Skin Perfusion Pressure and Wound Closure Time in Lower Extremity Wounds

INTRODUCTION: Peripheral Arterial Disease (PAD) affects approximately 8 million patients in the United States. We investigate the relationship of Skin Perfusion Pressure (SPP) and wound closure time in lower extremity wounds. METHODS: We conducted a retrospective study of 1125 lower extremity wounds...

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Detalles Bibliográficos
Autores principales: Suzuki, Kazu, Birnbaum, Zoe, Lockhart, Ryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Research Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304291/
https://www.ncbi.nlm.nih.gov/pubmed/30591896
http://dx.doi.org/10.1016/j.jccw.2018.10.001
Descripción
Sumario:INTRODUCTION: Peripheral Arterial Disease (PAD) affects approximately 8 million patients in the United States. We investigate the relationship of Skin Perfusion Pressure (SPP) and wound closure time in lower extremity wounds. METHODS: We conducted a retrospective study of 1125 lower extremity wounds in 998 patients between June 2006 and October 2014 in our wound clinic. We analyzed the relationship between SPPand wound closure time. SPP was measured using a Laser Doppler instrument. RESULTS: Patients with SPP values over 30 mmHg had shorter wound closure times, while patients with SPP values below 30 mmHg had a significantly longer wound closure time. Diabetic patients took longer to achieve wound closure compared to non-diabetics. No significant relationship was observed between SPP and wound closure time in relation to age or gender. CONCLUSION: SPP is a useful tool in estimating time to wound closure and assessing the necessity of vascular interventions in lower extremity wounds.

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