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Menegon MR, Malaquias SG, Silva JAD, Oliveira BGRBD, Medrano JCR, Verdú-Soriano J, Bachion MM. RESVECH 2.0: adaptação transcultural para o Brasil, confiabilidade e validade para avaliação de úlceras venosas. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167-2022-0185pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
RESUMO Objetivos: adaptar transculturalmente a escala Resultados en la valoración y evolución de la cicatrización de las heridas - RESVECH 2.0 para o português do Brasil; estimar sua consistência interna, validade de construto e de critério para utilização em úlceras venosas. Métodos: estudo metodológico, baseado em diretrizes internacionais para estudos dessa natureza. Realizou-se avaliação das feridas por meio da RESVECH 2.0 e da Pressure Ulcer Scale of Healing 3.0 (PUSH). Empregou-se análise descritiva, análise fatorial confirmatória, alfa de Cronbach e correlação de Spearman (p<0,05). Resultados: participaram 12 enfermeiros e 77 pessoas com 153 úlceras venosas. A tradução foi bem-sucedida, o modelo fatorial proposto foi validado, obteve-se alfa de Cronbach = 0,832 (IC95%=0,780-0,880) e coeficiente de correlação (RESVECH 2.0 e PUSH 3.0) = 0,74. Conclusões: a adaptação da RESVECH 2.0 para o português do Brasil é robusta. A confiabilidade e validade evidenciam compatibilidade para utilização no país e avaliação de úlceras venosas.
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Menegon MR, Malaquias SG, da Silva JA, de Oliveira BGRB, Medrano JCR, Verdú-Soriano J, Bachion MM. RESVECH 2.0: cross-cultural adaptation for Brazil, reliability and validity for the evaluation of venous ulcers. Rev Bras Enferm 2023; 76:e20220185. [PMID: 36995821 PMCID: PMC10042478 DOI: 10.1590/0034-7167-2022-0185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 10/02/2022] [Indexed: 03/29/2023] Open
Abstract
Objectives: to cross-culturally adapt the scale Resultados en la valoración y evolución de la cicatrización de las heridas - RESVECH 2.0 for Brazilian Portuguese; to estimate the internal consistency and construct and criterion validity of the scale in the evaluation of venous ulcers. Methods: methodological study, based on international guidelines for studies of this type. Wounds were evaluated using the RESVECH 2.0 and Pressure Ulcer Scale of Healing 3.0 (PUSH). Descriptive analysis, confirmatory factor analysis, Cronbach’s alpha and Spearman’s correlation (p<0.05) were used. Results: 12 nurses and 77 people with 153 venous ulcers participated in the study. The translation was successful, the proposed factor model was validated, and Cronbach ‘s alpha = 0.832 (95%CI, 0.780-0.880) and correlation coefficient (RESVECH 2.0 and PUSH 3.0) = 0.74 were obtained. Conclusions: the adaptation of RESVECH 2.0 to Brazilian Portuguese is robust. Reliability and validity show compatibility for use in the country in the evaluation of venous ulcers.
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Affiliation(s)
| | | | | | - Beatriz Guitton Renaud Baptista de Oliveira
- Universidade Federal Fluminense. Niterói, Rio de Janeiro, Brazil
- Productivity Fellow of the National Council for Scientific and Technological Development - CNPq. Brasília, Distrito Federal, Brazil
| | | | | | - Maria Márcia Bachion
- Universidade Federal de Goiás. Goiânia, Goiás, Brazil
- Productivity Fellow of the National Council for Scientific and Technological Development - CNPq. Brasília, Distrito Federal, Brazil
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Eberhardt TD, Lima SBS, Lopes LFD, Kessler M, Fonseca GGP, Soares RSA. Using AutoCAD software to measure venous leg ulcers: a reproducibility assessment study. J Wound Care 2018; 27:458-461. [PMID: 30016137 DOI: 10.12968/jowc.2018.27.7.458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To assess the reproducibility of using AutoCAD software to measure the area of venous leg ulcers (VLUs). METHOD Data from patients with VLUs were collected between March and July 2015, using data collection forms and photographing the different ulcers. A researcher and five nurses collected the data. The wounds were measured using AutoCAD software. Data were analysed using intraclass correlation coefficient (ICC), concordance correlation coefficient (CCC) and Bland-Altman analysis. RESULTS A total of 21 patients with 36 VLUs were included in the study. A statistically significant difference (p<0.05) was observed between the areas of VLUs measured by the researcher and the evaluators. There was an excellent agreement when analysing the ICC [p=0.98; 95% CI (0.97-0.99); p <0.05] and the CCC [CCC=CI 0.97; 95% (0.95-0.98)]. There was no difference between the measurements of VLUs ≤10 cm2 (p=0.49) and those with an area >10cm2 (p=0.22). CONCLUSION The use of AutoCAD software is appropriate for measuring VLUs and appears to be more accurate when used to measure VLUs with an area >10cm2.
