Pressure ulcers in paediatric patients on extracorporeal membrane oxygenation.

Abstract:

:It has been shown that pressure ulcer formation in critically ill paediatric patients increases morbidity and mortality. We sought to identify factors associated with pressure ulcer formation in paediatric patients on extracorporeal membrane oxygenation (ECMO). From December 2014 to 2015, we identified patients at our institution who developed a pressure ulcer to create two cohorts: ulcer and no ulcer. Variables of interest included: type of ECMO, ECMO indication, hours on ECMO, location of cannulas, volume of crystalloid and blood products received during the first 7 days or during the length of the ECMO run, albumin and lactate levels on the day of cannulation, and presence of vasopressor support or steroid therapy. Of 43 patients studied, 11 (25.5%) developed a pressure ulcer. Patients that developed ulcers were older (P = 0.001) and weighed more (P = 0.006). Femoral cannulation was more frequent in the ulcer group (36.4% vs 6.3%, P = 0.029), and duration of ECMO was longer (P = 0.007). Age, weight, duration of ECMO, and femoral cannulation may contribute to the development of pressure ulcers in children who require ECMO support. Further analysis is imperative to identify specific techniques and protocols that will prevent pressure ulcers in this critically ill population.

journal_name

Int Wound J

authors

Tam SF,Mobargha A,Tobias J,Schad CA,Okochi S,Middlesworth W,Duron V

doi

10.1111/iwj.13049

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

420-423

issue

2

eissn

1742-4801

issn

1742-481X

journal_volume

16

pub_type

杂志文章
  • Allogenic platelet gel in the treatment of pressure sores: a pilot study.

    abstract::Although platelet gel is considered one of the most popular tools in the treatment of chronic ulcers, current consensus on its use is not unanimous. A prospective randomised trial was carried out at the Plastic Surgery Unit of the 'Salvatore Maugeri' Foundation Hospital of Pavia (Italy). The study involved 13 patients...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-481X.2010.00671.x

    authors: Scevola S,Nicoletti G,Brenta F,Isernia P,Maestri M,Faga A

    更新日期:2010-06-01 00:00:00

  • Topical grape (Vitis vinifera) seed extract promotes repair of full thickness wound in rabbit.

    abstract::In recent years, oxidative stress and free radicals have been implicated in impaired wound healing. Grape (Vitis vinifera) seed extract (GSE) possesses anti-inflammatory and antioxidant properties. The present study was undertaken to assess the potential activity of grape seed hydroalcoholic extract in wound healing i...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00833.x

    authors: Hemmati AA,Aghel N,Rashidi I,Gholampur-Aghdami A

    更新日期:2011-10-01 00:00:00

  • Bacteriotherapy with Lactobacillus plantarum in burns.

    abstract::Bacterial colonisation and infection remain the major causes of delayed healing and graft rejection following burns. Topical treatment is necessary to reduce the incidence of burn wound infection. Silver sulphadiazine (SD-Ag) is an often used microbicidal agent. However, this treatment produces adverse reactions and s...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-481X.2008.00577.x

    authors: Peral MC,Martinez MA,Valdez JC

    更新日期:2009-02-01 00:00:00

  • Rheumatoid arthritis-associated inflammatory leg ulcers: a new treatment for recalcitrant wounds.

    abstract::Patients with rheumatoid arthritis may develop leg ulcers of varied aetiologies, including venous disease, infection and inflammation (vasculitis or pyoderma gangrenosum). The leg ulcers in rheumatoid arthritis patients may involve several of these aetiological factors and are often difficult to heal. Both the ulcers ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481x.2004.0002.x

    authors: Coelho S,Amarelo M,Ryan S,Reddy M,Sibbald RG

    更新日期:2004-04-01 00:00:00

  • Negative pressure surgical management after pathological scar surgical excision: a first report.

    abstract::Wound dehiscence is a surgical complication caused by the application of opposing and distracting forces tending to pull apart the suture line. In recent years, a novel negative pressure surgical management system has been developed to prevent surgical wound complications. This system creates a closed environment that...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12040

    authors: Bollero D,Malvasio V,Catalano F,Stella M

    更新日期:2015-02-01 00:00:00

  • Porcine acellular dermal matrix (PADM) vascularises after exposure in open necrotic wounds seen after complex hernia repair.

