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One hundred consecutive cases of flap lacerations of the leg in ageing patients.

Gavin H. Poole, S M Mills

Open publisher page 21 citations

Abstract

AIM: To define the cost of inpatient treatment of flap laceration to the leg in ageing patients. METHODS: One hundred consecutive admissions over a 19 month period were reviewed retrospectively. RESULTS: The mean age of flap laceration of the leg patients was 77.5 years (50-93). The mean bed stay was 14.53 days (1-36). Most patients (84%) were treated with debridement and split skin grafting. The total cost of treatment was $551,390.00. The mean delay before surgery was 41.2 hours. 92% of patients returned to the same preoperative social circumstances. CONCLUSIONS: Flap laceration of the leg is expensive to treat in hospital. There are a number of strategies in which bed stay and costs can be reduced. These include early and aggressive surgery, the use of meshed skin graft, early mobilisation and early involvement of social support services.

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What this paper is about

AIM: To define the cost of inpatient treatment of flap laceration to the leg in ageing patients. METHODS: One hundred consecutive admissions over a 19 month period were reviewed retrospectively. RESULTS: The mean age of flap laceration of the leg patients was 77.5 years (50-93). The mean bed stay was 14.53 days (1-36). Most patients (84%) were treated with debridement and split skin grafting. The total cost of treatment was $551,390.00. The mean delay before surgery was 41.2 hours. 92% of patients returned to the same preoperative social circumstances. CONCLUSIONS: Flap laceration of the leg is expensive to treat in hospital. There are a number of strategies in which bed stay and costs can be reduced. These include early and aggressive surgery, the use of meshed skin graft, early mobilisation and early involvement of social support services.

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Available abstract

AIM: To define the cost of inpatient treatment of flap laceration to the leg in ageing patients. METHODS: One hundred consecutive admissions over a 19 month period were reviewed retrospectively. RESULTS: The mean age of flap laceration of the leg patients was 77.5 years (50-93). The mean bed stay was 14.53 days (1-36). Most patients (84%) were treated with debridement and split skin grafting. The total cost of treatment was $551,390.00. The mean delay before surgery was 41.2 hours. 92% of patients returned to the same preoperative social circumstances. CONCLUSIONS: Flap laceration of the leg is expensive to treat in hospital. There are a number of strategies in which bed stay and costs can be reduced. These include early and aggressive surgery, the use of meshed skin graft, early mobilisation and early involvement of social support services.

Key concepts: Medicine, Surgery, Skin grafting, Debridement (dental), Retrospective cohort study

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One hundred consecutive cases of flap lacerations of the leg in ageing patients. — Research Paper | ScholarLens