For this analysis we considered patients with pressure ulcers that occurred and were treated with surgery (PATINA), and those patients who received standard treatment, with or without surgery, despite the presence of a PU. Patients included in the analysis represented all patients presenting for surgical treatment after an episode of mild-to-moderate Pus caused by pressure on the ulcer margin. Patients with severe Pus were excluded from the study. The primary outcome measure was the time to surgical closure of an ulcer. Secondary outcome measures were the number of episodes of Pus, the duration of hospitalization, and the percentage of patients with an open wound (narrowed to a maximum of 10% of wounds evaluated). The study was designed to evaluate the effect of PATINA versus the use of standard surgical treatment by itself or in combination with PATINA compared with waiting until the ulcer healed before attempting surgery or waiting to perform surgery with standard therapy alone. The data for this analysis came from 2,764 patients from a variety of surgical populations who completed the study protocol between July and September 2003. We included patients with an episode of mild-to-moderate Pus, or with PATINA, or PATINA plus PATINA. Patients were classified as being in the “no treatment group” for those who did not have a procedure but were otherwise in the same level of care as patients who did have surgery. For analysis, the patients with surgery completed a 7-day diary that included detailed notes of each operation, the time-to-surgery and complications. We did not include data for patients who had to change surgeons, had complications, or died within 30 days of being discharged from the hospital. If a patient did have a Pus episode with a complication during the 7-day period, we calculated the time until closure or the number of Pus episodes per operation. To determine the duration of hospitalization we determined the time in days from the start of a Pus episode up to the time of surgery. Statistical analysis The data were analyzed using a 2-way analysis of variance, with patient and event as independent variables. Patients who did not receive any form of care and those who were in the “no treatment” groups with or without PATINA were compared by the Wilcox on rank sum test. Patients with a Pus episode who were treated with either PATINA or PATINA+PATINA were compared with those of similar level of care with or without surgery.
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2.5 Prevention of Pressure Ulcers in the Surgical Patient PATINA S. WALTON-GEER, RN-BC, MSN, CWC, CFC The development of pressure ulcers (Pus) is of enormous concern in all health care settings. A
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