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“Inappropriate transfers (to Long-Term Acute Care Hospitals (LTACHs) most commonly were for wound care (28%), intravenous medication infusions (28%)” says Ross C. Schumacher, MD. Greg Vigna, MD, JD, national decubitus ulcer attorney, retired Physical Medicine and Rehabilitation physician states, “I doubt Dr. Schumacher is saying that the two or three hundred patients we admitted with [...]
“Conservative management is ineffective for stage III or IV pressure sores, and plastic surgery to create flap coverage of the sore becomes inevitable” states Chun-Yu Chen, MD, plastic surgeon. What else did Dr. Chen report in “Surgical Treatment and Strategy in Patients with Pressure Sores” published in Medicine (Baltimore) 2020 Oct 30, 99(44): 223022? “The [...]
“When deep decubitus wounds are not repaired in a timely manner, patients are at higher risk of developing sepsis, which is life-threatening. The mortality rate of decubitus wounds combined with sepsis is as high as 50%,” states Dr. Zhiyi Wei, MD. Department of Burn ICU, Quanzhou First Hospital, China. What else did Dr. Wei report [...]
“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” states Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. What did Dr. Damioli's study say? 1) “We describe treatments and outcomes of hospitalized [...]
“These stage IV heel pressure ulcers represent a major health and economic burden and can be difficult to treat” … David C. Bosanquet, MD, Consultant Vascular Surgeon at NHS. Dr. Greg Vigna, wound care expert and national decubitus ulcer attorney states, “Stage IV Heel bedsores sores have the worst prognosis and lead to lower limb [...]
Currently there is no clear evidence that nutritional interventions reduce the development of pressure ulcers or help them to heal,” states Gero Langer, Cochrane Library. What else did Gero Langer report in “Nutritional interventions for preventing and treating pressure ulcers (Review)” in Database of Systematic Reviews. 2014(6):CD003216. “This conclusion should not be interpreted as nutritional [...]
“Stage IV pressure ulcers most commonly affect the tissue overlying the sacrum, ischial bones, and femoral heads, and therefore pressure ulcer-related osteomyelitis is typically found in these locations … The goal of our study was to describe the epidemiology of pressure ulcer-related pelvic osteomyelitis, including the clinical presentation, diagnostics, management, and outcomes of this understudied [...]
“It is impossible to achieve independence with self-care when you are an acute spinal cord injured patient with a Stage IV sacral decubitus ulcer. These patients need to be fixed and should never be referred to nursing homes where their risk of sepsis and death become increasingly foreseeable,” states Greg Vigna, MD, JD. Dr. Anthony [...]
“Dr. Herbert Conway, plastic surgery, wrote about his experience with 1,000 cases of sacral, ischial, and trochanteric decubitus ulcer providing care for paralyzed Veterans at the Veterans Hospital, Bronx, New York. Flap closure provided superior outcomes when compared with conservative management,” states Greg Vigna, MD, JD, national decubitus ulcer attorney. What did Dr. Herbert Conway [...]
Patients with deep Stage 3 and Stage 4 who are not provided flap closure have a 17% risk of death at one year, and there is a 44% risk of readmission. Long-term acute care hospitals (LTACHs) have a niche role in the health care system. They specialize in caring for patients who are ventilator-dependent, [...]