    abstract::Biological alternatives to synthetic meshes are increasingly utilised in complex abdominal wall reconstruction. There is a lack of evidence demonstrating that non-cross-linked porcine acellular dermal matrix vascularizes and integrates with human tissue in suboptimal wound conditions. We aimed to evaluate these proper...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12558

    authors: Gowda AU,Chang SM,Chopra K,Matthews JA,Sabino J,Stromberg JA,Zahiri HR,Pinczewski J,Holton LH 3rd,Silverman RP,Singh DP

    更新日期:2016-10-01 00:00:00

  • What should be the antibiotic prescription protocol for burn patients admitted in the department of burns, plastic and reconstructive surgery.

    abstract::This is a prospective study with the aim to determine specific patterns of burn wound bacterial colonisation and antimicrobial resistance profiles. There is a high incidence of infections and septicaemia in post-burn patients, which, in turn, are associated with high morbidity and mortality, a fact that compelled us t...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12588

    authors: Mir MA,Khurram MF,Khan AH

    更新日期:2017-02-01 00:00:00

  • Risk of readmissions, mortality, and hospital-acquired conditions across hospital-acquired pressure injury (HAPI) stages in a US National Hospital Discharge database.

    abstract::Pressure injuries are one of the most common and costly complications occurring in US hospitals. With up to 3 million patients affected each year, hospital-acquired pressure injuries (HAPIs) place a substantial burden on the US healthcare system. In the current study, US hospital discharge records from 9.6 million pat...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13482

    authors: Wassel CL,Delhougne G,Gayle JA,Dreyfus J,Larson B

    更新日期:2020-12-01 00:00:00

  • Microscopy visualisation confirms multi-species biofilms are ubiquitous in diabetic foot ulcers.

    abstract::Increasing evidence within the literature has identified the presence of biofilms in chronic wounds and proposed that they contribute to delayed wound healing. This research aimed to investigate the presence of biofilm in diabetic foot ulcers (DFUs) using microscopy and molecular approaches and define if these are pre...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12777

    authors: Johani K,Malone M,Jensen S,Gosbell I,Dickson H,Hu H,Vickery K

    更新日期:2017-12-01 00:00:00

  • Use of negative pressure wound therapy with instillation and a reticulated open cell foam dressing with through holes in the acute care setting.

    abstract::Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an automated system used to deliver, dwell, and remove topical solutions from the wound bed. Recently, a reticulated open cell foam dressing with through holes (ROCF-CC) was developed, which assists with wound cleansing by removing thick exu...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13097

    authors: McElroy EF

    更新日期:2019-06-01 00:00:00

  • Using image J to document healing in ulcers of the foot in diabetes.

    abstract::The aim of the study was to assess the reliability of measuring the cross-sectional area of diabetic foot ulcers using Image J software. The inter- and intra-rater reliability of ulcer area measures were assessed using digital images of acetate tracings of ulcers of the foot affecting 31 participants in an off-loading...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.12769

    authors: Jeffcoate WJ,Musgrove AJ,Lincoln NB

    更新日期:2017-12-01 00:00:00

  • Ulcerated necrobiosis lipoidica as a rare cause for chronic leg ulcers: case report series of ten patients.

    abstract::Necrobiosis lipoidica is a rare granulomatous disorder of the skin. In up to 30% of the affected patients it can lead to ulcerations, which can impair the quality of life and are also very difficult to treat. Its pathogenesis is not fully understood. Only few studies focussing on necrobiosis lipoidica can be found, bu...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12159

    authors: Franklin C,Stoffels-Weindorf M,Hillen U,Dissemond J

    更新日期:2015-10-01 00:00:00

  • Operating room nurses' self-reported knowledge and attitude on perioperative pressure injury.

    abstract::Surgical patients are at risk of developing a perioperative pressure injury (ORPI) during surgery. Accurate assessment and prompt implementation of prevention strategies or treatment of ORPI are dependent on knowledge and skills of operating room (OR) nurses. The study examined the knowledge and attitude of OR nurses ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13295

    authors: Khong BPC,Goh BC,Phang LY,David T

    更新日期:2020-04-01 00:00:00

  • Low level laser therapy for healing acute and chronic wounds - the extendicare experience.

