Evidence map›Paper›PMID 40653824›Full record

ArticleInternational wound journal2025

The Association of Systemic Inflammation, Wound Bioburden and Total Bacterial Counts With Healing Outcomes in Older Adults With Chronic Venous Leg Ulcers.

Junglyun Kim, Joyce Stechmiller, Michael Weaver, Christiaan Leeuwenburgh, Philip S Stewart, Garth James, Magali Rezende de Carvalho, Run Q Gan, Lyon Debra

Abstract read
In one paragraph

Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. The Wound-Heart Axis: Can Chronic Wounds Contribute to Cardiac Dysfunction?International journal of molecular sciences · 2026
    Review
  4. Article
  5. Review
  6. 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

9 authors.

Junglyun KimChungnam National University College of Nursing, Daejeon, South Korea.ORCID https://orcid.org/0000-0001-5695-7520
Joyce StechmillerDepartment of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, USA.
Michael WeaverDepartment of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, USA.
Christiaan LeeuwenburghDepartment of Physiology and Aging, University of Florida, College of Medicine, Gainesville, USA.
Philip S StewartCenter for Biofilm Engineering, Montana State University, Bozeman, Montana, USA.
Garth JamesCenter for Biofilm Engineering, Montana State University, Bozeman, Montana, USA.
Magali Rezende de CarvalhoDepartment of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, USA.
Run Q GanUniversity of Florida Health Shands Hospital, Gainesville, USA.
Lyon DebraDepartment of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, USA.

Funding

NINR NIH HHS R01:NR016986
6 · The paper itself

Abstract

This substudy utilised data from a prospective, longitudinal study aimed to investigate associations between systemic inflammation, wound bioburden, total bacterial counts and wound healing outcomes over 8 weeks in older adults with chronic venous leg ulcers (CVLUs). Participants were receiving standardised weekly wound debridement. Blood and wound tissue samples were collected at baseline and Weeks 2, 4, 6 and 8, or until the wound was healed. Wound healing status was categorised by two parameters: healed versus nonhealed and healing versus nonhealing. A linear mixed model assessed associations among clinical and laboratory variables with wound healing status over time. Of the 117 participants, 47 (40%) had wounds that healed within the 8-week period. In nonhealed wounds, C-reactive protein (CRP) was positively associated with total bacterial counts (p < 0.001), wound bioburden (p = 0.01) and wound diameter (p = 0.004) over time. Total bacterial counts were positively associated with CRP (p = 0.023), interleukin-6 (IL-6) (p = 0.034) and tumour necrosis factor-alpha (TNF-α) (p < 0.001) in nonhealing wounds. The results suggest that CRP, IL-6 and TNF-α may be useful markers in predicting wound healing trajectories. Ongoing monitoring of inflammatory markers and bacterial counts could aid in assessing wound healing progress in older adults with CVLUs.

Indexed as

Bacterial LoadInflammationVaricose UlcerWound HealingAgedAged, 80 and overChronic DiseaseC-Reactive ProteinDebridementFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesTreatment OutcomeC-Reactive Proteinchronic venous leg ulcersC‐reactive proteincytokineswound bioburdenwound healing

Identifiers

PMID40653824
PMCPMC12256670

What OpenQuestion holds

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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.