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Affiliation(s)
- Thaís D Eberhardt
- Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Suzinara B S Lima
- Professor; Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Luis F D Lopes
- Professor; Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Marciane Kessler
- Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | | | - Rhea S A Soares
- Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
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Aragão JA, Santos RM, Neves OMG, Aragão ICS, Aragão FMS, Mota MIA, Bastos RDSM, Reis FP. Quality of life in patients with peripheral artery disease. J Vasc Bras 2018; 17:117-121. [PMID: 30377420 PMCID: PMC6205703 DOI: 10.1590/1677-5449.009017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background Vascular diseases have a direct influence on quality of life (QoL) and directly affect patients’ biopsychosocial aspects. Quality of life is therefore an important element for evaluation of vascular interventions. Objective To assess QoL in inpatients with peripheral arterial disease at a vascular surgery service in a charitable tertiary hospital. Methods This is an exploratory study, with a cross-sectional design, conducted at a vascular surgery service in a charitable tertiary hospital, assessing patients with peripheral arterial disease using two questionnaires, one on quality of life (the WHOQOL-Bref short form) and the other on sociodemographic conditions. Results It was observed that the physical domain, environment domain and total QoL scores were the lowest for the whole sample of 127 interviewees. Additionally, an intragroup analysis showed that men scored higher in all domains when compared with women, with the exception of the social relationships domain. Conclusions Women with peripheral arterial disease exhibited lower scores than men in all domains of the QoL questionnaire, except for social relationships.
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Affiliation(s)
- José Aderval Aragão
- Universidade Federal de Sergipe - UFS, Aracaju, SE, Brasil.,Universidade Tiradentes - UNIT, Aracaju, SE, Brasil
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Souza MCAD, Franco ROM, Oliveira PSCD, Souza ERPD. Úlcera crônica tratada com gel de papaína 10% na Estratégia Saúde da Família: relato de experiência. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2017. [DOI: 10.5712/rbmfc12(39)1355] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
As úlceras em membros inferiores são um problema de saúde pública em razão da significativa incidência, do elevado custo e de frequente recidiva. Frequentemente, a equipe da Estratégia Saúde da Família é o primeiro contato do portador de úlcera, necessitando estar atualizada acerca das opções terapêuticas. Um produto tópico utilizado no tratamento das úlceras cutâneas é o gel de papaína a 10%, devido às suas propriedades bactericida, bacteriostática e desbridante de tecidos necrosados, bem como acelerador de crescimento tecidual. Descreve-se a experiência da equipe da Estratégia Saúde da Família com a utilização de gel de papaína a 10% no tratamento de úlcera cutânea, que regrediu após o uso do gel, destacando-se o matriciamento pelo especialista para a resolutividade do caso.
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Eberhardt TD, Lima SBSD, Lopes LFD, Borges EDL, Weiller TH, Fonseca GGPD. Measurement of the area of venous ulcers using two software programs. Rev Lat Am Enfermagem 2016; 24:e2862. [PMID: 27992028 PMCID: PMC5171713 DOI: 10.1590/1518-8345.1673.2862] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 09/22/2016] [Indexed: 11/22/2022] Open
Abstract
Objective: to compare the measurement area of venous ulcers using AutoCAD(r) and
Image Tool software. Method: this was an assessment of reproducibility tests conducted in a angiology clinic of
a university hospital. Data were collected from 21 patients with venous ulcers, in
the period from March to July of 2015, using a collection form and photograph of
wounds. Five nurses (evaluators) of the hospital skin wound study group
participated. The wounds were measured using both software programs. Data were
analyzed using intraclass correlation coefficient, concordance correlation
coefficient and Bland-Altman analysis. The study met the ethical aspects in
accordance with current legislation. Results: the size of ulcers varied widely, however, without significant difference between
the measurements; an excellent intraclass and concordance correlation was found
between both software programs, which seem to be more accurate when measuring a
wound area >10 cm². Conclusion: the use of both software programs is appropriate for measurement of venous ulcers,
appearing to be more accurate when used to measure a wound area > 10 cm².
