Chronic Wounds: Factors Influencing Healing Within 3 Months and Nonhealing After 5-6 Months of Care.

摘要: Chronic wounds affect approximately 2.5 million to 4.5 people in the US and are particularly a problem for elderly. Nonhealing or slow healing represent major health burden drain on resources, contributing substantial disability, morbidity, costs. This study was conducted identify factors that influence of chronic within 3 months starting treatment, compared influencing nonhealing after 5 6 treatment. A retrospective review medical records subjects with pressure, diabetic, venous ulcers using structured data collection form protocol at 4 sites located disperse geographic areas. The sample consisted 400 least data. Demographic, case mix, wound characteristics, treatment characteristics were analyzed. Consistent literature, larger, deeper, infected, draining larger amounts exudate, and/or covered slough eschar significantly less likely heal more not 5-6 Medicaid insurance coverage being non-white also associated poorer healing. lower percentage antimicrobial dressings faster healing, while moisture-management months. analysis showed inappropriate management exudate necrotic tissue outcomes. While race needs further exploration, rates could improve certain centers through better adherence evidence-based recommendations.