A Retrospective Analysis of Patients With Full Thickness Wounds in Limbs With Critical Ischemia
Description:
Clinicians have even learned to group patients into different etiologic categories based on
underlying disease such as diabetes mellitus, decubitus ulcer, surgical site infection,
venous insufficiency, arterial insufficiency and others. It seems that wounds have been
grouped into these categories because of their common barriers, which should allow us more
precise algorithms and may provide better outcomes. That is diabetics tend to have the
barriers of poor perfusion, endothelial cell dysfunction, white blood cell dysfunction,
hyperglycemia, neuropathy and repetitive trauma. Venous insufficiency patients tend to have
perivascular cuffing and peri wound edema. However patients with venous leg ulcers commonly
have peripheral arterial disease and diabetes (3). The point is regardless of the etiology of
the wound every patient must be evaluated for all barriers on every visit. Arbitrarily
dividing chronic wounds in the etiologic categories has not significantly improved wound
healing outcomes.
Condition:
Critical Limb Ischemia
Treatment:
Start Date:
April 2007
Sponsor:
Southwest Regional Wound Care Center
For More Information:
https://clinicaltrials.gov/show/NCT00760357