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Prognostic factors for delayed healing of complex wounds in adults: a scoping review

dc.contributor.authorMarques, Raquel
dc.contributor.authorLopes, Marcos
dc.contributor.authorRamos, Paulo
dc.contributor.authorNeves‐Amado, João
dc.contributor.authorAlves, Paulo
dc.date.accessioned2023-03-27T16:06:51Z
dc.date.available2023-03-27T16:06:51Z
dc.date.issued2023-09-01
dc.description.abstractComplex 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/iwj.14128pt_PT
dc.identifier.eid85150606327
dc.identifier.issn1742-4801
dc.identifier.pmcPMC10410354
dc.identifier.pmid36916415
dc.identifier.urihttp://hdl.handle.net/10400.14/40721
dc.identifier.wos000948776400001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDecision makingpt_PT
dc.subjectPrognosispt_PT
dc.subjectWound healingpt_PT
dc.subjectWounds and injuriespt_PT
dc.titlePrognostic factors for delayed healing of complex wounds in adults: a scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2886
oaire.citation.issue7
oaire.citation.startPage2869
oaire.citation.titleInternational Wound Journalpt_PT
oaire.citation.volume20
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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