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Affiliation(s)
- Thaís Dresch Eberhardt
- Doctoral student, Departamento de Enfermagem, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | | | - Luis Felipe Dias Lopes
- PhD, Associate Professor, Departamento de Administração, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Eline de Lima Borges
- PhD, Associate Professor, Departamento de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Teresinha Heck Weiller
- PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
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Oliveira de Sousa AT, Soares Formiga N, Dos Santos Oliveira SH, de Vasconcelos Torres G, Lopes Costa MM, Guimarães Oliveira-Soares MJ. Validation of an instrument to assess nurses' level of knowledge on the prevention and treatment of individuals with venous ulcers. INVESTIGACION Y EDUCACION EN ENFERMERIA 2016; 34:433-443. [PMID: 29737716 DOI: 10.17533/udea.iee.v34n3a02] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Accepted: 08/31/2016] [Indexed: 06/08/2023]
Abstract
OBJECTIVES Validating an instrument to assess nurse knowledge related to preventing and treating individuals with venous ulcer (VU). METHODS This is an exploratory study, conducted with 78 primary health care nurses. These professionals answered the questionnaire with twelve items pertaining to knowing and doing while addressing the person with VU. SPSS for Windows, version 21.0, with descriptive analyses and Pearson correlation was used for data analysis. RESULTS The measurement of questionnaire reliability, from Cronbach's alpha, revealed in the Theoretical Knowledge Domain (TKD), 0.88 alpha, and in the Practical Knowledge Domain (PKD), 0.70 alpha, indicators that guaranteed reliability of such a measurement for the extracted sample. With regard to the correlation between TKD and PKD and Nursing Care to the Person with VU, those were significant and strong in almost all items. The bi-factorial model, with theoretical and practical domains, is what best explains the nurse assistance for the person with VU. The nurse that knows one or both domains in treating wounds, probably, will allow for greater dominance over VU and in assisting the person with VU. CONCLUSIONS The validated version showed reliability, enabling thus the other professionals to tailor the same methodology to other topics, identifying the ramifications of knowing and doing and, thereby, strengthening gaps in the Nursing Education area.
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Araújo RDO, Silva DCD, Souto RQ, Pergola-Marconato AM, Fernandes Costa IK, Torres GDV. Impacto de úlceras venosas na qualidade de vida de indivíduos atendidos na atenção primária. AQUICHAN 2016. [DOI: 10.5294/aqui.2016.16.1.7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: analisar o impacto das úlceras venosas (UV) na qualidade de vida (QV) das pessoas atendidas na atenção primária à saúde. Material e método: pesquisa quantitativa, descritiva e transversal, realizada com 101 usuários, atendidos em 42 serviços de saúde de Natal, Rio Grande do Norte, Brasil. Os dados foram coletados de fevereiro a setembro de 2014, por meio de um questionário sociodemográfico, clínico e de saúde, e do Charing Cross Venous Ulcer Questionnaire. Utilizou-se estatística descritiva e inferencial para a análise dos dados. Resultados: a QV esteve comprometida, principalmente, no estado emocional e estético, com pior média entre os indivíduos com mais de um ano de lesão. Identificou-se associação estatística significativa entre tempo de UV atual e estado emocional (p=0,008), com maior média (64,2) para aqueles com UV há mais de um ano. Conclusões: as pessoas com UV há mais de ano apresentam maior comprometimento da QV. Necessita-se de intervenções e ações de promoção à saúde dessa população.
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Dantas DV, Torres GDV, Salvetti MDG, Costa IKF, Dantas RAN, Araújo RDOE. Validação clínica de protocolo para úlceras venosas na alta complexidade. Rev Gaucha Enferm 2016; 37:e59502. [DOI: 10.1590/1983-1447.2016.04.59502] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Accepted: 10/11/2016] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo Realizar a validação clínica de um protocolo assistencial para pessoas com úlceras venosas em serviços de saúde de alta complexidade. Método Estudo metodológico, quantitativo, que incluiu quatro enfermeiros especialistas, que avaliaram 32 pacientes com úlceras venosas, no Hospital Universitário Onofre Lopes, em Natal/Rio Grande do Norte. A coleta de dados foi realizada entre julho e dezembro/2013 e a análise ocorreu por meio do teste Kappa (K), considerando K ≥ 0,61. Resultados Os itens com Kappa insatisfatórios foram excluídos, e os especialistas sugeriram modificações nas categorias: anamnese; exames; verificação da dor e pulsos; tratamento cirúrgico da doença venosa crônica; prevenção de recidiva; referência e contrarreferência. Conclusões O protocolo foi validado no contexto clínico, e sua composição, após os ajustes, foi de 15 categorias e 76 itens. A validação otimizou o instrumento quanto à aplicabilidade e à pertinência.
