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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1997-9-3
|
| pubmed:abstractText |
The cost to care for a patient with pressure sores can be exorbitant. One part of this expense results from the prolonged postoperative immobilization. Published protocols report 3 to 8 weeks of immobilization; however, there are no studies that establish longer periods to be superior. To justify our 3-week protocol, we conducted a prospective, randomized trial of 2 versus 3 weeks of postoperative immobilization. Each patient was randomized preoperatively to either 2 or 3 weeks of postoperative immobilization. A total of 42 patients with a diagnosis of paraplegia, tetraplegia, or multiple sclerosis and a solitary pressure sore were enrolled over 5 years. The complication rates in the two groups (9 of 23, or 39 percent, for the 2-week group and 9 of 19, or 47 percent, for the 3-week group) were not statistically different (p < 0.493). However, the time to mobilization was significantly reduced in the 2-week group (16.1 +/- 6.1 versus 22.9 +/- 4.9 days, p < 0.0003), as was the time to achieve sitting (21.2 versus 28.9 days, p < 0.0026). In summary, 2 weeks of postoperative immobilization following surgery is adequate for uncomplicated solitary pressure sores.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0032-1052
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
100
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
350-4
|
| pubmed:dateRevised |
2011-2-16
|
| pubmed:meshHeading |
pubmed-meshheading:9252601-Humans,
pubmed-meshheading:9252601-Immobilization,
pubmed-meshheading:9252601-Length of Stay,
pubmed-meshheading:9252601-Multiple Sclerosis,
pubmed-meshheading:9252601-Paraplegia,
pubmed-meshheading:9252601-Postoperative Care,
pubmed-meshheading:9252601-Postoperative Complications,
pubmed-meshheading:9252601-Pressure Ulcer,
pubmed-meshheading:9252601-Prospective Studies,
pubmed-meshheading:9252601-Time Factors
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Reducing the period of immobilization following pressure sore surgery: a prospective, randomized trial.
|
| pubmed:affiliation |
Department of Surgery and Rehabilitation Medicine, University of Washington Medical Center, USA.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, Non-P.H.S.,
Randomized Controlled Trial
|