26
|
Cotter J, Baker M, Akers L, Acharya M, Limoli C, Caiozzo V. Mitochondria‐Targeted Catalase Does Not Enhance Myogenesis following Cardiotoxin Muscle Injury and Radiation Exposure. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.947.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
27
|
Cotter J, Baker M, Acharya M, Limoli C, Caiozzo V. Radiation induced inhibition of myogenesis following muscle damage from cardiotoxin injection (1102.37). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.1102.37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
28
|
Cunha P, Cotter J, Oliveira P, Vila I, Boutouyrie P, Laurent S, Nilsson P, Scuteri A, Sousa N. 5.4 PULSE WAVE VELOCITY DISTRIBUTION IN A COHORT STUDY–FROM ARTERIAL STIFFNESS TO EARLY VASCULAR AGEING (EVA). Artery Res 2014. [DOI: 10.1016/j.artres.2014.09.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
29
|
Schloemer S, Cotter J, Jamison S, Chaudhari A. Time-to-contact demonstrates modulation of postural control during a dynamic lower extremity task. Gait Posture 2013; 38:658-62. [PMID: 23522669 DOI: 10.1016/j.gaitpost.2013.02.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2012] [Revised: 12/07/2012] [Accepted: 02/20/2013] [Indexed: 02/02/2023]
Abstract
Postural control deficits are associated with increased risk of loss of balance and potential injury. To assess balance deficits and estimate injury risk, there is a need to evaluate postural control during dynamic activities. Analysis during dynamic activities could assess if an individual's ability to control their posture is a fixed condition or if it is dependent on the demands of a task. The purpose of this study was to evaluate changes in postural control during a dynamic lower extremity task using time-to-contact (TtC) analysis. 3D motion capture with a force plate was used to evaluate 46 healthy recreational athletes performing an anterior reach with the right foot while standing on their left leg. TtC was calculated for nine valid trials. For each trial, the time from the toe leaving the force plate to the toe touching the floor at the maximum reach distance was divided into five epochs of equal duration. TtC was averaged over each epoch. Differences in TtC were evaluated with an unbalanced mixed effects ANOVA and post hoc Tukey's HSD comparisons. Epoch was a significant main effect (p<0.001), with both Epoch 4 and Epoch 5 having significantly greater TtC from all other epochs (p=0.05). Increasing TtC in later epochs suggests a higher demand for postural control when the task becomes more challenging. As an individual's reaching foot extends further from the body, postural control is adjusted to match the changing demands of the dynamic task.
Collapse
|
30
|
Areias J, Calinas F, Porto A, Carvalho A, Freitas D, Macedo G, Noronha R, Cotter J, Meliço-Silvestre A, Peixe R, Pratas J, Barrote D, Teixeira R, Augusto F, Carrilho I, Campante F, Velosa J, Carvalho L, Duarte MA, Guerreiro H, Pires C, Silva A, Cotrim I, Guedes F, Tomé L, Marcelino M, Gonçalves C, Ferreira E, Matos L, Peixe P, Esteves J, Valente T, Simões C, Marinho C, Jasmins L, Vieira MJ, Marinho R, Matos P, Estevens J, Carrasquinho J, Salcedo G, Parada P, Teixeira C. One year of Lamivudine therapy for portuguese patients with chronic hepatitis B. Clin Drug Investig 2012; 23:339-46. [PMID: 17535046 DOI: 10.2165/00044011-200323050-00004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
OBJECTIVE To assess the efficacy of lamivudine treatment on hepatitis B e antigen (HBeAg) and/or hepatitis B surface antigen (HBsAg) seroconversion, on other virological and serological markers of response including hepatitis B virus (HBV) DNA and serum aminotransferases, and the safety of lamivudine treatment in hepatitis B patients. PATIENTS This phase III open-label study evaluated the virological and biochemical response to lamivudine in 70 Portuguese patients with HBeAg positive chronic hepatitis B. Patients were treated with lamivudine 100mg once daily for 12 months. METHODS Antiviral activity was assessed by measuring alanine aminotransferase (ALT)/aspartate aminotransferase (AST) levels at all protocol visits, and hepatitis B serology and HBV DNA were performed at baseline and at month 12 visits. Evaluation of safety and tolerance was based on clinical adverse events and laboratory analyses. RESULTS The primary endpoint was virological response at month 12, defined as loss of detectable HBeAg from serum with a reduction of HBV DNA to undetectable levels, and this was observed in 19/69 (27.5%) of patients. Almost half of the patients were HBV DNA negative by this time. Mean ALT values decreased steadily during treatment and by 12 months 61% of patients had values within the normal range. HBeAg seroconversion (HBeAg negative, HBeAb positive) was achieved in 27.9% of patients by 12 months, although all patients remained HBsAg positive. CONCLUSION Lamivudine was well tolerated and the incidence of adverse events was similar to those reported in previous studies. Lamivudine treatment resulted in virological and biochemical improvements in HBeAg positive chronic hepatitis B patients, with HBeAg seroconversion in one-third of patients.
