Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/42310 |
Resumo: | Complex, chronic or hard-to-heal wounds are a prevalent health problem worldwide, with significant physical, psychological and social consequences. This study aims to identify factors associated with the healing process of these wounds and develop a mobile application for wound care that incorporates these factors. A prospective multicentre cohort study was conducted in nine health units in Portugal, involving data collection through a mobile application by nurses from April to October 2022. The study followed 46 patients with 57 wounds for up to 5 weeks, conducting six evaluations. Healing time was the main outcome measure, analysed using the Mann–Whitney test and three Cox regression models to calculate risk ratios. The study sample comprised various wound types, with pressure ulcers being the most common (61.4%), followed by venous leg ulcers (17.5%) and diabetic foot ulcers (8.8%). Factors that were found to impair the wound healing process included chronic kidney disease (U = 13.50; p = 0.046), obesity (U = 18.0; p = 0.021), non-adherence to treatment (U = 1.0; p = 0.029) and interference of the wound with daily routines (U = 11.0; p = 0.028). Risk factors for delayed healing over time were identified as bone involvement (RR 3.91; p < 0.001), presence of odour (RR 3.36; p = 0.007), presence of neuropathy (RR 2.49; p = 0.002), use of anti-inflammatory drugs (RR 2.45; p = 0.011), stalled wound (RR 2.26; p = 0.022), greater width (RR 2.03; p = 0.002), greater depth (RR 1.72; p = 0.036) and a high score on the healing scale (RR 1.21; p = 0.001). Integrating the identified risk factors for delayed healing into the assessment of patients and incorporating them into a mobile application can enhance decision-making in wound care. |
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Integrating factors associated with complex wound healing into a mobile application: findings from a cohort studyComputer-assisted decision-makingHealth information systemObservational studyWound healingWounds and injuriesComplex, chronic or hard-to-heal wounds are a prevalent health problem worldwide, with significant physical, psychological and social consequences. This study aims to identify factors associated with the healing process of these wounds and develop a mobile application for wound care that incorporates these factors. A prospective multicentre cohort study was conducted in nine health units in Portugal, involving data collection through a mobile application by nurses from April to October 2022. The study followed 46 patients with 57 wounds for up to 5 weeks, conducting six evaluations. Healing time was the main outcome measure, analysed using the Mann–Whitney test and three Cox regression models to calculate risk ratios. The study sample comprised various wound types, with pressure ulcers being the most common (61.4%), followed by venous leg ulcers (17.5%) and diabetic foot ulcers (8.8%). Factors that were found to impair the wound healing process included chronic kidney disease (U = 13.50; p = 0.046), obesity (U = 18.0; p = 0.021), non-adherence to treatment (U = 1.0; p = 0.029) and interference of the wound with daily routines (U = 11.0; p = 0.028). Risk factors for delayed healing over time were identified as bone involvement (RR 3.91; p < 0.001), presence of odour (RR 3.36; p = 0.007), presence of neuropathy (RR 2.49; p = 0.002), use of anti-inflammatory drugs (RR 2.45; p = 0.011), stalled wound (RR 2.26; p = 0.022), greater width (RR 2.03; p = 0.002), greater depth (RR 1.72; p = 0.036) and a high score on the healing scale (RR 1.21; p = 0.001). Integrating the identified risk factors for delayed healing into the assessment of patients and incorporating them into a mobile application can enhance decision-making in wound care.Veritati - Repositório Institucional da Universidade Católica PortuguesaMarques, RaquelLopes, Marcos Venícios Oliveira deNeves‐Amado, João DanielRamos, Paulo Alexandre SilvaSá, Luís Octávio deOliveira, Irene Maria Silva daAmado, João Manuel Costa daVasconcelos, Maria João Medeiros deSalgado, Pedro Miguel FariaAlves, Paulo Jorge Pereira2023-09-13T11:47:04Z2024-01-012024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/42310eng1742-480110.1111/iwj.143398516980021537667542001061400000001info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-23T01:43:20Zoai:repositorio.ucp.pt:10400.14/42310Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:29:31.996219Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
title |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
spellingShingle |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study Marques, Raquel Computer-assisted decision-making Health information system Observational study Wound healing Wounds and injuries |
title_short |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
title_full |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
title_fullStr |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
title_full_unstemmed |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
title_sort |
Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study |
author |
Marques, Raquel |
author_facet |
Marques, Raquel Lopes, Marcos Venícios Oliveira de Neves‐Amado, João Daniel Ramos, Paulo Alexandre Silva Sá, Luís Octávio de Oliveira, Irene Maria Silva da Amado, João Manuel Costa da Vasconcelos, Maria João Medeiros de Salgado, Pedro Miguel Faria Alves, Paulo Jorge Pereira |
author_role |
author |
author2 |
Lopes, Marcos Venícios Oliveira de Neves‐Amado, João Daniel Ramos, Paulo Alexandre Silva Sá, Luís Octávio de Oliveira, Irene Maria Silva da Amado, João Manuel Costa da Vasconcelos, Maria João Medeiros de Salgado, Pedro Miguel Faria Alves, Paulo Jorge Pereira |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Marques, Raquel Lopes, Marcos Venícios Oliveira de Neves‐Amado, João Daniel Ramos, Paulo Alexandre Silva Sá, Luís Octávio de Oliveira, Irene Maria Silva da Amado, João Manuel Costa da Vasconcelos, Maria João Medeiros de Salgado, Pedro Miguel Faria Alves, Paulo Jorge Pereira |
dc.subject.por.fl_str_mv |
Computer-assisted decision-making Health information system Observational study Wound healing Wounds and injuries |
topic |
Computer-assisted decision-making Health information system Observational study Wound healing Wounds and injuries |
description |
Complex, chronic or hard-to-heal wounds are a prevalent health problem worldwide, with significant physical, psychological and social consequences. This study aims to identify factors associated with the healing process of these wounds and develop a mobile application for wound care that incorporates these factors. A prospective multicentre cohort study was conducted in nine health units in Portugal, involving data collection through a mobile application by nurses from April to October 2022. The study followed 46 patients with 57 wounds for up to 5 weeks, conducting six evaluations. Healing time was the main outcome measure, analysed using the Mann–Whitney test and three Cox regression models to calculate risk ratios. The study sample comprised various wound types, with pressure ulcers being the most common (61.4%), followed by venous leg ulcers (17.5%) and diabetic foot ulcers (8.8%). Factors that were found to impair the wound healing process included chronic kidney disease (U = 13.50; p = 0.046), obesity (U = 18.0; p = 0.021), non-adherence to treatment (U = 1.0; p = 0.029) and interference of the wound with daily routines (U = 11.0; p = 0.028). Risk factors for delayed healing over time were identified as bone involvement (RR 3.91; p < 0.001), presence of odour (RR 3.36; p = 0.007), presence of neuropathy (RR 2.49; p = 0.002), use of anti-inflammatory drugs (RR 2.45; p = 0.011), stalled wound (RR 2.26; p = 0.022), greater width (RR 2.03; p = 0.002), greater depth (RR 1.72; p = 0.036) and a high score on the healing scale (RR 1.21; p = 0.001). Integrating the identified risk factors for delayed healing into the assessment of patients and incorporating them into a mobile application can enhance decision-making in wound care. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-13T11:47:04Z 2024-01-01 2024-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/42310 |
url |
http://hdl.handle.net/10400.14/42310 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1742-4801 10.1111/iwj.14339 85169800215 37667542 001061400000001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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