{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:43:17Z","timestamp":1780922597747,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pressure ulcers (PU) are a common yet debilitating injury within the spinal cord injury (SCI) population. This retrospective data analysis is intended to identify the contributing factors, review the current management protocol, and risk of recurrence of PU in SCI patients at Victoria's state referral centre for traumatic spinal cord injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit of the medical records of SCI patients with pressure ulcers was conducted for the period of January 2016 to August 2021. Patients aged 18\u2009years and older who presented for surgical management of their PU were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 93 patients who met the inclusion criteria, there were a total of 195 surgeries for 129 PU. Ninety\u2010seven percent were classified as grade of 3 or 4 and 53% had osteomyelitis on presentation. 58% were either current smokers or ex\u2010smokers, and 19% were diabetic. Debridement alone was the most common type of surgical management (58%), followed by flap reconstruction (25%). Those who underwent flap reconstruction were admitted for 71\u2009days longer, on average. 41% of the surgeries were associated with a post\u2010operative complication, with the most prominent being an infection at 26%. Of the 129 PU, 11% recurred at least 4\u00a0months post initial presentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There are a multitude of a factors that impact prevalence, surgical complications, and recurrence of PU. This study provides insight into these factors to review our current practices and optimize surgical outcomes in the management of PU in the SCI population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18391","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T19:16:37Z","timestamp":1682018197000},"page":"1348-1354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Surgical management of pressure ulcers in spinal cord injury patients"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6581-6033","authenticated-orcid":false,"given":"Sarah Rose","family":"Adamson","sequence":"first","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Whitty","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Flood","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Neoh","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Nunn","sequence":"additional","affiliation":[{"name":"Victorian Spinal Cord Service Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Clegg","sequence":"additional","affiliation":[{"name":"Victorian Spinal Cord Service Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7332-627X","authenticated-orcid":false,"given":"Sally Kiu\u2010Huen","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery Austin Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03369-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2016.1238184"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2018.2175"},{"key":"e_1_2_8_5_1","unstructured":"European Pressure Ulcer Advisory Panel (EPUAP) NPUaPN.Prevention and treatment of pressure ulcers: Quick reference guide 2014."},{"key":"e_1_2_8_6_1","unstructured":"CleggB.Demographics of victorian spinal cord service pressure injury inpatient."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.12.023"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.2002.00603.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.130"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2000.17828"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.07.007"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.03.016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2017.96"},{"key":"e_1_2_8_14_1","first-page":"42","article-title":"Developing and evaluating outcomes of an evidence\u2010based protocol for the treatment of osteomyelitis in stage IV pressure ulcers: a literature and wound electronic medical record database review","volume":"55","author":"Rennert R","year":"2009","journal-title":"Ostomy Wound Manage."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2020.1720700"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001187"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d51227"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2018.08.005"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.18391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T08:16:28Z","timestamp":1692432988000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.18391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1111\/ans.18391"],"URL":"https:\/\/doi.org\/10.1111\/ans.18391","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]},"assertion":[{"value":"2022-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}