A toolkit for the quantitative evaluation of chronic wounds evolution for early detection of non-healing wounds

Cullell-Dalmau, Marta; Otero-Viñas, Marta; Ferrer-Sola, Marta; Sureda-Vidal, H; Manzo, Carlo

doi:10.1016/j.jtv.2021.02.009

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…Although larger wounds were expected to be related to delayed healing, 38,41,60‐67 our results obtained the opposite, that is, larger wounds were related to reduced risk of delay. This association can be explained by the fact that, in larger wounds, the effect of treatment on healing is more noticeable than in smaller wounds.…”

Section: Discussioncontrasting

confidence: 71%

“…Several authors refer that the time of existence of the upper wound (from 3 to 6 months) is a prognostic factor for delayed healing. [59][60][61][62] Although larger wounds were expected to be related to delayed healing, 38,41,[60][61][62][63][64][65][66][67] our results obtained the opposite, that is, larger wounds were related to reduced risk of delay. This association can be explained by the fact that, in larger wounds, the effect of treatment on healing is more noticeable than in smaller wounds.…”

Section: Discussionmentioning

confidence: 54%

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Integrating factors associated with complex wound healing into a mobile application: Findings from a cohort study

Marques,

de Lopes,

Neves‐Amado

et al. 2023

International Wound Journal

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Complex, chronic or hard‐to‐heal wounds are a prevalent health problem worldwide, with significant physical, psychological and social consequences. This study aims to identify factors associated with the healing process of these wounds and develop a mobile application for wound care that incorporates these factors. A prospective multicentre cohort study was conducted in nine health units in Portugal, involving data collection through a mobile application by nurses from April to October 2022. The study followed 46 patients with 57 wounds for up to 5 weeks, conducting six evaluations. Healing time was the main outcome measure, analysed using the Mann–Whitney test and three Cox regression models to calculate risk ratios. The study sample comprised various wound types, with pressure ulcers being the most common (61.4%), followed by venous leg ulcers (17.5%) and diabetic foot ulcers (8.8%). Factors that were found to impair the wound healing process included chronic kidney disease (U = 13.50; p = 0.046), obesity (U = 18.0; p = 0.021), non‐adherence to treatment (U = 1.0; p = 0.029) and interference of the wound with daily routines (U = 11.0; p = 0.028). Risk factors for delayed healing over time were identified as bone involvement (RR 3.91; p < 0.001), presence of odour (RR 3.36; p = 0.007), presence of neuropathy (RR 2.49; p = 0.002), use of anti‐inflammatory drugs (RR 2.45; p = 0.011), stalled wound (RR 2.26; p = 0.022), greater width (RR 2.03; p = 0.002), greater depth (RR 1.72; p = 0.036) and a high score on the healing scale (RR 1.21; p = 0.001). Integrating the identified risk factors for delayed healing into the assessment of patients and incorporating them into a mobile application can enhance decision‐making in wound care.

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Section: Discussioncontrasting

confidence: 71%