Time of chronic wound healing, as part of a prevalence and incidence study
Supporting Agencies
- A Ángel Casado Bech
- Teresa Graell Riera
- Andrea Moncau Mayola
- Julián Martín Martín y Laia Martí Clavé por su colaboración en la recogida de datos.
Abstract
Aim: To determine the mean healing time of chronic wounds as well as their prevalence and incidence.Method: A transversal, retrospective study in the field of primary care in Barcelona city, with a population of 15,589 inhabitants over 15 years of age. The study period was from 1st January to 31st December 2013. Information on the etiology of chronic wounds and the time needed for healing was collected.
Results: 416 records of injuries were located, of which 10.33% were chronic wounds. The median duration was 152 days and the mean average was 311 days, with pressure ulcers taking longest to heal. A statistically significant difference (p <0.05) was observed between the mean duration of wounds treated at the health centre and those treated at home. The prevalence was 0.28% and the incidence 0.24%, the wounds with the highest prevalence and incidence were venous ulcers.
Conclusions: Healing time depends on the type of wound and the point of care. The highest prevalence and incidence occurs in lower-extremity (leg) ulcers.
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References
Lazarus G, Valle MF, Malas M, Qazi U, Maruthur NM, Doggett D, et al. Chronic venous leg ulcer treatment: future research needs. Wound Rep Reg. 2014; 22(1):34-42.
Situm M, Kolic M. Definicija i podjela atipičnih rana. Acta Med croatica. 2012; 66 Suppl 1:S5-11.
Formentini M, Fernandes LP. Factors that influence healing of chronic venous leg ulcers: a retrospective cohort. An Bras Dermatol. 2014; 89(3):414-422.
Cacicedo R, Castañeda C, Cossío F, Delgado A, Fernández B, Gómez MV, et al. Manual de Prevención y Cuidados Locales de Heridas Crónicas. Servicio Cántabro de Salud [Monografía en internet]. Cantabria: Servicio Cántabro de Salud; 2011 [acceso 21 Feb 2014]. Disponible en:
O’Meara S, Cullum N, Majid M, Sheldon T. Systematic reviews of wound care management: (3) antimicrobial agents for chronic wounds; (4) diabetic food ulceration. Health Technol Assess. 2000; 4(21):1-237.
Bateman S. Principles of preventative foot care. Br J Community Nurs. 2014; 19 Suppl 3: S30-38.
Kirketerp-Møller k, Zulkowski k, James G. Chronic Wound Colonization, Infection, and Biofilms. En Bjarnsholt T et al. Biofilm infections. Copenhagen: Springer; 2011. p. 11-24.
González-Consuegra V, Verdú Soriano J. Calidad de vida y cicatrización en pacientes con úlcera de etiología venosa. Validación del Charing Venous Ulcer Questionnaire, versión española (CCVUQ-e) y del Pressure Ulcer Scale for Healing, versión española (PUSH-e). resultados preliminares. Gerokomos. 2011; 22(3):131-136.
Puig Girbau N, Teixidó Vargas C, Estébanez Perpina JL, Bosch Fortuna S. Prevalencia de lesiones en el ámbito de la atención primaria, a propósito de las variantes de registro. Metas Enferm. 2013; 16(2):6-10.
Gonzalez-Consuegra RV, Verdú J. Quality life in people with leg ulcers: an integrative review. J Adv Nurse. 2011; 67(5): 926-944.
Öien RF, Åkesson N. Bacterial cultures, rapid strep test, and antibiotic treatment in infected hard-to-heal ulcers in primary care. Scand J Prim Health Care. 2012; 30(4): 254–258
Malaquias GS Bachion MM, Sant’Ana SM, Dallarmi CC, Lino Junior RdeS, Ferreira PS. Pessoas com úlceras vasculogênicas em atendimento ambulatorial de enfermagem: estudo das variáveis clínicas e sociodemográficas. Rev Esc Enferm USP. 2012; 46(2): 302-310.
Edwards H, Finlayson K, Courtney M, Graves N, Gibb M & Parker C. Health service pathways for patients with chronic leg ulcers: identifying effective pathways for facilitation of evidence based wound care. BMC Health Serv Res [serie en internet]. 2013 [acceso 21 Mar 2014]; 13 (86): [aprox 10 p.]. Disponible en: http://www.biomedcentral.com/1472-6963/13/86
Rodrigues I, Megié MF. Prevalence of chronic wounds in Quebec home care. Ostomy wound manag. 2006; 52(5):46-57.
Ferrer-Solà M, Chirveches-Pérez E, Molist-Señé G, Molas-Puigvila M, Besolí-Codina A, Jaumira-Areñas E, et al. Prevalencia de las heridas crónicas en una comarca de la provincia de Barcelona. Enferm Clin. 2009; 19(1): 4-10.
Conferencia Nacional de Consenso sobre Úlceras de la extremidad inferior. Documento de consenso CONUEI. Barcelona: EdikaMed; 2009.
Pancorbo-Hidalgo PL, García-Fernández FP, Torra Bou JE, Verdú Soriano J, Soldevilla-Ágreda JJ. Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia. Gerokomos. 2014, 25(4):162-170.
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