Collapse
|
31
|
Duarte R, Campainha S, Cotter J, Rosa B, Varela P, Correia A, Canhão H, Fonseca JE. Position paper on tuberculosis screening in patients with immune mediated inflammatory diseases candidates for biological therapy. ACTA REUMATOLOGICA PORTUGUESA 2012; 37:253-259. [PMID: 23348114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
UNLABELLED Chronic immunosuppression is a known risk factor for tuberculosis. Our aim was to reach a consensus on screening and prevention of tuberculosis in patients with immune mediated inflammatory diseases candidates to biologic therapy. METHODS Critical appraisal of the literature and expert opinion on immunosuppressive therapies and risk of tuberculosis. RESULTS AND CONCLUSION The currently recommended method for screening is the tuberculin skin test and the interferon gamma assay, after exclusion of active tuberculosis. Positively screened patients should be treated for latent tuberculosis infection. Patients may start biological therapy after 1 to 2 months, as long as they are strictly adhering to and tolerating their preventive regimen.
Collapse
|
32
|
Cunha P, Cotter J, Oliveira P, Vila I, Sousa N. P1.19 FAMILY HISTORY OF CARDIOVASCULAR EVENTS, ARTERIAL STIFFNESS AND CENTRAL BLOOD PRESSURE: THE GUIMARÃES STUDY (STUDY TO DETERMINE THE CARDIOVASCULAR RISK OF THE POPULATION OF GUIMARÃES/VIZELA: PREVALENCE OF ARTERIAL STIFFNESS AND EARLY VASCULAR AGING SYNDROME). Artery Res 2012. [DOI: 10.1016/j.artres.2012.09.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
33
|
Cunha P, Oliveira P, Cotter J, Sousa N. P7.15 MEASUREMENT OF ARTERIAL STIFFNESS IN THE PORTUGUESE POPULATION: THE GUIMARÃES STUDY (STUDY TO DETERMINE THE CARDIOVASCULAR RISK OF THE POPULATION OF GUIMARÃES/VIZELA: PREVALENCE OF ARTERIAL STIFFNESS AND EARLY VASCULAR AGING SYNDROME). Artery Res 2011. [DOI: 10.1016/j.artres.2011.10.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
|
34
|
Cunha P, Oliveira P, Cotter J, Sousa N. P1.15 CENTRAL BLOOD PRESSURE (CBP) MEASUREMENTS IN THE PORTUGUESE POPULATION: THE GUIMARÃES STUDY (STUDY TO DETERMINE THE CARDIOVASCULAR RISK OF THE POPULATION OF GUIMARÃES/VIZELA: PREVALENCE OF ARTERIAL STIFFNESS AND EARLY VASCULAR AGING SYNDROME). Artery Res 2011. [DOI: 10.1016/j.artres.2011.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
35
|
Azevedo LF, Magro F, Portela F, Lago P, Deus J, Cotter J, Cremers I, Vieira A, Peixe P, Caldeira P, Lopes H, Gonçalves R, Reis J, Cravo M, Barros L, Ministro P, Lurdes M, Duarte A, Campos M, Carvalho L, Costa-Pereira A. Estimating the prevalence of inflammatory bowel disease in Portugal using a pharmaco-epidemiological approach. Pharmacoepidemiol Drug Saf 2010; 19:499-510. [DOI: 10.1002/pds.1930] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
36
|
Magro F, Portela F, Lago P, Deus J, Cotter J, Cremers I, Vieira A, Peixe P, Caldeira P, Lopes H, Gonçalves R, Reis J, Cravo M, Barros L, Ministro P, Lurdes Tavares M, Duarte A, Campos M, Carvalho L. Inflammatory bowel disease: a patient's and caregiver's perspective. Dig Dis Sci 2009; 54:2671-9. [PMID: 19130226 DOI: 10.1007/s10620-008-0658-3] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2008] [Accepted: 11/28/2008] [Indexed: 12/13/2022]
Abstract
