Wounds : a compendium of clinical research and practice · 2025
Determinants of delayed wound healing in postoperative patients: a multihospital-based prospective study performed in South India.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Joseph Nitin, Vishnoi Madhuri, Garg Paarth, Hedge Atmananda
Аннотация
BACKGROUND: Delayed wound healing (DWH) leads to various health problems and increases the cost of health care for patients.
OBJECTIVE: To identify the determinants associated with DWH in postoperative patients.
MATERIALS AND METHODS: This prospective study included 225 postoperative patients admitted to 3 tertiary care hospitals in south India. Data were collected by interviewing each patient. DWH was defined as absence of wound retraction 10 days postoperative.
RESULTS: Nonhealing of the surgical wound was noted in 96 patients (42.7%). In the multivariable analysis, the presence of comorbidities like obesity and hypertension, an American Society of Anesthesiologists score of II or III, not using ceftriaxone with sulbactam prophylactically before surgery, an increased fasting blood sugar status in the postoperative period, and resistance to fluoroquinolones and aminoglycosides in the culture and sensitivity reports were associated with DWH in the patients studied.
CONCLUSION: Detailed preoperative evaluation of patients, controlling comorbidities, using appropriate antibiotics, and postoperative control of blood sugars in patients with diabetes, as well as culture and sensitivity testing, are needed to minimize the occurrence of DWH.
OBJECTIVE: To identify the determinants associated with DWH in postoperative patients.
MATERIALS AND METHODS: This prospective study included 225 postoperative patients admitted to 3 tertiary care hospitals in south India. Data were collected by interviewing each patient. DWH was defined as absence of wound retraction 10 days postoperative.
RESULTS: Nonhealing of the surgical wound was noted in 96 patients (42.7%). In the multivariable analysis, the presence of comorbidities like obesity and hypertension, an American Society of Anesthesiologists score of II or III, not using ceftriaxone with sulbactam prophylactically before surgery, an increased fasting blood sugar status in the postoperative period, and resistance to fluoroquinolones and aminoglycosides in the culture and sensitivity reports were associated with DWH in the patients studied.
CONCLUSION: Detailed preoperative evaluation of patients, controlling comorbidities, using appropriate antibiotics, and postoperative control of blood sugars in patients with diabetes, as well as culture and sensitivity testing, are needed to minimize the occurrence of DWH.