Simple biochemical markers to assess chronic wounds.

We investigated the potential for the biochemical analysis of chronic wound fluid to predict healing using simple and widely available analytes in an out-patient clinic setting. Wound fluid was collected from 12 patients attending a leg ulcer clinic and analyzed for a variety of analytes, including...

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Publicado en:Wound Repair & Regeneration Vol. 8; no. 4; pp. 264 - 270
Autores principales: James TJ, Hughes MA, Cherry GW, Taylor RP
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2000
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2000
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1046/j.1524-475x.2000.00264.x
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        atl: Simple biochemical markers to assess chronic wounds.
      aug:
        au:
          James TJ
          Hughes MA
          Cherry GW
          Taylor RP
        affil: Department of Clinical Biochemistry, Oxford Radcliffe Hospital, Oxford, OX3 3DU, United Kingdom
      sug:
        subj:
          Wounds, Chronic Physiopathology
          Exudates and Transudates Analysis
          Wound Healing Physiology
          Female
          Male
          Aged
          Aged, 80 and Over
          Mann-Whitney U Test
          Albumins Analysis
          Proteins Analysis
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: We investigated the potential for the biochemical analysis of chronic wound fluid to predict healing using simple and widely available analytes in an out-patient clinic setting. Wound fluid was collected from 12 patients attending a leg ulcer clinic and analyzed for a variety of analytes, including lactate, total protein, and albumin. Twelve weeks after collection the wound was assessed for healing (defined as complete healing or greater than 50% reduction in wound size). The median total protein (44.3 +/- 8.8 g/l) and albumin (25.0 +/- 2.3 g/l) concentrations in exudate collected from four healing wounds were significantly higher (p < 0.05) than in exudate from eight nonhealing wounds (median total protein 29.7 +/- 7.6 g/l, median albumin 17.0 +/- 4.3 g/l). No significant difference was observed for lactate. A second specimen of wound fluid was collected from four of the patients (three nonhealing and one healing). The protein analysis confirmed the pattern observed for the first collection: nonhealing wounds had total protein and albumin which remained low compared to healing wounds. No wound with an exudate albumin of less than 20 g/l healed. Both total protein and albumin are stable analytes which can be easily measured in any laboratory and may offer a simple biomarker of healing in chronic wounds.
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      ougenre: Article
    language: English
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