe Birnbaum BS, Ryan Lockhart BS","doi":"10.1016/j.jccw.2018.10.001","DOIUrl":"10.1016/j.jccw.2018.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Peripheral Arterial Disease (PAD) affects approximately 8 million patients in the United States. We investigate the relationship of Skin Perfusion Pressure (SPP) and wound closure time in lower extremity wounds.</p></div><div><h3>Methods</h3><p>We conducted a retrospective study of 1125 lower extremity wounds in 998 patients between June 2006 and October 2014 in our wound clinic. We analyzed the relationship between SPPand wound closure time. SPP was measured using a Laser Doppler instrument.</p></div><div><h3>Results</h3><p>Patients with SPP values over 30 mmHg had shorter wound closure times, while patients with SPP values below 30 mmHg had a significantly longer wound closure time. Diabetic patients took longer to achieve wound closure compared to non-diabetics. No significant relationship was observed between SPP and wound closure time in relation to age or gender.</p></div><div><h3>Conclusion</h3><p>SPP is a useful tool in estimating time to wound closure and assessing the necessity of vascular interventions in lower extremity wounds.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36819673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Thermal Burn Injury from a Wedding Ring: An Unusual Case 婚戒热烧伤:一个不寻常的案例

The journal of the American College of Clinical Wound Specialists Pub Date : 2017-01-01 DOI: 10.1016/j.jccw.2018.06.004

Peter Andrade DO , Arminder S. Kaura BA , Justin R. Bryant DO, MBA , Edward Burke DO

引用次数: 2

The Death of the Kennedy Terminal Ulcer 肯尼迪晚期溃疡的死亡

The journal of the American College of Clinical Wound Specialists Pub Date : 2016-01-01 DOI: 10.1016/j.jccw.2017.12.001

Michael S. Miller DO, FACOS, WCC

{"title":"The Death of the Kennedy Terminal Ulcer","authors":"Michael S. Miller DO, FACOS, WCC","doi":"10.1016/j.jccw.2017.12.001","DOIUrl":"10.1016/j.jccw.2017.12.001","url":null,"abstract":"<div><p>The concept of the Kennedy Terminal Ulcer<span> (KTU) has been ubiquitous in attempting to explain the development of pressure based tissue injuries in patients with actual or presumed terminal conditions. The concept is problematic in that it uses factors other than pressure to explain the development and progression of pressure based tissue injuries, specifically the presence of a terminal condition. Based on the most current understanding of how pressure based tissue injuries develop and progress, the concept of The Kennedy Terminal Ulcer appears to be without physiologic basis and based solely on observation. Since systemic factors affect all tissues with relative equality, the development of a single locus of injury must logically be based on a single locus of cause and affect. The presumption that a single locus of injury will develop in an arbitrary location based on a systemic set of factors is untenable. A new concept called Miller Pressure Equivalent Injuries is proposed to refute the concept of a single pressure based tissue injury developing based solely on terminal systemic factors and why these previously presumed terminal condition associated pressure based injuries occur.</span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2017.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36541686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9