    abstract::The purpose of the study is to assess the effectiveness of low level laser therapy for wound healing when combined with the Extendicare Wound Prevention and Management Program. Sixteen residents at a Canadian Extendicare nursing home had a total of 27 sites treated consisting of 23 open wounds and 4 'at risk' areas. O...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2008.00491.x

    authors: Saltmarche AE

    更新日期:2008-06-01 00:00:00

  • Wound assessment, imaging and monitoring systems in diabetic foot ulcers: A systematic review.

    abstract::Patients with diabetes mellitus have a lifetime risk of 15% to 25% of developing diabetic foot ulcers (DFUs). DFU is associated with significant morbidity and mortality. Wound imaging systems are useful adjuncts in monitoring of wound progress. Our study aims to review existing literature on the available wound assess...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13481

    authors: Chan KS,Lo ZJ

    更新日期:2020-12-01 00:00:00

  • Alternative treatment of gluteofemoral fistulas using honey: a case report.

    abstract::Perianal fistula is a common disease that affects particular patients with inflammatory bowel disease. Honey has been used as a natural remedy for centuries for the treatment of various disorders. We report a patient with persistent fistulas, in whom conventional medical and surgical therapy failed. In this case, most...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00844.x

    authors: Vlcekova P,Krutakova B,Takac P,Kozanek M,Salus J,Majtan J

    更新日期:2012-02-01 00:00:00

  • Risk factors for 90-day and 180-day mortality in hospitalised patients with pressure ulcers.

    abstract::An understanding of risk factors associated with mortality among pressure ulcer patients can inform prognostic counselling and treatment plans. This retrospective cohort study examined associations of comorbid illness, demographic characteristics and laboratory values with 90-day and 90- to 180-day mortality in adult ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.01032.x

    authors: Flattau A,Blank AE

    更新日期:2014-02-01 00:00:00

  • The Bagautdinov dressing method: negative pressure wound therapy in a patient with an allergy to acrylate adhesive.

    abstract::Current embodiments of negative pressure wound therapy (NPWT) create a hermetically sealed chamber at the surface of the body using polyurethane foam connected to a vacuum pump, which is then covered by a flexible adhesive drape. Commercially available NPWT systems routinely use flexible polyethylene films that have a...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12589

    authors: Daar DA,Wirth GA,Evans GR,Carmean M,Gordon IL

    更新日期:2017-02-01 00:00:00

  • The clinical experience for treating post-burn depigmentation with tiny epidermal particles graft.

    abstract::The critical problem of post-burn depigmentation is the lacking normal melanocytes. Auto-skin grafting and autologous non-cultured epidermal cell suspension have been used to improve the appearance. However, a large amount of skin graft is required of donor sites in the former method, while the latter method is though...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12577

    authors: Chen B,Xu M,Li B

    更新日期:2017-02-01 00:00:00

  • Science supporting negative pressure wound therapy with instillation.

    abstract::A new method (V.A.C.ULTA Therapy System, KCI USA, Inc., San Antonio, TX) combines the benefits of negative pressure wound therapy (NPWT; V.A.C. Therapy, KCI USA, Inc.) with regulated, periodic instillation of user-selected topical wound solutions (V.A.C. VeraFlo Therapy, KCI USA, Inc.). In simulated wound model studie...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12171

    authors: Rycerz AM,Allen D,Lessing MC

    更新日期:2013-12-01 00:00:00

  • Keloid progression: a stiffness gap hypothesis.

    abstract::Keloids are fibroproliferative skin disorders characterised clinically by continuous horizontal progression and post-surgical recurrence and histologically by the accumulation of collagen and fibroblast ingredients. Till now, their aetiology remains clear, which may cover genetic, environmental and metabolic factors. ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12693

    authors: Huang C,Liu L,You Z,Wang B,Du Y,Ogawa R

    更新日期:2017-10-01 00:00:00

  • The role of Inadine in wound care: a consensus document.

    abstract::Iodine-based products are antibacterial. The small iodine molecular size is ideally suited to treat surface critical colonisation. Inadine is a 10% povidone iodine dressing with the equivalent of 1% available iodine that is easily extracted from the viscose backing by serum or exudate. The use of hydrophilic polyethyl...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12602

    authors: Sibbald RG,Elliott JA

    更新日期:2017-04-01 00:00:00

  • Relationship between Braden scale score and pressure ulcer development in patients admitted in trauma intensive care unit.