The purpose of this study was to conduct a survey examining the impact of inflammatory bowel disease (IBD) on patients' and their caregivers' daily activities. Questionnaires were distributed to patients registered in the APDI (Portuguese Association for IBD) database and their respective caregivers in 2007. Of 422 patient respondents, 251 had Crohn's disease (CD) and 171 had ulcerative colitis (UC), with the majority of patients being women (58.1%) and aged over 40 years (37.4%). The number of disease flares experienced by IBD patients was slightly higher for patients with CD than for patients with UC (2.64 vs. 2.34), and surgery was more often required in CD patients as compared to UC patients (42.4 vs. 7%). Sixty percent (60%) of patients reported having no problems with mobility, daily activities, or personal hygiene; however, over half of all patients experienced some pain and anxiety. Adult patients and children and adolescents respectively experienced time off work or school due to their disease but caregivers were not affected in this regard. The caregivers life (N=324) was affected by anxiety, with the major concern reported as the risk of the patient developing cancer. Both IBD patients and caregivers thought that the provision of information on new drugs and contact time with a doctor would have the biggest impact on improving care. The symptoms and complications of IBD have a considerable impact on the lives of patients and their caregivers, and several actions could be taken to improve their care.
Collapse
|
37
|
Magro F, Portela F, Lago P, Deus J, Vieira A, Peixe P, Cotter J, Cremers I, Cravo M, Tavares L, Reis J, Gonçalves R, Caldeira P, Lopes H, Ministro P. P099 A PHARMACO-EPIDEMIOLOGICAL APPROACH TO ESTIMATE IBD PREVALENCE AND INCIDENCE IN PORTUGAL. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/s1873-9954(08)70110-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
38
|
Romero-Rangel T, Stavrou P, Cotter J, Rosenthal P, Baltatzis S, Foster CS. Gas-permeable scleral contact lens therapy in ocular surface disease. Am J Ophthalmol 2000; 130:25-32. [PMID: 11004256 DOI: 10.1016/s0002-9394(00)00378-0] [Citation(s) in RCA: 176] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
PURPOSE To describe the therapeutic benefits of nonfenestrated gas-permeable scleral contact lenses in the management of patients with ocular surface disease. METHODS The charts of 49 consecutive patients (76 eyes) with ocular surface disease whose management included the use of gas-permeable scleral contact lenses were reviewed. We also developed a questionnaire to assess the impact of lens wear on subjective aspects of activities of daily living. RESULTS The mean age of the 49 patients was 44.6 years (range, 3 to 87 years); 31 patients were female and 18 were male. The most common indication for fitting of the lenses was Stevens-Johnson syndrome (54 [71%] of the 76 eyes). Other indications included ocular cicatricial pemphigoid, exposure keratitis, toxic epidermal necrolysis, postherpetic keratitis, congenital deficiency of meibomian glands, superior limbal keratoconjunctivitis, Sjögren syndrome, and inflammatory corneal degeneration. The mean follow-up was 33.6 months (range, 2 to 144 months). Improvement in best-corrected visual acuity (defined as a gain of 2 or more Snellen lines) was observed in 40 (53%) of the eyes. In eight (53%) of the 15 eyes with active corneal epithelial defects at the time of lens fitting, the defects healed, whereas in the remaining seven eyes the corneal epithelial defects remained unchanged. Forty-five (92%) of the 49 patients reported improvement in their quality of life as a result of reduction of photophobia and discomfort. The mean wearing time of the gas-permeable scleral contact lenses was 13.7 hours per day (range, 4 to 18 hours). Many patients had preparatory surgical procedures before lens fitting (for example, punctal occlusion or mucous membrane grafting), and some had visual rehabilitation surgical procedures (for example, keratoplasty and/or cataract surgery) after lens fitting. CONCLUSIONS Gas-permeable scleral contact lens wear provides an additional effective strategy in the surface management and visual rehabilitation of patients with severe ocular surface disease.
