%0 Journal Article
%T Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000¨C2010: A Retrospective Study
%A Shkelzen B. Duci
%A Hysni M. Arifi
%A Mimoza E. Selmani
%A Agon Y. Mekaj
%A Musli M. Gashi
%A Zejn A. Buja
%A Vildane H. Ismajli
%A Adem N. Kllokoqi
%A Enver T. Hoxha
%J Plastic Surgery International
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/129692
%X Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000¨C2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with -test and the difference is significant if . Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high. 1. Introduction Pressure ulcers (PUs) are defined as localized injury to the skin or underlying tissue usually over bony prominence, as a result of pressure, or pressure in combination with shear or friction [1, 2]. Pressure ulcers are almost a serious, secondary complication of spinal cord injury that has the potential to interfere with physical, psychological, and social well being and to impact overall quality of life [3]. PUs are classified by the level of visible tissue damage, where stage I PUs exhibit nonblanchable erythematic (i.e., redness) on intact skin, stage II PUs are partial thickness ulcers, and stages III and IV ulcers involve full-thickness damage [4]. They are believed to occur from combination of extrinsic forces such as pressure, shear, and friction and intrinsic factors such as age, malnourishment, and consciousness level that influence a person¡¯s tissue tolerance [5, 6]. Previous studies have identified the following factors as increasing the likelihood of developing a pressure ulcer: immobility, admission to the ICU, malnutrition, incontinence, hypoalbuminemia, spinal cord injury, stroke, reduced level of consciousness, fractures and/or major orthopedic procedure, advanced age, trauma, decreased perfusion, poor wound healing, inadequate nursing care, and chronic illness [7¨C10]. Contributing risk factors increase the patient¡¯s susceptibility to a complex etiology that causes PUs [11]. Debridement of pressure sores often results in extensive soft tissue defects
%U http://www.hindawi.com/journals/psi/2013/129692/