Pediatric Tracheostomy Wound Healing: A Retrospective Cohort Study.
Adolescent
Bandages
Child
Cluster Analysis
Cohort Studies
Female
Granulation Tissue
/ metabolism
Humans
Male
Negative-Pressure Wound Therapy
/ methods
Pediatrics
Pressure Ulcer
/ physiopathology
Prognosis
Retrospective Studies
Risk Assessment
Tracheostomy
/ methods
Treatment Outcome
Wound Closure Techniques
Wound Healing
/ physiology
Journal
Advances in skin & wound care
ISSN: 1538-8654
Titre abrégé: Adv Skin Wound Care
Pays: United States
ID NLM: 100911021
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
pubmed:
31
10
2019
medline:
6
6
2020
entrez:
31
10
2019
Statut:
ppublish
Résumé
To compare wound products by measuring time to granulation tissue and time to complete wound healing for tracheostomy wounds in the pediatric population. Investigators identified 134 charts of patients treated January 2013 and June 2017; 93 charts met the inclusion criteria. This study compared the use of a foam dressing (n = 34) to the foam dressing plus a wound filler (n = 59) in patients who developed or were admitted with a wound caused by a tracheostomy device. Time in days to granulation tissue and to wound closure. The average time to complete wound closure for participants in this study was 14 days. There was no statistically significant difference in time to granulation tissue or wound closure formation between the wound care products (F2,34 = 1.11, P = .34). Cluster analysis (10 splits) revealed that pressure injury stage was the best predictor, accounting for 41% of the variance in the high treatment response group (those healing in <14 days). Patients who were African American with a stage 2 pressure injury, had a PUSH score of 5 or more, and were using a foam plus a wound filler dressing were 86% more likely to be in the high-response group. All wounds reviewed healed with current wound care practices without surgical intervention. Best practice for healing tracheostomy wounds in pediatric patients should include the wound filler in the first 14 days based on variable interaction.
Identifiants
pubmed: 31663923
doi: 10.1097/01.ASW.0000582632.60525.3d
pii: 00129334-202001000-00007
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Pagination
36-42Références
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