Ann Surg Case Rep | Volume 4, Issue 3 | Research Article | Open Access

Role of Time in Bed Preparation for Patients with Complex Traumatic Wounds Treated at Viet Duc University Hospital

Nguyen Duc Chinh*, Tran Tuan Anh, Pham Vu Hung, Nguyen Minh Ky, Dao Van Hieu, Tran Tien Anh Phat and Nguyen Duc Linh

Department of Septic Surgery and Wound Care, Viet Duc University Hospital, Hanoi, Vietnam

*Correspondance to: Nguyen Duc Chinh 

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Purpose: Caring trauma wound, especially complex wound caused by traffic accident plays an important role, helps to prevent the complications and short length stays as well as reduce the cost. We have conducted the study aiming to evaluate the effectiveness of TIME for bed preparations of patients with complex traumatic wound have been treated at Viet Duc Hospital. Materials and Methodology: A prospective study of patients with complex traumatic wounds have been treated at the Department of Septic Surgery and Wound care of Viet Duc University Hospital from 1/2020 to 5/2020. The subjects without distinction genders, over 18 years old, with trauma wounds sized from 5 cm in large, full medical record information are enrolled. The data was processed by software SPSS.20.0. Results: Total 70 cases were diagnosed the complex traumatic wounds, of them, 57 males accounted for 81.4%; 13 female accounting for 18.6%; mean age was 37.1 ± 2.3. The main cause is road traffic accidents, accounting for 78%, and occupational accidents accounting for 22%. The number of patients with soft tissue wound only was accounting for 21.4%, with complex lesions including tendon and bone accounting for 78.6%. The time from injury to care from 3 to 7 days was commonly in 87.1%, over 07 days was only in 12.9%. The exudative wounds accounted for 74.3%, the size 5 cm to 10 cm was 31.4%, from 10 cm to 15 cm was 58.6%, >15 cm was only 10%. Wounds with necrotic tissue was 24.3%. TIME has applied once the patients hospitalized. Healing time <1 week was 8.6%, from 1 to 3 weeks in 72.9%, and more than 3 weeks in 18.5%. Complications were 3 patients with serious necrosis requiring more debridements, accounted for 4.3%. Conclusions and recommendations: Results from study shows that the complex traumatic and infected wound should be cared by TIME is effective. Careful and daily checks of wounds, evaluation of healing progress to make the appropriate changes are important issues which help to improve the healing progress.


Wound care; Nursing care; Wound Bed Preparation


Chinh ND, Anh TT, Hung PV, Ky NM, Hieu DV, Anh Phat TT, et al. Role of Time in Bed Preparation for Patients with Complex Traumatic Wounds Treated at Viet Duc University Hospital. Ann Surg Case Rep. 2021; 4(3): 1051..

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