Fatores associados à dificuldade de cicatrização de lesões cutâneas em um hospital privado

Ruan Gonçalves Silva; Lara Alcântara Sampaio Dias; Tassianny Mikaely Nunes de Andrade; Amanda Regina da Silva Góis; Flávia Emília Cavalcante Valença Fernandes; Megliane Lopes Dias; Rachel Mola

doi:10.36517/2175-6783.20252695819

Authors

Ruan Gonçalves Silva University of Pernambuco https://orcid.org/0009-0007-0186-8417
Lara Alcântara Sampaio Dias University of Pernambuco https://orcid.org/0000-0002-3718-569X
Tassianny Mikaely Nunes de Andrade University of Pernambuco https://orcid.org/0000-0001-9392-6555
Amanda Regina da Silva Góis University of Pernambuco https://orcid.org/0000-0003-4661-772X
Flávia Emília Cavalcante Valença Fernandes University of Pernambuco https://orcid.org/0000-0003-2840-8561
Megliane Lopes Dias Hospital Unimed Vale do São Francisco https://orcid.org/0000-0003-4796-8273
Rachel Mola University of Pernambuco https://orcid.org/0000-0002-0180-2721

DOI:

https://doi.org/10.36517/2175-6783.20252695819

Keywords:

Nursing; Wounds and Injuries; Health Profile; Measures of Association; Hospitals, Private.

Abstract

Objective: to analyze factors associated with delayed healing of skin lesions in a private hospital. Methods: this is an observational, retrospective study including patients with skin lesions of any etiology. Data were extracted from electronic medical records using a semi-structured tool that captured sociodemographic and clinical characteristics and therapeutic management. Multiple binary logistic regression models were applied in standard form and with Firth penalization. Results: the sample included 78 patients (mean age 46.3 years), with a predominance of females. Hard-to-heal lesions were most common and were typically traumatic, small in size, and located on the lower limbs. Pain was reported, along with abundant purulent or seropurulent exudate. The most frequent interventions were mechanical debridement, cleansing with a polyhexamethylene biguanide solution, and the use of antimicrobial dressings. Conclusion: wound recurrence and the presence of purulent/seropurulent exudate were significantly associated with delayed healing. Contributions to practice: these findings reinforce the importance of ongoing, detailed wound assessment to identify risks early and optimize therapeutic management.

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