Evaluating whether surgical reconstruction is better than non-surgical treatment for people admitted to hospital who have a severe pressure ulcer

Health outcomes in matched groups of patients admitted to hospital who have a severe pressure ulcer who do or do not have a surgical reconstruction operation.

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN13292620

Enrollment

245000

Registered

2020-01-14

Start date

2011-04-01

Completion date

Unknown

Last updated

2025-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Severe pressure ulcers Skin and Connective Tissue Diseases Stage III decubitus ulcer, Stage IV decubitus ulcer, Decubitus ulcer and pressure area, unspecified

Interventions

Current intervention as of 16/12/2020: Reconstructive surgery operations coded with OPCS-4 codes: S17, S18, S19, S20, S21, S22, S23, S24, S25, S26 and S27. Surgical debridement (OPCS code S57.1) will

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Current participant inclusion criteria as of 16/12/2020: Patients described in Hospital Episode Statistics with index admission (admitted patient care dataset) with a severe pressure ulcer (ICD-10 codes L89.2, L89.3, L89.9) or any pressure ulcer (L89.X) during a period of 8 years (01/04/2011-31/03/2019), linked with other HES APC and outpatient episodes and mortality data (to 31/03/2019). The target population for the HES cohort is: patients aged >=18 years in England admitted to hospital, with an ICD-10 diagnosis code for a severe pressure ulcer. _____ Previous participant inclusion criteria: Patients described in Hospital Episode Statistics with index admission (admitted patient care dataset) with a severe pressure ulcer (ICD-10 codes L89.2, L89.3, L89.9) during a period of 7 years (01/04/2012-31/03/2019).

Exclusion criteria

Exclusion criteria: There are no secondary outcome measures

Design outcomes

Primary

Measure	Time frame
Time to first subsequent admission with a pressure-ulcer related diagnosis measured using patient records	—

Secondary

Measure	Time frame
Measured using patient records: 1. Type of surgical reconstruction (OPCS code), if any 2. Duration of index admission 3. Time to first subsequent admission with a pressure-ulcer related diagnosis 4. Rate of subsequent admissions with a pressure-ulcer related diagnosis 5. Surgical reconstruction after discharge for the index admission 6. Mortality	—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026