Prevalência de feridas num Hospital Central do distrito do Porto

Abstract

Introduction: The wounds are a major health problem, with enormous complexity that prevails despite the development of therapies for prevention and treatment. In Portugal still know very little in epidemiological terms on this topic. Assessing the prevalence studies published we see a huge variance of results, making it difficult to draw definitive conclusions. Objectives: Estimate the prevalence of wounds in Centro Hospitalar de S. João EPE; Identify and characterize the wounds of patients admitted in Centro Hospitalar de S. João EPE. Methodology: Cross sectional, descriptive and quantitative study, conducted in Centro Hospitalar de S. João EPE on days 9,10 and 11 January 2013. Data collection was performed by the investigator and collaborators, by completing the questionnaire for the Epidemiological Study of wounds (Portuguese Catholic University). Results: There were1029 inpatients in CHSJ, 342 had wounds, a prevalence rate of 33,2%, 140 patients had more than one wound and on average there was 1.85 injuries per patient. The average age of the sample was 57,74 years, and 52,6% were retired, 179 were female and 163 were male. Of the 630 wounds, 58,9% were surgical and 20,3% pressure ulcers. The locations more common were the abdomen (28,9%), legs (10,8%), breast (10,3%) and coccyx (6,8%). Regarding the origin of 76,5% of wounds were the Hospital. Relatively of the duration, 64.8% of the wounds had a duration equal to or less than 8 days. As to type of tissue present, there is a predominance of epithelialization (47,9%) and granulation (24,0%), presenting no exudate (46,8%) or being scarce (31, 9%). It was found that treatment doubles the level of wound pain. In 49,1% of the patient existed perilesional skin change. 28,4% of wounds were daily treated,, with the most commonly used dressing materials iodine (14,6%), hydrogels (9,9%) and foams (5,3%). Conclusion: The results obtained were within the variance observed in similar studies published. Through these results understand the need for implementation of institutional policies for the prevention and treatment of wounds. Hopefully this study will serve as a platform to move forward with new studies.

Date of Award	12 Feb 2014
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Beatriz Araújo (Supervisor) & Paulo Alves (Co-Supervisor)