    abstract::The purpose of this study was to determine the relationship between the scores of Braden scale and pressure ulcer development among critically ill patients. All patients who admitted to intensive care unit (ICU) in 3 months (during July-October 2010) were surveyed with Braden scale. Patients who gained higher score of...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00852.x

    authors: Iranmanesh S,Rafiei H,Sabzevari S

    更新日期:2012-06-01 00:00:00

  • Association of diabetic foot care and amputation rates in Germany.

    abstract::Podologists are nurses who care for the diabetic foot (orthotics, offloading devices, blisters, calluses, treatment of fungus infection and patient education). In contrast to podiatrists, they are not qualified to perform any surgical treatment or wound care. We analysed whether there is an association between the dec...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12347

    authors: Kröger K,Moysidis T,Feghaly M,Schäfer E,Bufe A,Initiative Chronische Wunden e.V., Germany.

    更新日期:2016-10-01 00:00:00

  • Segmental ulcerative vasculitis: a cutaneous manifestation of Takayasu's arteritis.

    abstract::A 16-year-old girl with pyoderma gangrenosum (PG)-like skin lesions on the extremities, trunk and face developed Takayasu's arteritis (TA; pulseless disease). After 3 years under maintenance cyclosporin A therapy, the patient developed an ischaemic cerebral accident. Severe obstruction of both subclavian and left caro...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-4801.2005.00103.x

    authors: Dourmishev AL,Serafimova DK,Vassileva SG,Dourmishev LA,Schwartz RA

    更新日期:2005-12-01 00:00:00

  • Diabetic foot ulcers and ethnicity in Tanzania: a contrast between African and Asian populations.

    abstract::To characterise the role of ethnicity in the occurrence of foot ulcer disease in persons with diabetes, we analysed prospectively collected data for persons attending the diabetes clinic at Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania. A case was defined as any adult presenting to MNH with an ulcer at or...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2008.00578.x

    authors: Abbas ZG,Lutale JK,Archibald LK

    更新日期:2009-04-01 00:00:00

  • Enzymatic debridement with collagenase in wounds and ulcers: a systematic review and meta-analysis.

    abstract::Enzymatic debridement with collagenase is a technique that is commonly used in clinical practice. This systematic review examines the effect of collagenase on all kinds of wounds, compared to an alternative therapy, on wound healing, wound bed characteristics, cost-effectiveness and the occurrence of adverse events. W...

    journal_title:International wound journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/iwj.12760

    authors: Patry J,Blanchette V

    更新日期:2017-12-01 00:00:00

  • Ultrasonography effectiveness of the vibration vs cryotherapy added to an eccentric exercise protocol in patients with chronic mid-portion Achilles tendinopathy: A randomised clinical trial.

    abstract::Tendinopathy is a very common disease in the general population as well as in athletes. The aim of the present study was to examine the tendon thickness and cross-sectional area (CSA) in subjects with chronic mid-portion Achilles tendinopathy (AT) who engaged in either an eccentric exercise (EE) programme with vibrati...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.13074

    authors: Romero-Morales C,Javier Martín-Llantino P,Calvo-Lobo C,Palomo-López P,López-López D,Fernández-Carnero J,Rodríguez-Sanz D

    更新日期:2019-04-01 00:00:00

  • The average cost of pressure ulcer management in a community dwelling spinal cord injury population.

    abstract::Pressure ulcers (PUs) are a common secondary complication experienced by community dwelling individuals with spinal cord injury (SCI). There is a paucity of literature on the health economic impact of PU in SCI population from a societal perspective. The objective of this study was to determine the resource use and co...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.01002.x

    authors: Chan BC,Nanwa N,Mittmann N,Bryant D,Coyte PC,Houghton PE

    更新日期:2013-08-01 00:00:00

  • Negative-pressure wound dressings to secure split-thickness skin grafts in the perineum.

    abstract::Several researches have shown that negative-pressure wound dressings can secure split-thickness skin grafts and improve graft survival. However, in anatomically difficult body regions such as the perineum it is questionable whether these dressings have similar beneficial effects. In this study, we evaluated the effect...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.01078.x

    authors: Lee KT,Pyon JK,Lim SY,Mun GH,Oh KS,Bang SI

    更新日期:2014-04-01 00:00:00