Tóm tắt
Background: Analyzing surgical wound characteristics enables clinicians to monitor wound healing progression and detect postoperative complications early.
Objectives: To analyze surgical wound characteristics following orthopedic trauma surgery at the first dressing change and on postoperative day 5 using the SWAT tool and its associated factors.
Materials and Methods: A prospective longitudinal observational study was conducted among 205 patients with upper- and/or lower-limb fractures indicated for surgery at Hue University of Medicine and Pharmacy Hospital. Surgical wounds were assessed using the Surgical Wound Assessment Tool (SWAT) at the first dressing change and on postoperative day 5.
Results: Surgical wound characteristics improved significantly between the two assessment time points (p < 0.001). By day 5, well-approximated wound edges were observed in 68.8% of patients, epithelialization of the wound bed in 46.3%, clear serous exudate in 67.8%, and a dry/moist wound surface in 69.8%; most wounds were odorless and associated with mild-to-moderate pain. However, periwound erythema persisted in 46.3% of cases, and hematoma showed a slight but significant increase (16.1% to 19.5%; p = 0.016). Three factors were independently associated with a higher SWAT score: open fracture (p < 0.001), mobilization after 24 hours postoperatively (p < 0.001), and lower-limb surgery (p = 0.028).
Conclusion: Wound status improved significantly between the first dressing change and postoperative day 5. Factors such as open fractures, mobilization delayed beyond 24 hours post-surgery, and lower-limb surgical sites were significantly associated with higher SWAT scores on day 5. Periodic wound assessment facilitates the early identification of patients requiring closer monitoring.
| Đã xuất bản | 15-11-2026 | |
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| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.S-3.8 | |
| Từ khóa | Surgical wound, Surgical Wound Assessment Tool, orthopedic trauma surgery, wound healing |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
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