title: Comparison of inpatient bed rest and home convalescence following split thickness skin grafting to the lower leg.
abstract: There has been a substantial move towards care of patients in an outpatient setting. This study was performed to determine if discharge home following split thickness skin grafting to the lower leg compromised graft results or morbidity compared with admission to hospital. Cases were reviewed retrospectively from the dermatology department's surgical records. All split thickness skin grafts to the lower legs over a 12-month period were included. All clinical notes were reviewed and phone calls made to patients and relatives. A total of 61 cases were included: 31 admitted as inpatients, 30 discharged home. There was no significant difference between the two groups' age, sex or comorbidities. A trend was seen in inpatients towards increased infection (P = 0.19) and venous thrombosis (P = 0.34). There is a lack of significant difference between admitted and discharged patients in all outcomes including bleeding, number of dressing clinic follow ups and graft loss. These results suggest that home convalescence after split thickness skin grafting to the lower legs compares favourably with inpatient care.
authors.affiliation: Department of Dermatology, Auckland Hospital, Auckland, New Zealand. bentallon@gmail.com
authors.forename: Ben G
authors.initials: BG
authors.lastname: Tallon
authors.forename: G Fergus
authors.initials: GF
authors.lastname: Oliver
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D001510:Bed Rest; D005260:Female; D006085:Graft Survival; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D007871:Leg Ulcer / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D008499:Medical Records; D009520:New Zealand / Q000453:epidemiology; D010043:Outcome and Process Assessment, Health Care; D011182:Postoperative Care / Q000706:statistics & numerical data; D011183:Postoperative Complications; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps