einstein (São Paulo). 01/Sep/2014;12(3):304-9.

Hematological change parameters in patients with pressure ulcer at long-term care hospital

Giselle Protta Neiva, Julia Romualdo Carnevalli, Rodrigo Lessa Cataldi, Denise Mendes Furtado, Rodrigo Luiz Fabri, Pâmela Souza Silva

DOI: 10.1590/s1679-45082014ao3034

Objective
To assess factors associated with the development of pressure ulcers, and to compare the effectiveness of pharmacological treatments.
Methods
The factors associated with the development of pressure ulcers were compared in lesion-carrying patients (n=14) and non-carriers (n=16). Lesion-carrying patients were treated with 1% silver sulfadiazine or 0.6IU/g collagenase and were observed for 8 weeks. The data collected was analyzed with p<0.05 being statistically relevant.
Results
The prevalence of pressure ulcers was about 6%. The comparison of carrier and non-carrier groups of pressure ulcers revealed no statistically significant difference in its occurrence with respect to age, sex, skin color, mobility, or the use of diapers. However, levels of hemoglobin, hematocrit, and red blood cells were found to be statistically different between groups, being lower in lesion-carrying patients. There was no significant difference found in lesion area between patients treated with collagenase or silver sulfadiazine, although both groups showed an overall reduction in lesion area through the treatment course.
Conclusion
Hematologic parameters showed a statistically significant difference between the two groups. Regarding the treatment of ulcers, there was no difference in the area of the lesion found between the groups treated with collagenase and silver sulfadiazine.

Hematological change parameters in patients with pressure ulcer at long-term care hospital

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