Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients

Article

Stankiewicz, Monica, Coyer, Fiona, Webster, Joan and Osborne, Sonya. 2015. "Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients." Dermatologic Surgery. 41 (7), pp. 775-783. https://doi.org/10.1097/DSS.0000000000000391

Article Title	Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients
ERA Journal ID	16012
Article Category	Article
Authors	Stankiewicz, Monica (Author), Coyer, Fiona (Author), Webster, Joan (Author) and Osborne, Sonya (Author)
Journal Title	Dermatologic Surgery
Journal Citation	41 (7), pp. 775-783
Number of Pages	9
Year	2015
Place of Publication	United States
ISSN	1076-0512
	1524-4725
Digital Object Identifier (DOI)	https://doi.org/10.1097/DSS.0000000000000391
Web Address (URL)	https://insights.ovid.com/article/00042728-201507000-00003
Abstract	Background. After general surgery, the lower limb experiences some of the highest complications rates. However, little is known about contributing factors to surgical site failure in the lower limb dermatological surgery population. Objective. To determine the incidence of lower limb surgical site failure and to explore the predictors that contribute to surgical site failure. Methods. A prospective observational study design was used to collect data from 73 participants, from July 2010 to March 2012. Incidence was determined as a percentage of surgical site failure from the total population. Predictors were determined by the use of a binary logistic regression model.Results. The surgical site failure rate was 53.4%. Split-skin grafting had a higher failure rate than primary closures, 66% versus 25.1%. Predictors of lower limb surgical site failures were identified as increasing age (p=.04) and the presence of postoperative hematoma (p=.01), with all patients who developed surgical site infection experiencing surgical site failure (p=.01). Conclusion. Findings from this study confirmed that the lower limb is at high risk of surgical site failure. Two predictors of surgical site failure from this cohort were determined. However, to understand this phenomenon and make recommendatinos to assist and reduce surgical site complications, further research in this field is required.
Keywords	lower limb surgery; split-skin graft failure; postoperative wound complication; surgical patient
ANZSRC Field of Research 2020	420501. Acute care
Public Notes	Files associated with this item cannot be displayed due to copyright restrictions.
Byline Affiliations	Queensland University of Technology
	Griffith University
Institution of Origin	University of Southern Queensland

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An integrated educational model for continuing nurse education

Duff, Beverley, Gardner, Glenn and Osborne, Sonya. 2014. "An integrated educational model for continuing nurse education." Nurse Education Today. 34 (1), pp. 104-111. https://doi.org/10.1016/j.nedt.2012.11.022

The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study

Osborne, Sonya, Douglas, Clint, Reid, Carol, Jones, Lee and Gardner, Glenn. 2015. "The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study." International Journal of Nursing Studies. 52 (5), pp. 951-962. https://doi.org/10.1016/j.ijnurstu.2015.01.014

Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)

Webster, Joan and Osborne, Sonya. 2015. "Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004985.pub5

Perioperative nursing

Sutherland-Fraser, Sally, Osborne, Sonya and Bryant, Kim. 2016. "Perioperative nursing." Hamlin, Lois, Davies, Menna, Richardson-Tench, Marilyn and Sutherland-Fraser, Sally (ed.) Perioperative nursing: an introduction. Marrickville, Australia. Elsevier. pp. 1-29

Author response: missed opportunity related to statistical methods

Osborne, Sonya Ranee, Jones, Lee and Webster, Joan. 2014. "Author response: missed opportunity related to statistical methods." AORN Journal. 99 (6), pp. 675-677. https://doi.org/10.1016/j.aorn.2014.04.002

The skin safety model: reconceptualizing skin vulnerability in older patients

Campbell, Jill L, Coyer, Fiona M. and Osborne, Sonya R.. 2016. "The skin safety model: reconceptualizing skin vulnerability in older patients." Journal of Nursing Scholarship. 48 (1), pp. 14-22. https://doi.org/10.1111/jnu.12176

Skin preparation of the patient – more than skin deep

Levada, Lilliana and Osborne, Sonya. 2017. "Skin preparation of the patient – more than skin deep." Journal of Perioperative Nursing. 30 (2), pp. 57-59.

Making evidence-based perioperative practices stick: an introduction to an implementation science approach

Osborne, Sonya. 2017. "Making evidence-based perioperative practices stick: an introduction to an implementation science approach." Journal of Perioperative Nursing. 30 (4), pp. 53-55.

