Wound healing in pre-tibial injuries - an observation study

Heather M. Mcclelland, John Stephenson, Karen J. Ousey, Warren P. Gillibrand, Paul Underwood

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Pre-tibial lacerations are complex wounds affecting a primarily aged population, with poor healing and a potentially significant impact on social well-being. Management of these wounds has changed little in 20 years, despite significant advances in wound care. A retrospective observational study was undertaken to observe current wound care practice and to assess the effect of various medical factors on wound healing time on 24 elderly patients throughout their wound journey. Wound length was found to be substantively and significantly associated with wound healing time, with a reduction in instantaneous healing rate of about 30% for every increase of 1 cm in wound length. Hence, longer wounds are associated with longer wound healing times. Prescription of several categories of drugs, including those for ischaemic heart disease (IHD), hypertension, respiratory disease or asthma; and the age of the patient were not significantly associated with wound healing times, although substantive significance could be inferred in the case of prescription for IHD and asthma. Despite the small sample size, this study identified a clear association between healing and length of wound. Neither the comorbidities nor prescriptions explored showed any significant association although some seem to be more prevalent in this patient group. The study also highlighted other issues that require further exploration including the social and economic impact of these wounds.

LanguageEnglish
Pages303-310
Number of pages8
JournalInternational Wound Journal
Volume9
Issue number3
DOIs
Publication statusPublished - 1 Jun 2012

Fingerprint

Wound Healing
Observation
Wounds and Injuries
Prescriptions
Myocardial Ischemia
Asthma
Lacerations
Sample Size
Observational Studies
Comorbidity
Retrospective Studies
Economics
Hypertension
Pharmaceutical Preparations
Population

Cite this

@article{2199b0185f964b0b8556024df5ed26cd,
title = "Wound healing in pre-tibial injuries - an observation study",
abstract = "Pre-tibial lacerations are complex wounds affecting a primarily aged population, with poor healing and a potentially significant impact on social well-being. Management of these wounds has changed little in 20 years, despite significant advances in wound care. A retrospective observational study was undertaken to observe current wound care practice and to assess the effect of various medical factors on wound healing time on 24 elderly patients throughout their wound journey. Wound length was found to be substantively and significantly associated with wound healing time, with a reduction in instantaneous healing rate of about 30{\%} for every increase of 1 cm in wound length. Hence, longer wounds are associated with longer wound healing times. Prescription of several categories of drugs, including those for ischaemic heart disease (IHD), hypertension, respiratory disease or asthma; and the age of the patient were not significantly associated with wound healing times, although substantive significance could be inferred in the case of prescription for IHD and asthma. Despite the small sample size, this study identified a clear association between healing and length of wound. Neither the comorbidities nor prescriptions explored showed any significant association although some seem to be more prevalent in this patient group. The study also highlighted other issues that require further exploration including the social and economic impact of these wounds.",
keywords = "Emergency care, Pre-tibial lacerations, Wound healing",
author = "Mcclelland, {Heather M.} and John Stephenson and Ousey, {Karen J.} and Gillibrand, {Warren P.} and Paul Underwood",
year = "2012",
month = "6",
day = "1",
doi = "10.1111/j.1742-481X.2011.00884.x",
language = "English",
volume = "9",
pages = "303--310",
journal = "International Wound Journal",
issn = "1742-4801",
publisher = "Wiley",
number = "3",

}

Wound healing in pre-tibial injuries - an observation study. / Mcclelland, Heather M.; Stephenson, John; Ousey, Karen J.; Gillibrand, Warren P.; Underwood, Paul.

In: International Wound Journal, Vol. 9, No. 3, 01.06.2012, p. 303-310.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Wound healing in pre-tibial injuries - an observation study

AU - Mcclelland, Heather M.

AU - Stephenson, John

AU - Ousey, Karen J.

AU - Gillibrand, Warren P.

AU - Underwood, Paul

PY - 2012/6/1

Y1 - 2012/6/1

N2 - Pre-tibial lacerations are complex wounds affecting a primarily aged population, with poor healing and a potentially significant impact on social well-being. Management of these wounds has changed little in 20 years, despite significant advances in wound care. A retrospective observational study was undertaken to observe current wound care practice and to assess the effect of various medical factors on wound healing time on 24 elderly patients throughout their wound journey. Wound length was found to be substantively and significantly associated with wound healing time, with a reduction in instantaneous healing rate of about 30% for every increase of 1 cm in wound length. Hence, longer wounds are associated with longer wound healing times. Prescription of several categories of drugs, including those for ischaemic heart disease (IHD), hypertension, respiratory disease or asthma; and the age of the patient were not significantly associated with wound healing times, although substantive significance could be inferred in the case of prescription for IHD and asthma. Despite the small sample size, this study identified a clear association between healing and length of wound. Neither the comorbidities nor prescriptions explored showed any significant association although some seem to be more prevalent in this patient group. The study also highlighted other issues that require further exploration including the social and economic impact of these wounds.

AB - Pre-tibial lacerations are complex wounds affecting a primarily aged population, with poor healing and a potentially significant impact on social well-being. Management of these wounds has changed little in 20 years, despite significant advances in wound care. A retrospective observational study was undertaken to observe current wound care practice and to assess the effect of various medical factors on wound healing time on 24 elderly patients throughout their wound journey. Wound length was found to be substantively and significantly associated with wound healing time, with a reduction in instantaneous healing rate of about 30% for every increase of 1 cm in wound length. Hence, longer wounds are associated with longer wound healing times. Prescription of several categories of drugs, including those for ischaemic heart disease (IHD), hypertension, respiratory disease or asthma; and the age of the patient were not significantly associated with wound healing times, although substantive significance could be inferred in the case of prescription for IHD and asthma. Despite the small sample size, this study identified a clear association between healing and length of wound. Neither the comorbidities nor prescriptions explored showed any significant association although some seem to be more prevalent in this patient group. The study also highlighted other issues that require further exploration including the social and economic impact of these wounds.

KW - Emergency care

KW - Pre-tibial lacerations

KW - Wound healing

UR - http://www.scopus.com/inward/record.url?scp=84860886782&partnerID=8YFLogxK

U2 - 10.1111/j.1742-481X.2011.00884.x

DO - 10.1111/j.1742-481X.2011.00884.x

M3 - Article

VL - 9

SP - 303

EP - 310

JO - International Wound Journal

T2 - International Wound Journal

JF - International Wound Journal

SN - 1742-4801

IS - 3

ER -