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Calderon MDS, Figueroa CS, Arias JS, Sandoval AH, Torre FO. Combined therapy of Ulmo honey (Eucryphia cordifolia) and ascorbic acid to treat venous ulcers. Rev Lat Am Enfermagem 2015; 23:259-66. [PMID: 26039296 PMCID: PMC4458999 DOI: 10.1590/0104-1169.0020.2550] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Accepted: 01/27/2015] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVE to assess the clinical effect of topical treatment using Ulmo honey associated with oral ascorbic acid in patients with venous ulcers. METHOD longitudinal and descriptive quantitative study. During one year, 18 patients were assessed who were clinically diagnosed with venous ulcer in different stages, male and female, adult, with a mean injury time of 13 months. Ulmo honey was topically applied daily. The dressing was applied in accordance with the technical standard for advanced dressings, combined with the daily oral consumptions of 500 mg of ascorbic acid. The monitoring instrument is the assessment table of venous ulcers. RESULTS full healing was achieved in 100% of the venous ulcers. No signs of complications were observed, such as allergies or infection. CONCLUSION the proposed treatment showed excellent clinical results for the healing of venous ulcers. The honey demonstrated debriding and non-adherent properties, was easy to apply and remove and was well accepted by the users. The described results generated a research line on chronic wound treatment.
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Affiliation(s)
| | - Carolina Schencke Figueroa
- Doctoral student, Universidad de La Frontera, Temuco, Chile. Scholarship
holder from Universidad de La Frontera, Temuco, Chile
| | - Jessica Salvo Arias
- MSc, Assistant Professor, Facultad de Medicina, Universidad Mayor,
Temuco, Chile
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de Almeida S, Salomé GM, Dutra R, Ferreira LM. Feelings of powerlessness in individuals with either venous or diabetic foot ulcers. J Tissue Viability 2014; 23:109-14. [DOI: 10.1016/j.jtv.2014.04.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2012] [Revised: 03/28/2014] [Accepted: 04/29/2014] [Indexed: 12/31/2022]
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Dias TYAF, Costa IKF, Melo MDM, Torres SMDSGSDO, Maia EMC, Torres GDV. Quality of life assessment of patients with and without venous ulcer. Rev Lat Am Enfermagem 2014; 22:576-81. [PMID: 25296140 PMCID: PMC4292650 DOI: 10.1590/0104-1169.3304.2454] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2013] [Accepted: 05/09/2014] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects. METHOD cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05. RESULTS the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores. CONCLUSION all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population.
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Affiliation(s)
| | - Isabelle Katherinne Fernandes Costa
- PhD, Adjunct Professor, Departamento de Enfermagem, Centro de Ciências
da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | - Márjorie Dantas Medeiros Melo
- Undergraduate student in Nursing, Departamento de Enfermagem, Centro de
Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | | | - Eulália Maria Chaves Maia
- PhD, Associate Professor, Departamento de Psicologia, Centro de
Ciências Humanas Letras e Artes, Universidade Federal do Rio Grande do Norte, Natal, RN,
Brazil
| | - Gilson de Vasconcelos Torres
- PhD, Full Professor, Departamento de Enfermagem, Centro de Ciências da
Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
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Salomsé G, Openheimer D, de Almeida S, Bueno M, Dutra R, Ferreira L. Feelings of powerlessness in patients with venous leg ulcers. J Wound Care 2013; 22:628, 630, 632-4. [DOI: 10.12968/jowc.2013.22.11.628] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- G.M. Salomsé
- Professional Masters Degree Program in Sciences Applied to Health, University of Vale of Sapucasí-UNIVSÁS, Pouso Alegre/MG, Brazil
| | - D.G. Openheimer
- Professional Masters Degree Program in Sciences Applied to Health, University of Vale of Sapucasí-UNIVSÁS, Pouso Alegre/MG, Brazil
| | - S.A. de Almeida
- Professional Masters Degree Program in Sciences Applied to Health, University of Vale of Sapucasí-UNIVSÁS, Pouso Alegre/MG, Brazil
| | - M.L.G.B. Bueno
- Professional Masters Degree Program in Sciences Applied to Health, University of Vale of Sapucasí-UNIVSÁS, Pouso Alegre/MG, Brazil
| | - R.A.A. Dutra
- Professional Masters Degree Program in Sciences Applied to Health, University of Vale of Sapucasí-UNIVSÁS, Pouso Alegre/MG, Brazil
| | - L.M. Ferreira
- Division of Plastic Surgery, Federal University of São Paulo (UNIFESP), São Paulo, brazil
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de Araújo ICF, Yoshida WB, Abbade LPF, Deffune E. The pernicious cycle of VLUs in Brazil: epidemiology, pathogeny and auxiliary healing methods. J Wound Care 2013; 22:186-8, 190, 192-3. [PMID: 23702671 DOI: 10.12968/jowc.2013.22.4.186] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Venous leg ulcers (VLUs) represent the most advanced stage of chronic venous insufficiency. Despite the large body of knowledge available regarding the risk factors and aetiopathogeny of the condition, patients referred to public health care systems in developing countries often do not receive adequate diagnosis or early treatment, leading to clinical evolution and disease recurrence. This review collates updated information about the epidemiology, risk factors, aetiopathogeny, diagnosis, ulcer healing methods and determinant factors of the pernicious cycle of VLUs in developing countries, with a focus on the Brazilian setting.
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