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Journal of Plastic Surgery and Transplantation

Volume  5, Issue 1, Jan-June 2024, Pages 27-30
 

Case Report

Application of Kumar Classification for Pressure Injury

Vaibhav Shukla1 , Ravi Kumar Chittoria2 , Amrutha J S3 , Jacob Antony Chakiath

1 Junior Resident, Department of General Surgery, 2 Professor, Department of Plastic Surgery & Telemedicine, 3,4Senior Resident, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.

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Abstract

Pressure sores are a serious complication of multi morbidity and lack of mobility.Pressure injuries are commonly encountered in geriatric patients. Certain well-recognized risk factors, such as immobility and incontinence, may predispose to the development of pressure injury (PI); consequently, risk factor modification is an important aspect of prevention and treatment. One of the fundamental documentation details when describing a wound is the use of the appropriate staging system. Each staging system is unique to a wound’s type, should align with your description of the wound, and be integrated into your documentation details. For research purpose more improvements in staging with inclusion of infection, progression of ulcer and major risk factors on existing stages of only depth has been suggested by Kumar. This will have bearing on the prognosis of the disease and management protocol and hence better outcome of research work. The most extensive published experiences with pressure sore treatment are those of Conway and Griffith (1000 cases) and Dansereau and Conway’s update of the Bronx Veterans Administration Hospital data (2000 cases). But with new technologies of wound care more research is required to standardized the prevention and management of pressure injury. There is need to reduce cost of the care for long term compliance. For research purpose more improvements in staging with inclusion of infection, progression of pressure injury and major risk factors in existing staging (four stages) of depth only has been suggested by Kumar. This will have bearing on prognosis of the disease and management protocol and hence, better outcome of research work. The classification has been updated by inclusion of suspected deep tissue injury. This study highlights the role Kumar classification applied on a case of pressure injury.


Keywords : Classification; Pressure; Injury; Management.
Corresponding Author : Ravi Kumar Chittoria,