Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort

Objective. This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients. Methods. Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Brade...

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Autores principales:	Olga Lucía Cortés, Luz Dary Salazar-Beltrán, Yudi Andrea Rojas Castañeda, Paula Andrea Alvarado Muriel, Aracelly Serna Restrepo, Doris Grinspun
Formato:	article
Lenguaje:	EN
Publicado:	Universidad de Antioquia 2018
Materias:	adult bandages hydrocolloid hospitalization pressure ulcer retrospective studies skin care. Nursing RT1-120
Acceso en línea:	https://doaj.org/article/e6ba73e28947444786b60cf0d6e1aeb1
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spelling	oai:doaj.org-article:e6ba73e28947444786b60cf0d6e1aeb12021-11-27T15:01:35ZUse of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort2216-028010.17533/udea.iee.v36n1e11https://doaj.org/article/e6ba73e28947444786b60cf0d6e1aeb12018-04-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/iee/article/view/331952https://doaj.org/toc/2216-0280Objective. This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients. Methods. Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Braden scale and who had been admitted with preventive purposes to a skin care program. The preventive care prescribed by the nursing staff included using hydrocolloid dressing plus conventional care (HD+CC) or only conventional care (CC), in a tier IV hospital in Bogotá, Colombia. Information was obtained from the clinical records of the demographic variables, health, and complications during hospitalization. Results. One-hundred seventy subjects were included in the study (23 in HD+CC and 147 in CC). In all, 30.4% of the patients in the HD+CC group and 17% in the CC group had PU during follow up (p=0.15). The ratio between the type of preventive treatment received and the development of PU obtained a raw Hazzard ratio (HR) of 1.35 (CI95%: 0.58-3.14; p=0.48) and HR adjusted for confounding variables of 1.06 (CI95%: 0.29-3.84 p=0.92). Conclusion. Our results showed no superiority of HD+CC against CC in preventing PU in adult patients with high risk according to the Braden scale. The cohort study did not reveal significant differences between both interventions. It is necessary to promote and develop clinical trials to evaluate the effectiveness of using dressings and other conventional care in high-risk patients for this type of event. How to cite this article: Cortés OL, Salazar-Beltrán LD, Rojas-Castañeda YA, Alvarado-Muriel PA, Serna-Restrepo A, Grinspun D. Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort. Invest. Educ. Enferm. 2018; 36(1):e11.Olga Lucía CortésLuz Dary Salazar-BeltránYudi Andrea Rojas CastañedaPaula Andrea Alvarado MurielAracelly Serna RestrepoDoris GrinspunUniversidad de Antioquiaarticleadultbandageshydrocolloidhospitalizationpressure ulcerretrospective studiesskin care.NursingRT1-120ENInvestigación y Educación en Enfermería, Vol 36, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	adult bandages hydrocolloid hospitalization pressure ulcer retrospective studies skin care. Nursing RT1-120
spellingShingle	adult bandages hydrocolloid hospitalization pressure ulcer retrospective studies skin care. Nursing RT1-120 Olga Lucía Cortés Luz Dary Salazar-Beltrán Yudi Andrea Rojas Castañeda Paula Andrea Alvarado Muriel Aracelly Serna Restrepo Doris Grinspun Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
description	Objective. This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients. Methods. Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Braden scale and who had been admitted with preventive purposes to a skin care program. The preventive care prescribed by the nursing staff included using hydrocolloid dressing plus conventional care (HD+CC) or only conventional care (CC), in a tier IV hospital in Bogotá, Colombia. Information was obtained from the clinical records of the demographic variables, health, and complications during hospitalization. Results. One-hundred seventy subjects were included in the study (23 in HD+CC and 147 in CC). In all, 30.4% of the patients in the HD+CC group and 17% in the CC group had PU during follow up (p=0.15). The ratio between the type of preventive treatment received and the development of PU obtained a raw Hazzard ratio (HR) of 1.35 (CI95%: 0.58-3.14; p=0.48) and HR adjusted for confounding variables of 1.06 (CI95%: 0.29-3.84 p=0.92). Conclusion. Our results showed no superiority of HD+CC against CC in preventing PU in adult patients with high risk according to the Braden scale. The cohort study did not reveal significant differences between both interventions. It is necessary to promote and develop clinical trials to evaluate the effectiveness of using dressings and other conventional care in high-risk patients for this type of event. How to cite this article: Cortés OL, Salazar-Beltrán LD, Rojas-Castañeda YA, Alvarado-Muriel PA, Serna-Restrepo A, Grinspun D. Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort. Invest. Educ. Enferm. 2018; 36(1):e11.
format	article
author	Olga Lucía Cortés Luz Dary Salazar-Beltrán Yudi Andrea Rojas Castañeda Paula Andrea Alvarado Muriel Aracelly Serna Restrepo Doris Grinspun
author_facet	Olga Lucía Cortés Luz Dary Salazar-Beltrán Yudi Andrea Rojas Castañeda Paula Andrea Alvarado Muriel Aracelly Serna Restrepo Doris Grinspun
author_sort	Olga Lucía Cortés
title	Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
title_short	Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
title_full	Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
title_fullStr	Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
title_full_unstemmed	Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort
title_sort	use of hydrocolloid dressings in preventing pressure ulcers in high-risk patients: a retrospective cohort
publisher	Universidad de Antioquia
publishDate	2018
url	https://doaj.org/article/e6ba73e28947444786b60cf0d6e1aeb1
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Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort

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