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Integrating factors associated with complex wound healing into a mobile application: findings from a cohort study

2024-01-01Journal article Open access
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dc.contributor.authorMarques, Raquel
dc.contributor.authorLopes, Marcos Venícios Oliveira de
dc.contributor.authorNeves‐Amado, João Daniel
dc.contributor.authorRamos, Paulo Alexandre Silva
dc.contributor.authorSá, Luís Octávio de
dc.contributor.authorOliveira, Irene Maria Silva da
dc.contributor.authorAmado, João Manuel Costa da
dc.contributor.authorVasconcelos, Maria João Medeiros de
dc.contributor.authorSalgado, Pedro Miguel Faria
dc.contributor.authorAlves, Paulo Jorge Pereira
dc.date.accessioned2023-09-13T11:47:04Z
dc.date.available2023-09-13T11:47:04Z
dc.date.issued2024-01-01
dc.description.abstractComplex, 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/iwj.14339pt_PT
dc.identifier.eid85169800215
dc.identifier.issn1742-4801
dc.identifier.pmcPMC10781894
dc.identifier.pmid37667542
dc.identifier.urihttp://hdl.handle.net/10400.14/42310
dc.identifier.wos001061400000001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectComputer-assisted decision-makingpt_PT
dc.subjectHealth information systempt_PT
dc.subjectObservational studypt_PT
dc.subjectWound healingpt_PT
dc.subjectWounds and injuriespt_PT
dc.titleIntegrating factors associated with complex wound healing into a mobile application: findings from a cohort studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.titleInternational Wound Journalpt_PT
oaire.citation.volume21
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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