Abstract

MACHAIN, Gustavo Miguel et al. Pressure ulcers at the Adult Emergency Service of the Clínica´s Hospital in the period 2014-2019. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.2, pp.103-110. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.02.103.

Pressure ulcers or sores are regions of localized damage to the skin and underlying tissues that generally develop from constant pressure on bones or body prominences. Pressure ulcers are associated with longer and more expensive hospital stays, with higher mortality rates. The present work is of a retrospective, observational, analytical, cross-sectional design, with a non-probabilistic sampling of consecutive cases. Data from 178 patients were analyzed. The predominant underlying pathology (24%) was cerebrovascular accident or stroke. The most frequent location was the sacral eschar (58%). There was a statistically significant relationship between diagnoses that implied chronic bedriddening and the appearance of deep grade IV ulcers, as well as progression to grade IV in both sacral locations and their appearance in multiple simultaneous locations. The treatment of choice in grade I (70%) was wound dressing, in Grade III (14%) it was scarectomy and in grade IV (46%) a surgical debridement. Pressure ulcers constitute a health problem with significant repercussions on the state of health and quality of life, with a great socio-economic impact and that is why the comprehensive evaluation of the patient allows their prevention by identifying the factors predisposing to develop them.

Keywords : Pressure; ulcers; treatment..

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