Evidence map›Paper›PMID 28203494›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Flap Reconstruction for Pressure Ulcers: An Outcomes Analysis.

Ravinder Bamba, James J Madden, Ashley N Hoffman, Justine S Kim, Wesley P Thayer, Lillian B Nanney, Marcia E Spear

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Effectiveness of a fluid immersion simulation system in the acute post-operative management of pressure ulcers: A prospective, randomised controlled trial.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2022
    Trial
  3. Trial
  4. Article
  5. Prehabilitation for Pressure Ulcer Surgery: A Practical and Evidence-based Guide.Plastic and reconstructive surgery. Global open · 2026
    Article
  6. Article
  7. Article
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  12. Review
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  17. Review
  18. Review
  19. Article
  20. Flap Survival after Reconstructive Surgery for Pressure Ulcers: A Cohort Study.Plastic and reconstructive surgery. Global open · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ravinder BambaDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
James J MaddenDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Ashley N HoffmanDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Justine S KimDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Wesley P ThayerDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Lillian B NanneyDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Marcia E SpearDepartment of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenn; Department of Surgery, Georgetown University, Washington, D.C.; and ‡Vanderbilt University School of Medicine, Nashville, Tenn.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Substrate Mediated siRNA Delivery from Scaffolds to Promote Wound RepairR01EB019409 · NIBIB · VANDERBILT UNIVERSITY · PI Craig Lewis Duvall · 2014 to 2026
$4.0M
Skin Regeneration with Stem Cells and ScaffoldsR01AR056138 · NIAMS · VANDERBILT UNIVERSITY · PI DAVIDSON, JEFFREY M., GUELCHER, SCOTT A · 2009 to 2013
$3.3M
Elucidating fibroblast heterogeneity as a pathway to target organ fibrosisR01GM118300 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SARASWATI, SARIKA · 2016 to 2019
$1.2M
NIAMS NIH HHS R01 AR056138NIBIB NIH HHS R01 EB019409NIGMS NIH HHS R01 GM118300
6 · The paper itself

Abstract

backgroundHistorically, complication rates after pressure ulcer reconstruction utilizing flap coverage have been high. Patients undergoing operations for pressure ulcer coverage typically have multiple risk factors for postoperative complications. The purpose of this study was to examine a large patient series in the pressure ulcer population to uncover objective evidence of the linkage between risk factors and outcomes after flap coverage.

methodsThis study was a retrospective chart review of patients who underwent flap reconstruction for a pressure ulcer between 1997 and 2015. The characteristics of patients were analyzed to determine those who had complications such as pressure ulcer recurrence, wound dehiscence, and wound infection.

resultsAll patients (N = 276) underwent flap coverage of their pressure ulcers. The overall complication rate was 58.7% (162 patients). Wound dehiscence was the most common complication (31.2%), and the pressure ulcer recurrence rate was 28.6%. Multivariate regression for pressure ulcer recurrence revealed that body mass index <18.5 [relative risk (RR) 3.13], active smoking (RR 2.33), and ischial pressure ulcers (RR 3.46) were independent risk factors for pressure ulcer recurrence. Ischial pressure ulcers (RR 2.27) and preoperative osteomyelitis (RR 2.78) were independent risk factors for wound dehiscence. Diabetes was an independent risk factor for wound infection (RR 4.34).

conclusionsOur retrospective analysis revealed numerous factors that are associated with high rates of major postoperative complications. Risk factors must be taken into account when offering flap coverage, and risk-reducing strategies must be implemented in patients before pressure ulcer reconstruction.

Identifiers

PMID28203494
PMCPMC5293292
OpenAlexW2577067942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.