Time of epithelization and prognostic factors in ulcera of venous etiology in three hospitals

Abstract

Introduction: The chronic vascular ulcers of the members of the lower part of a frequent public health problem that originate morbidity and changes in the quality of life of those who suffer from this situation; In addition, they require a treatment that is often long and difficult. European studies report a prevalence of active venous ulcers of 1.48 per 1,000 inhabitants. Objective: To estimate the epithelization time and prognostic factors in ulcers of venous etiology in patients attending the hospital wound clinic service. Material and methods: This is a prospective observational cohort study, in which 79 patients are followed up for 6 months. It was included: Outpatients, diagnosis of chronic venous vascular ulcer; Patients who were published were excluded. The epithelization estimation was performed through the Kaplan Meier method, the Log Rank test, the risk indexes were estimated and the Cox regression model was constructed. Results: The global epithelization of ulcers of venous etiology in this study was 35%; Epithelization was discriminated by hospital. The findings were the following: Hospital 1, 22%; hospital 2, 28% and hospital 3, 55%. 13. Conclusion: Patients with ulcers of venous etiology are treated by nurses with experience in the area and have a score lower than and equal to 13 points in the Resvech 2.0 index, 5 times more being, the lower score and equal to 13 points, a protective factor.