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Rev Lat Am Enfermagem. 2016 Oct 10;24:e2811. doi: 10.1590/1518-8345.1398.2811.

Factors associated with the healing of complex surgical wounds in the breast and abdomen: retrospective cohort study.

[Article in English, Portuguese, Spanish; Abstract available in Portuguese and Spanish from the publisher]

Author information

1
PhD, Adjunct Professor, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
2
RN, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
3
Specialist in Nursing Care, RN, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
4
Doctoral student, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Scholarship holder from Coordenação de Aperfeiçoamento de Pessoal em Nível Superior (CAPES), Brazil.
5
PhD, Associate Professor, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

Abstract

in English, Portuguese, Spanish

Objective:

to estimate the healing rate of complex surgical wounds and its associated factors.

Method:

retrospective cohort study from 2003 to 2014 with 160 outpatients of a Brazilian university hospital. Data were obtained through consultation of the medical records. Survival function was estimated using the Kaplan-Meier method and Cox regression model to estimate the likelihood of the occurrence of healing.

Results:

the complex surgical wound healing rate was 67.8% (95% CI: 60.8-74.9). Factors associated with a higher likelihood of wound healing were segmentectomy/quadrantectomy surgery, consumption of more than 20 grams/day of alcohol, wound extent of less that 17.3 cm2 and the length of existence of the wound prior to outpatient treatment of less than 15 days, while the use of hydrocolloid covering and Marlex mesh were associated with a lower likelihood of healing.

Conclusion:

the wound healing rate was considered high and was associated with the type of surgical intervention, alcohol consumption, type of covering, extent and length of wound existence. Preventive measures can be implemented during the monitoring of the evolution of the complex surgical wound closure, with possibilities of intervention in the modifiable risk factors.

PMID:
27737379
PMCID:
PMC5068907
DOI:
10.1590/1518-8345.1398.2811
[Indexed for MEDLINE]
Free PMC Article

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