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Revista Brasileira de Cirurgia Plastica:
doi: 20130100.0-00016
Original Article

Use of the Pressure Ulcer Scale for Healing tool to evaluate the healing of chronic leg ulcers

do Espírito Santo, Patrícia Ferreira1; de Almeida, Sérgio Aguinaldo2; Silveira, Maiko Moura1; Salomé, Geraldo Magela3; Ferreira, Lydia Masako4

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Abstract

Introduction:: In the present study, we aimed to describe the evolution of the healing of chronic leg ulcers using the Pressure Ulcer Scale for Healing (PUSH) tool.

Methods:: The data were collected from July 2010 to May 2011. The inclusion of patients in the study followed the order of arrival. The lesion was evaluated weekly according to the PUSH tool.

Results:: The study included 15 (30%) patients with diabetes and foot ulcers and 35 (70%) patients with venous ulcers. At the beginning of the data collection process, the average ulcer length and width were 9.26 cm2 (range, 12.1-24.0 cm2). At 9 months of treatment, the average ulcer length and width was 2.04 cm2 (range, 0.3-0.6 cm2). At the beginning of the study, the average amount of exudate was 1.71 (moderate amount), whereas at 9 months after the beginning of treatment, the average amount of exudate was 0.14 (absence of exudate). At 9 months of treatment, 19 (38%) patients had closed ulcers, 17 (34%) had ulcers with granulation tissue, and 14 (28%) had ulcers with epithelialized tissue.

Conclusions:: Use of the PUSH tool enabled monitoring of the ulcer healing process through the evaluation of length vs. width, exudate amount, and type of tissue present in the wound, thus favoring the selection of the correct dressing for each stage of wound healing.

© 2013 Sociedade Brasileira de Cirurgia Plastica

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