Stratification of Highest-Risk Patients with Chronic Skin Ulcers in a Stanford Retrospective Cohort Includes Diabetes, Need for Systemic Antibiotics, and Albumin Levels
المؤلفون المشاركون
Liu, Andy
Chang, Anne Lynn S.
Amir, Omar
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-10-09
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Chronic nonsurgical skin wounds such as venous stasis and diabetic ulcers have been associated with a number of comorbid conditions; however, the strength of these associations has not been compared.
We utilized the Stanford Translational Research Integrated Database Environment (STRIDE) system to identify a cohort of 637 patients with chronic skin ulcers.
Preliminary analysis (n=300) showed that 49.7% of the patients had a poor prognosis such as amputation or a nonhealing ulcer for at least a year.
Factors significantly associated (P<0.05) with these outcomes included diabetes mellitus, chronic kidney disease, peripheral neuropathy, peripheral arterial disease, and need for systemic antibiotics.
Patients with poor outcomes also tended to have lower hemoglobin levels (P=0.01), higher WBC levels (P<0.01), and lower albumin levels (P<0.01).
On multivariate analysis, however, only diabetes mellitus (OR 5.87, 1.36–25.3), need for systemic antibiotics (OR 3.88, 1.06–14.2), and albumin levels (0.20 per unit, 0.07–0.60) remained significant independent predictors of poor wound-healing outcomes.
These data identify patients at the highest risk for poor wound-healing and who may benefit the most from more aggressive wound care and treatment.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Amir, Omar& Liu, Andy& Chang, Anne Lynn S.. 2012. Stratification of Highest-Risk Patients with Chronic Skin Ulcers in a Stanford Retrospective Cohort Includes Diabetes, Need for Systemic Antibiotics, and Albumin Levels. Ulcers،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-497182
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Amir, Omar…[et al.]. Stratification of Highest-Risk Patients with Chronic Skin Ulcers in a Stanford Retrospective Cohort Includes Diabetes, Need for Systemic Antibiotics, and Albumin Levels. Ulcers No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-497182
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Amir, Omar& Liu, Andy& Chang, Anne Lynn S.. Stratification of Highest-Risk Patients with Chronic Skin Ulcers in a Stanford Retrospective Cohort Includes Diabetes, Need for Systemic Antibiotics, and Albumin Levels. Ulcers. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-497182
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-497182
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر