Wound healing outcomes: Using big data and a modified intent-to-treat method as a metric for reporting healing rates

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Wound healing outcomes: Using big data and a modified intent-to-treat method as a metric for reporting healing rates

This study presents a modified intent-to-treat framework for measuring wound outcomes and measures the consistency of population based outcomes across two distinct settings. In this retrospective observational analysis, we describe the largest to date, cohort of patient wound outcomes derived from 626 hospital based clinics and one academic tertiary care clinic. We present the results of a modified intent-to-treat analysis of wound outcomes as well as demographic and descriptive data.

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Case Study: Non-Healing Wound

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Case Study: Non-Healing Wound

A female in her fifties with a 1 year history of a non-healing medial right calf wound. According to patient, the wound was precipitated by an insect bite which resulted in a failed surgical closure. Patient has a significant history of HTN, osteoarthritis, fem-pop. bypass and right femoral angioplasty. Patient ambulates with a walker and brace support and has significant financial limitations due to inability to work.

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Grand Round: The management of venous stasis ulcers

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Grand Round: The management of venous stasis ulcers

The prevalence of lower extremity venous disease in our population is greater than that of peripheral arterial occlusive disease, although the latter receives more attention. An estimated 35 percent of the adult population has lower extremity venous abnormalities and one-fifth of these individuals will acquire one or more venous ulcers in their lifetime.

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Meet Idoris Rodriguez, Healogics Program Director in Florida

Team Testimonial

Meet Idoris Rodriguez, Healogics Program Director in Florida

"There is always ongoing education and information when it comes to the latest and greatest in advanced wound care. As a Healogics employee, I have access to this information. We never stop learning and this in return provides us the opportunity to grow and be experts in our field."

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Monograph: Radiation Induced Hemorrhagic Cystitis

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Monograph: Radiation Induced Hemorrhagic Cystitis

Radiation induced hemorrhagic cystitis (HC) can occur as early as 3 months after radiation or may not become evident for many years. Significant Grade 3-4 HC occurs in 3 – 8% of post pelvic radiation patients despite advances in administration technique and delivery. Historically, severe hemorrhagic cystitis was associated with a 44% mortality rate despite aggressive urinary diversion and cystectomy. Radiation causes chronic fibrosis, endarteritis and progressive tissue hypoxia of the bladder submucosa and muscular tissue with eventual scarring, mucosal sloughing and symptomatic hemorrhagic cystitis. Radiated tissue is rendered hypoxic, hypocellular, and hypovascular to the point that the tissue is no longer able to heal spontaneously resulting in recurrent symptomatic hematuria.

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