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Evaluating hospital-acquired and nursing home-acquired decubitus ulcers and the care offered at LTACs. “The outcomes of conservative wound care for deep Stage 3 or Stage 4 pressure ulcers ischial decubitus ulcers are poor. There is little justification for admission to a Long-term Acute Care Hospitalization at a facility that doesn’t offer myocutaneous flaps” … Greg [...]
Evaluating ineffective care provided at LTACs that is destined to fail for those with Stage 4 decubitus ulcers. “There is no reliable evidence in the literature that patients with Grade 4 decubitus ulcer of the sacral region with an associated bone infection who are treated with conservative wound care without flap closure go on [...]
Evaluating hospital-acquired and nursing home-acquired decubitus ulcers and the care offered at Long-Term Acute Care Hospitals. “We describe treatments and outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction or coverage … 44% patients were readmitted due to complications from osteomyelitis, and 17% died” … Laura Damioli, MD. Therapeutic [...]
Poor outcomes for decubitus-related osteomyelitis patients without myocutaneous flapping. “Among patients with decubitus-related osteomyelitis who did not undergo myocutaneous flapping, outcomes were generally poor regardless of treatment, and not significantly improved with prolonged antibiotics.”… Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. Greg Vigna, MD, JD, national decubitus ulcer [...]
The study describes treatments & outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction. We describe treatments and outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction or coverage. 44% patients were readmitted due to complications from osteomyelitis, and 17% died,” Laura Damioli, MD. Therapeutic [...]
“Despite Hospital Acquired Stage 3 and Stage 4 decubitus ulcers being considered a Never Event by the CMS, the treatment for those injured by hospitals is based on local care pathways, local surgical expertise, patient and health professional preferences and cost,” states JKF Wong, Cochrane Library, Reconstructive surgery for treating pressure ulcers. Greg Vigna, [...]
Vasoconstrictor agent administration raised the risk of pressure injuries in critical care patients by nearly twofold. “Vasoconstrictor agent administration raised the risk of pressure injuries in critical care patients by nearly twofold. More emphasis should be placed on the timely prevention of pressure injuries in patients receiving vasoconstrictor agent administration in the ICU”...Advances in [...]
Prevention of heel decubitus ulcers are paramount because this location is the most difficult of decubitus ulcers to manage. “In adults presenting with one or more heel pressure injuries stage IV complicated with bone infection involving surrounding tissues, a surgical approach must be performed to support the wound healing and prevent major amputation. Grade: [...]
Plastic surgeons are the most important member of an interdisciplinary team as they offer cures for those with deep Grade III and Grade IV decubitus ulcers. Greg Vigna, MD, JD, national malpractice attorney, wound care expert, says, "Plastic surgeons are the most important member of an interdisciplinary team as they offer cures for those [...]
Recent study shows up to 44.8% of patients have C-diff recurrence within 2-months. “Prolonged IV antibiotics are necessary for the treatment of Grade IV decubitus ulcers with osteomyelitis and post-flap management. C-diff and recurrent C-diff produces challenges for patients, physicians, and the nursing staff. Unfortunately, a small percentage of patients can present with fulminant, acute C-diff [...]