Wound_Closure_Classification_guideline v.1
Wound Closure Classification tool classifies types of wound closure.
To classify types of wound closure.
Use in patients with open wounds after traumatic injuries. Formula: Selection of the appropriate description: Variables: Wound Features, Classification, Management Clean wound with minimal tissue loss, e.g. surgical wounds, clean lacerations.= Primary= Closure ideally performed within 6-8 hours of trauma. If well-vascularized, may be closed up to 24 hours after trauma. Significant tissue loss precluding tension-free approximation of edges, devitalized edges, ulcerations, or abscess cavities.= Secondary= No surgical closure. Daily dressing changes. Consider negative pressure vacuum therapy. Grossly contaminated wounds with or without significant tissue loss, e.g. contaminated by soil or feces, animal bites, projectiles.= Tertiary (Delayed Primary)= Thoroughly explore, irrigate, and debride. Observe for 3-7 days before surgical closure or skin grafting. May benefit from negative pressure vacuum therapy.
1. Kumar S, Leaper DJ. Classification and management of acute wounds. Surgery (Oxford). 2005 Feb 1; 23(2):47-51. 2. ACS TQIP. Best Practices in the Management of Orthopedic Trauma. ACS TQIP Best Practice Guidelines website. 3. Bhangu A, Singh P, Lundy J, Bowley DM. Systemic Review and Meta-analysis of Randomized Clinical Trials Comparing Primary vs Delayed Primary Skin Closure in Contaminated and Dirty Abdominal Incisions. JAMA Surg. 2013;148(8):779-786. 4. Halawi MJ, Morwood MP. Acute Management of Open Fractures: An Evidence-Based Review. Orthopedics. 2015;38(11):e1025-33.
openEHR-EHR-EVALUATION.wound_closure_classification