New ACORN guideline: perioperative nursing management of posthumous organ procurement

Gore, Amanda and Osborne, Sonya. 2017. "New ACORN guideline: perioperative nursing management of posthumous organ procurement." Journal of Perioperative Nursing. 30 (1 - Autumn), pp. 56-59.

Nursing physical assessment for patient safety in general wards: reaching consensus on core skills

Douglas, Clint, Booker, Catriona, Fox, Robyn, Windsor, Carol, Osborne, Sonya and Gardner, Glenn. 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills." Journal of Clinical Nursing. 25 (13-14), pp. 1890-1900. https://doi.org/10.1111/jocn.13201

Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study

Munday, Judy, Osborne, Sonya and Yates, Patsy. 2018. "Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study." Journal of PeriAnesthesia Nursing. 33 (1), pp. 3-12. https://doi.org/10.1016/j.jopan.2016.04.142

Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial

Munday, Judy, Osborne, Sonya, Yates, Patsy, Jones, Lee and Gosden, Edward. 2018. "Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial." Anesthesia and Analgesia. 126 (1), pp. 183-189. https://doi.org/10.1213/ANE.0000000000002026

Nursing service innovation: a case study examining emergency nurse practitioner service sustainability

Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2018. "Nursing service innovation: a case study examining emergency nurse practitioner service sustainability." Journal of Advanced Nursing. 74 (2), pp. 454-464. https://doi.org/10.1111/jan.13454

Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay

Osborne, Sonya, Harrison, Gai, O'Malia, Angela, Barnett, Adrian Gerard, Carter, Hannah E. and Graves, Nicholas. 2018. "Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay." BMJ Open. 8 (12), pp. 1-6. https://doi.org/10.1136/bmjopen-2018-023127

Does preoperative oral carbohydrate reduce hospital stay? A randomized trial

Webster, Joan, Osborne, Sonya Ranee, Gill, Richard, Chow, Carina Faran Kalan, Wallin, Siobhan, Jones, Lee and Tang, Annie. 2014. "Does preoperative oral carbohydrate reduce hospital stay? A randomized trial." AORN Journal. 99 (2), pp. 233-242. https://doi.org/10.1016/j.aorn.2013.12.003

Quantitative data collection and study validity

Osborne, Sonya and Schneider, Zevia. 2013. "Quantitative data collection and study validity." Schneider, Zevia, Whitehead, Dean, LoBiondo-Wood, Geri and Haber, Judith (ed.) Nursing and midwifery research: methods and appraisal for evidence-based practice. Australia. Elsevier - Mosby. pp. 200-217

Infection control

Osborne, Sonya. 2013. "Infection control." Crisp, Jackie, Potter, Patricia Ann, Taylor, Catherine, Rebeiro, Geraldine and Douglas, Clint (ed.) Potter and Perry's fundamentals of nursing. Chatswood, NSW, Australia. Elsevier - Mosby. pp. 703-752

The ACORN standards - our aide-memoire to professional practice

Osborne, Sonya. 2013. "The ACORN standards - our aide-memoire to professional practice." ACORN: the journal of perioperative nursing in Australia. 26 (4), pp. 14-15.

Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]

Webster, Joan, Osborne, Sonya, Rickard, Clare M. and New, Karen. 2013. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007798.pub3

Nursing management: intraoperative care

Shoup, Anita, Reilly, Maureen, Kless, Jack and Osborne, Sonya. 2012. "Nursing management: intraoperative care." Brown, Diane and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Australia. Elsevier. pp. 402-420

Exploring the culture of non-reporting in the perioperative environment

Marshall, J. and Osborne, Sonya. 2007. "Exploring the culture of non-reporting in the perioperative environment." ACORN: the journal of perioperative nursing in Australia. 20 (2), pp. 10-21.

Imperatives and strategies for developing an evidence-based practice in perioperative nursing

Osborne, Sonya and Gardner, Glenn. 2004. "Imperatives and strategies for developing an evidence-based practice in perioperative nursing." ACORN: the journal of perioperative nursing in Australia. 17 (1), pp. 18-24.

Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices

Osborne, Sonya. 2001. "Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices." ACORN: the journal of perioperative nursing in Australia. 14 (2), pp. 16-21.

Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility

Osborne, Sonya R.. 1999. "Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility." ACORN: the journal of perioperative nursing in Australia. 12 (4), pp. 10-13.

Latex allergy: a perioperative environmental hazard

Osborne, Sonya R.. 1998. "Latex allergy: a perioperative environmental hazard." ACORN: the journal of perioperative nursing in Australia. 11 (4), pp. 26-28.