Efeitos do tratamento com Hidrogel na cicatrização de úlceras venosas de membros inferiores: revisão sistemática
Chronic venous disease (CVD) is evident among the chronic diseases and affects the elderly population and primarily is responsible for leg ulcers in this population. The use of dressings in the care of a venous ulcer is a fundamental part of the treatment for healing, however, evidence to assist in...
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| Formato: | Dissertação |
| Idioma: | por |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/16749 |
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| Resumo: | Chronic venous disease (CVD) is evident among the chronic diseases and
affects the elderly population and primarily is responsible for leg ulcers in this
population. The use of dressings in the care of a venous ulcer is a fundamental part
of the treatment for healing, however, evidence to assist in choosing the best
dressing is scarce. The main objective of this study was to evaluate the effectiveness
of treatment with hydrogel in the healing of venous ulcers using search methods,
synthesis of information and statistical research through a systematic review and
meta-analysis. Randomized controlled trials were selected in the following
databases: CENTRAL; DARE; NHS EED; MEDLINE; EMBASE; CINAHL. Beyond
these databases three websites were consulted to identify ongoing studies:
ClinicalTrials.gov, OMS ICTRP e ISRCTN. The primary outcomes were analyzed:
complete wound healing, incidence of wound infection and the secondary were:
changes in ulcer size, time to ulcer healing, recurrence of ulcer, quality of life of
participants, pain and costs of treatment. Four studies are currently included in the
review with a total of 250 participants. The use of hydrogel appears to be superior to
conventional dressing, gauze soaked in saline, for the healing of venous leg ulcers;
16/30 patients showed complete healing of ulcers (RR 5,33, 95%CI [1,73,16,42]).
The alginate gel was shown to be more effective when compared to the hydrogel
dressing in reduction of the wound area; 61,2% (± 26,2%) with alginate e 19,4% (±
24,3%) with hydrogel at the end of four weeks of treatment. Manuka honey has
shown to be similar to the hydrogel dressings in percentage of area reduction. This
review demonstrated that there is no evidence available about the effectiveness of
the hydrogel compared to other types of dressings on the healing of venous leg
ulcers of the lower limbs, thus demonstrating the need of future studies to assist
health professionals in choosing the correct dressing. |
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