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Related Concept Videos

Phases of Wound Repair01:28

Phases of Wound Repair

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Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
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Benchmarking chronic wound healing outcomes.

Laura L Bolton1

  • 1 Department of Surgery, University of Medicine and Dentistry of New Jersey;

Wounds : a Compendium of Clinical Research and Practice
|April 16, 2015
PubMed
Summary
This summary is machine-generated.

Benchmarking chronic wound healing involves documenting practice outcomes, comparing them to published data, and improving care. This cycle helps ensure interventions meet patient goals for better wound healing.

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Area of Science:

  • Wound healing research
  • Clinical outcomes analysis
  • Healthcare quality improvement

Background:

  • Benchmarking chronic wound outcomes requires documenting and summarizing practice results.
  • This process involves searching for comparable published outcomes.
  • Care improvement occurs when benchmark outcomes surpass current practice results.

Purpose of the Study:

  • To illustrate the cycle of documenting, summarizing, searching, and comparing chronic wound healing outcomes.
  • To identify recognized healing measures, specifically percent completely healed within 12 weeks.
  • To review literature for example healing benchmarks.

Main Methods:

  • Searched MEDLINE and AAWC guidelines for randomized controlled trials (RCTs) with ≥100 subjects/group.
  • Focused on diabetic foot ulcers (DFU), venous leg ulcers (VLU), and pressure ulcers (PU).
  • Compared graphed benchmarks to reported outcomes for same-etiology cohorts for institutional and patient-level benchmarking.

Main Results:

  • Some cohorts achieved outcomes comparable to the best RCT results for DFU and VLU.
  • More adequately powered RCTs are needed for pressure ulcer (PU) benchmarks.
  • RCTs have limitations as benchmarking resources; risk-adjusted analyses could enhance benchmarking.

Conclusions:

  • Documenting and comparing outcomes to published data supports interventions.
  • This process highlights opportunities for clinical practice improvement.
  • Benchmarking ensures interventions meet individual patient and wound care goals.