Efficacy of negative pressure therapy compared to conventional treatment in pressure ulcers

Authors

DOI:

https://doi.org/10.56294/saludcyt2022200

Keywords:

Occlusive Dressings, Negative Pressure Therapy for Wounds, Pressure Ulcer

Abstract

Background: pressure ulcers or decubitus ulcers are lesions caused by the persistent crushing of some vulnerable area of the body, affected patients can be of any age, as long as they have a state of inability of mobility together with a poor nutritional status. Taking into account the time required for the healing of this type of injuries, as well as the amount of resources and the complications it presents, different therapies have been tried, from wet cures to the most current ones such as negative pressure therapies.
Aim: to compare negative pressure therapy with conventional therapy for pressure ulcers.
Methodology: a bibliographic review was carried out in the following scientific databases: PubMed, Scopus, and LILACS. 
Results: with the research it was possible to weigh the therapies applied for the management of pressure ulcers, being exposed the benefits of the different types of dressings used in conventional therapy and negative pressure therapy. 
Conclusions: conventional therapy is preferred in stage I, II and III ulcers, while, negative pressure therapy is used in stage IV ulcers combined or not with conventional therapy

References

1. Herraiz Adillo Á, Romero Parrilla JJ. Prevalencia de úlceras por presión en atención primaria: estudio de Cuenca. Gerokomos. 2021;32(2):111-6. https://dx.doi.org/10.4321/s1134-928x2021000200009.

2. Anaslema FM. Ulcera por presión: identificación del grado y tipos: Unidad de cura avanzada del Hospital Abel Gilbert Pontón. Rev Fac Cienc MÉDICAS. 2021;2(1):1-8. https://doi.org/10.53591/revfcm.v2i1.1326.

3. Guerrero JEH, Zuñiga CRM, Véliz IVO, Centeno WLU. Ventajas del uso de la terapia de de presión negativa en heridas quirúrgicas. Sinerg Educ. 2022;(Esp1). https://doi.org/10.37954/se.v0i0.92.

4. Ortiz-Vargas I, García-Campos ML, Beltrán-Campos V, Gallardo-López F, SánchezEspinosa A, Ruiz Montalvo ME. Cura húmeda de úlceras por presión. Atención en el ámbito domiciliar. Enferm Univ. 2017;14(4):243-50. https://doi.org/10.1016/j.reu.2017.09.001.

5. Rodríguez-Renobato R, Esparza-Acosta G del R, González-Flores SP. Conocimientos del personal de enfermería sobre la prevención y el tratamiento de las úlceras por presión. Rev Enferm Inst Mex Seguro Soc. 2017;25(4):245-56.

6. Triviño-Ibarra CP. Incidencia de úlceras por presión en una unidad de cuidados intensivos. Manta, Ecuador del 2019. Dominio Las Cienc. 2020;6(2):257-78.

7. Caniupán J, Rivas E, Bustos L. Capacidad diagnóstica de las escalas Braden Q y Norton para úlceras por presión en pacientes pediátricos de unidades críticas. Enfermeria (Montev.) 2018;7(1):39-47. https://doi.org/10.22235/ech.v7i1.1539.

8. Pedraza Castañeda M del C, Pérez Jiménez G, Solís Flores L, Barrera Arenas JE, Hernández Jiménez P, Xochigua Angulo MV, et al. Coste-efectividad de la terapia avanzada con productos de cura en ambiente húmedo comparada con terapia tradicional en el tratamiento de úlceras por presión de categorías I y II. Gerokomos. 2021;32(3):199-204.

9. Cerezo-Millán P, López-Casanova P, Verdú-Soriano J, Berenguer-Pérez M. Conocimientos del personal sanitario respecto al uso de la terapia de presión negativa en el tratamiento de las heridas. Gerokomos. 2018;29(4):181-91.

10. Lichterfeld-Kottner A, Vogt A, Tomova-Simitchieva T, Blume-Peytavi U, Kottner J. Effects of loading and prophylactic dressings on the sacral and heel skin: An exploratory cross-over trial. Int Wound J. diciembre de 2021;18(6):909-22. https://doi.org/10.1111/iwj.13596.

11. Wu S, Applewhite AJ, Niezgoda J, Snyder R, Shah J, Cullen B, et al. Oxidized Regenerated Cellulose/Collagen Dressings: Review of Evidence and Recommendations. Adv Skin Wound Care. 2017;30(11 Suppl 1):S1-18. https://doi.org/10.1097%2F01.ASW.0000525951.20270.6c.

12. Alvarez OM, Granick MS, Reyzelman A, Serena T. A prospective, randomized, controlled, crossover study comparing three multilayered foam dressings for the management of chronic wounds. J Comp Eff Res. 2021;10(6):481-93. https://doi.org/10.2217/cer-2020-0268.

13. Lustig A, Gefen A. Three-dimensional shape-conformation performances of wound dressings tested in a robotic sacral pressure ulcer phantom. Int Wound J. 2021;18(5):670-80. https://doi.org/10.1111/iwj.13569.

14. Lustig A, Alves P, Call E, Santamaria N, Gefen A. The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system. Int Wound J. 2021;18(2):194-208. https://doi.org/10.1111/iwj.13515.

15. Hoversten KP, Kiemele LJ, Stolp AM, Takahashi PY, Verdoorn BP. Prevention, Diagnosis, and Management of Chronic Wounds in Older Adults. Mayo Clin Proc. 2020;95(9):2021-34. https://doi.org/10.1016/j.mayocp.2019.10.014.

16. Salazar-Gómez A, Alonso-Castro AJ. Medicinal Plants from Latin America with Wound Healing Activity: Ethnomedicine, Phytochemistry, Preclinical and Clinical Studies-A Review. Pharmaceuticals (Basel). 2022;15(9):1095. https://doi.org/10.3390/ph15091095.

17. Figueira TN, Backes MTS, Knihs N da S, Maliska ICA, Amante LN, Bellaguarda ML dos R. Products and technologies for treating patients with evidence-based pressure ulcers. Rev Bras Enferm. 2021;e20180686-e2018068. https://doi.org/10.1590/0034-7167-2018-0686.

18. Zens Y, Barth M, Bucher HC, Dreck K, Felsch M, Groß W, et al. Negative pressure wound therapy in patients with wounds healing by secondary intention: a systematic review and meta-analysis of randomised controlled trials. Syst Rev. 2020;9(1):238. https://doi.org/10.1186/s13643-020-01476-6.

19. Applewhite A, Chowdhry SA, Desvigne M, Gabriel A, Hill R, Obst MA, et al. Inpatient and Outpatient Wound Treatment Recommendations: Assessing Use of Negative Pressure Wound Therapy Systems or Oxidized Regenerated Cellulose (ORC)/ Collagen/Silver-ORC Dressings. Wounds Compend Clin Res Pract. 2018;30(8 supp):S19-35.

20. Mari W, Younes S, Naqvi J, Issa AA, Oroszi TL, Cool DR, et al. Use of a Natural Porcine Extracellular Matrix With Negative Pressure Wound Therapy Hastens the Healing Rate in Stage 4 Pressure Ulcers. Wounds Compend Clin Res Pract. 2019;31(5):117- 22.

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Published

2022-12-31

How to Cite

1.
Yépez Idrovo AC, Jaramillo Loaiza WV, Atarihuana Hidalgo GM, Ortiz Encalada BP. Efficacy of negative pressure therapy compared to conventional treatment in pressure ulcers. Salud, Ciencia y Tecnología [Internet]. 2022 Dec. 31 [cited 2024 Nov. 21];2:200. Available from: https://sct.ageditor.ar/index.php/sct/article/view/93