Opinion: Defining Readiness for Reconstructive Surgery in Patients With Advanced Pressure Ulcers-A Policy and Clinical Perspective

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F25%3A00082800" target="_blank" >RIV/65269705:_____/25:00082800 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/25:00142312

Výsledek na webu

<a href="https://onlinelibrary.wiley.com/doi/10.1111/wrr.70099" target="_blank" >https://onlinelibrary.wiley.com/doi/10.1111/wrr.70099</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/wrr.70099" target="_blank" >10.1111/wrr.70099</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Opinion: Defining Readiness for Reconstructive Surgery in Patients With Advanced Pressure Ulcers-A Policy and Clinical Perspective

Popis výsledku v původním jazyce

Reconstructive surgery for advanced pressure ulcers continues to pose one of the most persistent challenges in wound care. Despite advances in surgical techniques, flap coverage remains burdened by unacceptably high complication and recurrence rates, with devastating consequences for patients. In a large series, nearly 59% of patients experienced complications, including wound dehiscence in 31% and recurrence approaching 29%. In spinal cord injury cohorts, dehiscence reached 31%, infection 25%, hematoma 20% and flap necrosis 10%-14%. Even more concerning, long-term follow-up from a national database reported recurrence in 73.6% of patients.These outcomes are not merely statistics; they represent repeated operations, prolonged hospital stays and significant losses in quality of life. For clinicians, they highlight a critical gap: the absence of clear, evidence-based readiness criteria to determine when a patient is truly prepared for reconstruction.

Název v anglickém jazyce

Opinion: Defining Readiness for Reconstructive Surgery in Patients With Advanced Pressure Ulcers-A Policy and Clinical Perspective

Popis výsledku anglicky

Reconstructive surgery for advanced pressure ulcers continues to pose one of the most persistent challenges in wound care. Despite advances in surgical techniques, flap coverage remains burdened by unacceptably high complication and recurrence rates, with devastating consequences for patients. In a large series, nearly 59% of patients experienced complications, including wound dehiscence in 31% and recurrence approaching 29%. In spinal cord injury cohorts, dehiscence reached 31%, infection 25%, hematoma 20% and flap necrosis 10%-14%. Even more concerning, long-term follow-up from a national database reported recurrence in 73.6% of patients.These outcomes are not merely statistics; they represent repeated operations, prolonged hospital stays and significant losses in quality of life. For clinicians, they highlight a critical gap: the absence of clear, evidence-based readiness criteria to determine when a patient is truly prepared for reconstruction.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30216 - Dermatology and venereal diseases

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Wound Repair and Regeneration

ISSN

1067-1927

e-ISSN

1524-475X

Svazek periodika

33

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

2

Strana od-do

"e70099"

Kód UT WoS článku

001603576900001

EID výsledku v databázi Scopus

2-s2.0-105018128625