Browsing by Author "Lopes, Marcos"
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- Etiologic and risk factors of pressure ulcer/injury in elderly: a systematic review protocolPublication . Silva, Raquel; Caldeira, Sílvia; Alves, Paulo; Lopes, Marcos
- Identificação dos fatores de risco associados à cicatrização da ferida a integrar num sistema de informação em enfermagem - estudo de coortePublication . Marques, Raquel; Lopes, Marcos; Neves-Amado, João; Sá, Luís; Oliveira, Irene; Ramos, Paulo; Alves, Paulo
- Prognostic factors for delayed healing of complex wounds in adults: a scoping reviewPublication . Marques, Raquel; Lopes, Marcos; Ramos, Paulo; Neves‐Amado, João; Alves, PauloComplex or hard-to-heal wounds continue to be a challenge because of the negative impact they have on patients, caregivers, and all the associated costs. This study aimed to identify prognostic factors for the delayed healing of complex wounds. Five databases and grey literature were the sources used to research adults with pressure ulcers/injuries, venous leg ulcers, critical limb-threatening ischaemia, or diabetic foot ulcers and report the prognostic factors for delayed healing in all care settings. In the last 5 years, a total of 42 original peer-reviewed articles were deemed eligible for this scoping review that followed the JBI recommendations and checklist PRISMA-ScR. The most frequent prognostic factors found with statistical significance coinciding with various wound aetiologies were: gender (male), renal disease, diabetes, peripheral arterial disease, the decline in activities of daily life, wound duration, wound area, wound location, high-stage WIfI classification, gangrene, infection, previous ulcers, and low ankle brachial index. It will be essential to apply critical appraisal tools and assessment risk of bias to the included studies, making it possible to make recommendations for clinical practice and build prognostic models. Future studies are recommended because the potential for healing through identification of prognostic factors can be determined, thus allowing an appropriate therapeutic plan to be developed.
- Prognostic factors for delayed healing of complex wounds in adults: a scoping review protocolPublication . Marques, Raquel; Lopes, Marcos; Ramos, Paulo; Amado, João Neves; Alves, Paulo(1) Background: The high prevalence of persons with wounds and its consequences for a person’s quality of life makes the issue a relevant focus of attention for healthcare professionals. Through prognostic factors for healing, the individual risk of complications can be predicted, is possible to predict imminent delays and guide decision-making, thus helping healthcare professionals. (2) Methods: A scoping review performed according to JBI methodology and guided by the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR) checklist will aim to identify the studies that meet predefined eligibility criteria. Five databases and gray literature will be the sources used to research adults with pressure ulcers, venous leg ulcers, arterial ulcers, or diabetic foot ulcers and report the prognostic factors for delayed healing in any care setting. (3) Results: This review will consider all quantitative and mixed studies in the last five years. The selection of articles will be carried out by two reviewers independently, using EndNoteWeb and Rayyan. Prognostic factors will be presented by design study, sampling, setting, outcome, wound type, and statistical methods. (4) Conclusions: Mapping prognostic factors for delayed healing could also be a starting point for a systematic review and meta-analyses to quantify the value of each factor.