Erstellung eines Risikoprofils für Wundheilungsstörungen : eine prospektive Studie
The present study has been conducted in order to find out whether wound healing and specific surgical or medical diseases are connected. A total of 267 patients was included during the acquisition period of the prospective study (November 2006 until June 2007). Of these patients, 232 were questioned after 1-4 months by telephone for events related to their wound healing. The results show, that many surgery- related, as well as patient- related factors can influence wound healing and that they just as well interact with each other. In the present study we demonstrate that wound healing is more often delayed when specific risk factors related to surgery and/ or the patient are present. Eminent risk factors for delay of wound healing are hernia- or contaminated surgeries with excision of scars, long scars, staple-stitch seam and use of Redon- drain. The “typical” patient to have a delay of wound healing is male, age >45 years, BMI >24,9, with positive medical history of diabetes mellitus, coronary heart disease, high blood pressure, varicosis, positive medical (family-) history of hernias and aortic aneurysm and preoperative haemoglobin <100 g/l. Furthermore, numerous correlations between the investigated parameters could be found. Of these, the influence of age and high blood pressure were the most outstanding.
info:eu-repo/classification/ddc/610, Regressionsanalyse, Risikoanalyse, Wundheilung, regression analysis, risk stratification, wound healing disorder, Medizin
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