Monday Musings

I’m happy to announce the open access publication of another of the Wound Healing Index predictive models in the December issue of Advances in Skin & Wound Care:  December 2015 – Volume 28 – Issue 12 – p 560–572

http://journals.lww.com/aswcjournal/Fulltext/2015/12000/A_Predictive_Model_for_Pressure_Ulcer_Outcome__The.8.aspx

“A Predictive Model for Pressure Ulcer Outcome: The Wound Healing Index”

Using US Wound Registry data we identified significant variables associated with outcome and then multivariable logistic regression models were created based on significant factors (P < .05) and tested on a 10% randomly selected hold-out sample. There were 7973 body pressure ulcers available for analysis, and 2350 heel pressure ulcers. Variables significantly predicting healing were pressure ulcer size, ulcer age, number of concurrent wounds of any etiology, ulcer Stage III or IV, evidence of bioburden/infection, patient age, being nonambulatory, having renal transplant, paralysis, malnutrition, and/or patient hospitalization for any reason.

These models can risk-stratify patients in clinical research trials, stratify patient data for quality reporting and benchmarking activities, and identify patients most likely to require advanced therapeutics to achieve healing.


Caroline Fife, MD

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