Evidence map›Paper›PMID 40468694›Full record

Observational studyInternational wound journal2025

Can Protective Colostomy Have a Role in Pressure Injury Management? A Prospective Non-Randomised Controlled Study.

Andrea Scotti, Franz Wilhelm Baruffaldi Preis, Marco Borrini, Vito Russo, Simona Lavolpicella

Abstract readObservational Study
In one paragraph

Observational study in International wound journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

5 authors.

Andrea ScottiASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.
Franz Wilhelm Baruffaldi PreisASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.
Marco BorriniASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.ORCID https://orcid.org/0009-0006-2343-0590
Vito RussoASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.
Simona LavolpicellaASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this article is to evaluate the potential role of a protective colostomy after reconstructive plastic surgery in individuals with spinal cord injury and neurological bowel, where pressure injuries are a serious complication. This began as a case-control observational study. From 2019, the therapeutic protocol was modified, and colostomy was proposed to all individual. 45 people with spinal cord injuries and grade 3 or 4 of pressure injuries were recruited. The experimental group underwent colostomy, while the control group received direct lesion reconstruction. Fisher's exact test and Student's t-test were utilized for group comparison. Primary outcomes included the number of healed ulcers and post-operative infections. The number of lesions healed within 30 days and the rate of flap infections showed significant differences between the two groups. A crucial statistical difference was found (p < 0.05). The complication rate was 44.44% in the control group and 17.65% in the experimental group (p-value < 0.05). Quality of life also showed encouraging results. Protective colostomy may prevent local complications after surgery, reducing long-term hospitalization and healthcare costs. It also may improve individuals' quality of life.

Indexed as

ColostomyPlastic Surgery ProceduresPressure UlcerSpinal Cord InjuriesAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeWound Healingpressure ulcerspinal cord injuriessurgical flapswound and injurieswound infection

Identifiers

PMID40468694
PMCPMC12138043

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.