Collapse
|
39
|
Cotter J. Spontaneous passage of giant salivary calculus. IRISH MEDICAL JOURNAL 1998; 91:28. [PMID: 9563254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|
40
|
Morris A, Cotter J. Medical emergency--Rwanda 1995. A personal experience. IRISH MEDICAL JOURNAL 1996; 89:116. [PMID: 8707521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
|
41
|
Stockton R, Wilhelm J, Armstrong D, Klick R, Cotter J, Reynolds J. Cytochrome oxidase activity in the fetal sheep retina. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 1994; 366:426-7. [PMID: 7771279 DOI: 10.1007/978-1-4615-1833-4_40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
|
42
|
Black M, Cotter J. The creative mind project: in search of healing. BEGINNINGS (AMERICAN HOLISTIC NURSES' ASSOCIATION) 1993; 13:6. [PMID: 8481608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
|
43
|
Martin LF, Peter AO, Fehr DM, Landis JR, Cotter J, Briggs RW. 31P-NMR evaluation of postischemia renal ATP and pH levels after ATP-MgCl2 treatment in rabbits. Am J Surg 1992; 164:132-9. [PMID: 1636893 DOI: 10.1016/s0002-9610(05)80371-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Phosphorus-31 (31P) nuclear magnetic resonance (NMR) spectroscopy was used to measure adenosine triphosphate (ATP) concentration and pH in vivo in rabbits subjected to a 40-minute period of unilateral renal ischemia to determine the effect of infusing ATP-magnesium chloride (MgCl2, 100 mumol/kg) versus saline at the initiation of reperfusion. Data were compared initially by analysis of variance and then analyzed further using a general linear model with covariate adjustment. ATP-MgCl2-treated animals did not have higher ATP levels during recovery but did have significantly higher renal blood flow (p less than 0.05), a significantly decreased rate of recovery from acidosis (p less than 0.05), and significantly higher urinary output (p less than 0.01) than saline-treated animals during the recovery period. Therefore, treatment with ATP-MgCl2 improves postischemic functional parameters in this model of moderate injury without functioning as a direct source of ATP or its precursors. These data add support to the emerging concept that intracellular acidosis protects cells from reperfusion injury.
Collapse
|
44
|
|
45
|
Cotter J, Alves MM, Rutgeerts P. [Endoscopic sclerosis for hemorrhage caused by peptic ulcer: a real advance]. ACTA MEDICA PORT 1990; 3:253-4. [PMID: 2275419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The new methods of endoscopic hemostasis for bleeding gastric or duodenal ulcers are discussed. These techniques are increasingly important in patients with high risk for surgery. Due to its low cost, technical simplicity and a success rate similar to the other methods, endoscopic sclerosis is probably the first choice therapy for these conditions.
Collapse
|
46
|
Cotter J, Camilo ME, Correia JP. [Kwashiorkor in an adult with alcoholic hepatic cirrhosis]. ACTA MEDICA PORT 1989; 2:285-7. [PMID: 2624157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Multifactorial malnutrition is common in alcoholic cirrhosis. We report a case dominated by Kwashiorkor due to malabsorption related to infestation with Giardia Lamblia. Malnutrition deserves a complete investigation in order to detect treatable causes.
Collapse
|
47
|
Hanna KD, Pouliquen Y, Waring GO, Savoldelli M, Cotter J, Morton K, Menasche M. Corneal stromal wound healing in rabbits after 193-nm excimer laser surface ablation. ARCHIVES OF OPHTHALMOLOGY (CHICAGO, ILL. : 1960) 1989; 107:895-901. [PMID: 2730408 DOI: 10.1001/archopht.1989.01070010917041] [Citation(s) in RCA: 159] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
An argon fluoride excimer laser (193 nm) with a moving slit delivery system was used to perform anterior myopic keratomileusis in both eyes of 24 New Zealand white rabbits. Rabbits were killed immediately after ablation and at intervals up to 100 days. By slit-lamp microscopy, four rabbits at day 100 exhibited four clear corneas and four corneas had central, spotty, subepithelial haze. Light and electron microscopy documented corneal healing. In the early stages a transient acellular zone in the anterior stroma appeared over a period of three weeks, followed by an increased number of fibrocytes. In the corneas with opacification, focal areas of 20-microns-thick subepithelial scarring were present. An unexpected finding was transient damage to posterior stromal keratocytes and endothelial cells. The endothelium produced a layer of granular material that migrated anteriorly across Descemet's membrane. Immunochemistry at day 6 showed a marked staining for collagen IV, proteoglycans, fibronectin, and laminin.
