Open AccessExtracorporeal shockwave therapy combined with alginate dressing for treatment of sacroiliac decubital necrosis in older adults
Author(s) -
Haoyang Duan,
He Li,
Hongying Liu,
Hong Zhang,
Na Liu,
Qingjun Dong,
Zhenlan Li
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000019849
Subject(s) - medicine , debridement (dental) , surgery , extracorporeal shockwave therapy , extracorporeal , adverse effect , anesthesia
Rationale: Pressure sores are major clinical problems with limited treatment options. Patient concern: A 62-year-old man, admitted with unresponsive, indifferent mood, and malnutrition. A noval-shaped skin lesion deeping into the fascia was found in the sacrococcygeal region. Diagnosis: The patient was diagnosed with delayed carbon monoxide poisoning encephalopathy and stage IV sacrococcygeal pressure sores. Intervention: The patient received neurologic rehabilitation therapy and simple debridement dressing care followed by extracorporeal shockwave therapy. Outcomes: The scores for the pressure ulcer healing scale were 17 points, 13 points, 9 points, and 5 points, respectively, before treatment and at the 4-, 8-, and 12-week follow-ups. At 2 weeks after discharging the total pressure ulcer healing scale score was 0, which signifies that the sacroiliac decubital necrosis healed without adverse reactions and side effects. Lessons: This study presents a therapeutic solution for treating older adults with pressure ulcers by using extracorporeal shockwave with alginate dressing, which proved effective and safe.