ArticleSpinal cord2023
Multidisciplinary treatment protocol for ischiatic, sacral, trochanteric or other pressure injuries in people with spinal cord injury: a retrospective cohort study.
Article in Spinal cord, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Predictors of Complications and Recurrence After Pressure Injury Reconstruction in Spinal Cord Injury: A Systematic Review and Meta-Analysis.International wound journal · 2026Pooled it
- Pressure injury flap surgery in people with spinal cord injury/disorder: surgical and rehabilitation outcomes.Spinal cord · 2026Article
- Reconstruction with muscle flaps after hip joint heterotopic ossification resection in spinal cord injured patients: a case series.Spinal cord series and cases · 2026Article
- Roles, Barriers and Facilitators of Multidisciplinary Teams Supporting People With Stage 3 and 4 Pressure Injuries in Hospital and Home Settings: A Scoping Review.International wound journal · 2026Article
- Outcomes and Challenges of Flap Reconstruction for Pressure Injuries in Clinically Complex Patients.Journal of clinical medicine · 2026Article
- Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review.World journal of plastic surgery · 2025Review
- Outcomes of Pressure Sore Surgery in Patients with Spinal Cord Injury and Spasticity.Plastic and reconstructive surgery. Global open · 2024Article
- Article
- Reconstructive Surgery of Pressure Injuries in Spinal Cord Injury/Disorder Patients: Retrospective Observational Study and Proposal of an Algorithm for the Flap Choice.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study Objectives: to describe the incidence and the associated risk factors of post-surgical complications and recurrence in individuals with spinal cord injury/disorder (SCI/D) presenting deep pressure injuries (PIs), treated with a specific surgical and rehabilitation treatment protocol.
settingTertiary Rehabilitation Hospital for SCI/D in Italy.
methodsRetrospective analysis of the medical records of adult individuals with SCI/D, who developed a PI after the first discharge from a Spinal Unit, underwent flap surgery for PI between July 2011 and January 2018. The statistical unit of analysis was the surgical intervention. Logistic regression analysis with robust standard errors was performed to assess risk factors of post-surgical complications.
results434 surgical intervention records were included, for a total of 378 patients. The treated PIs were ischiatic in 56.2% of the cases, sacral in 32.5%, trochanteric in 15.7%, and 5.8% were in other sites. In 239 cases (55.1%) a histological diagnosis of osteomyelitis was confirmed. Minor complications occurred in 13.6% of interventions, while major complications were 3.9%. Sacral PI (OR = 2.55, 95%CI: 1.50-4.35) and muscular/musculocutaneous flap (OR = 2.12, 95%CI: 1.05-4.28) were significant factors associated with risk of post-surgical complications. After a mean follow-up of 21 months (range 12-36), six people (1.4%) had a recurrence. Patients with a recurrence had at least one comorbidity compared to 57% of people without recurrences (p = 0.036).
conclusionOur results demonstrate that complication and recurrence rates can be minimized when an established interdisciplinary and rehabilitation protocol is integrated in the clinical management.
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