Serial Surgical Debridement of Common Pressure Injuries in the Nursing Home Setting

Outcomes and Findings

Bardia Anvar, MD; Henry Okonkwo, PA-C


Wounds. 2017;29(7):215-221. 

In This Article


In this study, there were a few limitations. One of which is practitioner compliance in recording correct measurements, tissue percentages, and other data. Practitioners may have used different recording techniques, which may have allowed for error. While the investigators believe this error would have entered into both groups and would not affect the results to the degree that would affect trend observation, it is still a potential limitation.

Between the 2 groups, the responders were seen slightly longer than the nonresponders, indicating that there may have been better follow-up in the first group. Nonresponding wounds must be examined by practitioners for other factors which may inhibit wound healing, such as poor nutrition, inadequate offloading, terminal illness, and multiple comorbidities.

The choice of wound dressing was left to the judgment of individual providers and the results of these dressing choices were not examined, most importantly the enzymatic debridement dressing category. The investigators did not examine response to the enzymatic debriding agents, whether alone or in conjunction with surgical debridement. They did find that enzymatic debriding agents were employed 55% of the time for the responder group and 66% of the time for the nonresponders.