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2020, Number 1

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Revista Cubana de Angiología y Cirugía Vascular 2020; 21 (1)

Treatments Used in Patients Hospitalized for Phlebostatic Ulcers

Sosa VOR, Chirino DL, Triana MME, Rodríguez VLE

Language: Spanish
References: 27
Page: 1-14
PDF size: 540.79 Kb.


ABSTRACT

Introduction: Phlebostatic ulcers are difficult to heal; there is no single and effective treatment, so several treatments must be combined in the same patient.
Objective: To identify the treatments used in patients admitted for phlebostatic ulcers and the relationship between hospital stay, treatment received, condition of the ulcers at hospital discharge.
Methods: Ambispective descriptive study of 121 hospital admissions with the diagnosis of phlebostatic ulcers. The study variables were treatments received, status of the injury at discharge, and hospital stay. The variables were associated with each other, using the non-parametric Chi-square test for independent variables.
Results: The 121 admissions received conventional treatment. 93.4% received antibiotics; 60.3%, compression treatment; and 56.2%, surgical treatment, with predominance of free skin grafting in 72.1% of these surgical treatments. 42.2% was discharged with the lesion healed (by surgical treatment). Direct associations were found between surgical treatment with hospital stay (χ2= 31.22; p = 0.0001), with the cure of the lesion (χ2= 19.92; p=0.0100), and with the ulcer state at hospital discharge (χ2=36.07; p= 0.0001).
Conclusions: The most used treatment is the surgical one, specifically the dermo-epidermal autograft, which presented the best outcome regarding the healing of the injury, but a longer hospital stay for the patients.


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