Medida de la cicatrización en úlceras por presión: ¿Con qué contamos?

Abstract

Medida de la cicatrización en úlceras por presión. ¿Con qué contamos?

Correlation between health‐related quality of life and venous leg ulcer's severity and characteristics: a cross‐sectional study

“…Ferreira et al used the PUSH (Pressure Ulcer Scale for Healing) system in their validation of the Cardiff Wound Impact Schedule (CWIS) . However, while this is valid for pressure ulcers, its use for venous ulcers is, to say the least, controversial . Accordingly, implementing specific validated monitoring systems for each wound type is crucial in order to faithfully reflect the status of the chronic wound being studied.…”

“…Each subject's wounds were examined individually. Examination consisted of: Manual palpation of the posterior tibial and dorsalis pedis pulse of the wounded leg in order to rule out possible arterial involvement. Visual examination of the legs to detect clinical signs and symptoms of chronic venous insufficiency. Staging the severity of the wound using the MAID Score . Monitoring the wound using RESVECH 2.0 . Questioning using the Charing Cross Venous Ulcer Questionnaire (CCVUQe) , Spanish version . …”

“…The RESVECH 2.0 scale was used to monitor wounds . Based on the results of a PhD thesis , the scale has content validity by means of a modified Delphi consensus method and achieves a Content Validity Index over 0.9.…”

“…The RESVECH 2.0 scale was used to monitor wounds . Based on the results of a PhD thesis , the scale has content validity by means of a modified Delphi consensus method and achieves a Content Validity Index over 0.9. Also, reliability was evaluated by internal consistency with an alpha Cronbach's index of 0,72 (based on typified elements); Pearson's correlation coefficient was used to test the items with the final score and, finally, demonstrated responsiveness by means of a repeated measures analysis of variance with time as factor.…”

“…This model was analysed in general terms and by aetiologies, healing and the worst and best scores at start point (based on quartiles). So, it can be used to assess characteristics and evaluate the healing process in all types of chronic wounds, including of the legs . It assesses six parameters: wound size, depth of the affected tissues, status of the edges, type of tissue in the wound bed, level of exudate and inflammation‐infection in the wound (presence of biofilm).…”