We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Factors associated with the healing of complex surgical wounds in the breast and abdomen: retrospective cohort study.
- Authors
Borges, Eline Lima; Ferreira Pires Júnior, José; Silva Abreu, Mery Natali; de Araújo Lima, Vera Lúcia; Aparecida Barbosa Silva, Patrícia; Soares, Sônia Maria
- Abstract
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.
- Subjects
BRAZIL; ABDOMINAL surgery; BREAST surgery; WOUND healing; LONGITUDINAL method; RETROSPECTIVE studies; SURGICAL site; PSYCHOLOGY
- Publication
Revista Latino-Americana de Enfermagem (RLAE), 2016, Vol 24, p1
- ISSN
1518-8345
- Publication type
Article
- DOI
10.1590/1518-8345.1398.2811