Collapse
|
48
|
|
49
|
O’Byrne P, Collins P, Johnson A, Ledwith M, Lane B, Bouchier-Hayes D, MacMathuna P, O’Reilly T, Barry M, Duanes-Laita A, Feely J, Keeling PWN, Cotter P, Burke G, Waldron R, Zinner MJ, Jaffe BM, Givan F, Keye G, Byrne P, O’Brien M, O’Farrelly C, Stevens F, McCarthy C, Feighery C, Weir DG, Hannigan MC, Stevens FM, McCarthy CF, Fottrell PF, O’Connor MP, Kennedy NP, Courtney MG, Kelleher D, Weir DW, Senapati A, Kitler ME, Thompson RPH, O’Shea B, Madigan D, Keeling P, Hennessy TPJ, Meenan JJ, Gaffney EF, Duigan JP, Johnson AH, Collins PB, Healy MV, Skehill R, Grimes H, O’Farrelly C, Kelly J, Rees R, Hoey H, Humphreys H, Dooley C, O’Leary D, Bourke S, McKenna D, Power B, Keane C, Sweeney E, O’Morain CA, Afdhal NH, McCormick A, O’Donoghue DP, Quigley EMM, Turnberg LA, Moorehead RJ, Hoper M, McKelvey STD, Tobbia I, Rafferty R, Gillen P, Stuart R, Dawson K, Collins JSA, McKnigh JA, Pyper PC, Love AHG, Dillon ME, O’Connor E, Keeling PWN, Broe PJ, Harte PI, Keane T, Garstin WIH, Buchanan KD, Walsh JP, Bloomfield FJ, Maxwell WJ, Hogan FP, O’Malley VP, Postier RG, Lombard M, Craven C, Spencer S, Crowe J, Quinn F, Templeton JL, Tobin MV, Hughes S, Gilmore IT, Keane RM, Johnson AB, Duenas-Laita A, Younger K, O’Brien T, Cotter J, Cullinane T, Whelton MJ, Waldron D, Bowes K, Given HF, Gawley WF, Gorey TF, Osborne DH, Lane BE, Collins PG, Boston VE, O’Mahony C. Irish society of gastroenterology. Ir J Med Sci 1986. [DOI: 10.1007/bf02962975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
50
|
Deitch EA, Wheelahan TM, Rose MP, Clothier J, Cotter J. Hypertrophic burn scars: analysis of variables. THE JOURNAL OF TRAUMA 1983; 23:895-8. [PMID: 6632013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
A major problem in patients surviving thermal injury is the development of hypertrophic burn scars. The current study was performed to determine the factors associated with an increased risk of the development of hypertrophic burn scars. Fifty-nine children (mean age, 3 years; mean TBSA, 14%) and 41 adults (mean age, 37; mean TBSA, 21%) followed from 9 to 18 months formed the study group. The location as well as time required for the burns to heal were recorded in addition to the age and race of the patients. Sixty-three (26%) of the 245 burn areas, in these 100 patients, became hypertrophic. No correlation between patient age and the development of wound problems was found. Blacks had more wound problems than others, if the burn wound took longer than 10 to 14 days to heal. The most important indicator of whether wound problems would occur, in our series, was the time required for the burn to heal. If the burn wound healed between 14 and 21 days then one third of the anatomic sites became hypertrophic; if the burn wound healed after 21 days then 78% of the burn sites developed hypertrophic scars. Based upon these results we have developed a selective, individualized protocol for the use of prophylactic pressure therapy in patients with spontaneously healing burn wounds.
Collapse
|