Manejo interdisciplinar de úlceras vasculares: compresión, tratamiento local, tratamiento complementario y coordinación interdisciplinar

Abstract

Objective: To know the interdisciplinary management of vascular wounds of the lower limbs: compression, local and complementary treatment and interdisciplinary coordination. Methods: A retrospective longitudinal and observational study . Clinical practice guidelines (CPG) were analyzed looking for vascular wounds good management recommendations. Variables were determined according those guides, and every clinical history with an ICD's vascular disease diagnostic and a NANDA's wound diagnostic were selected. Etiology and localization of the wounds were checked and variables were analyzed on the 31 resulting histories. Results: Three mixed injuries and 28 venous wounds were found. The compression therapy was recorded by 35.7% during the injury and 21.4% during and after the injury. Antiaggregants were prescribed in 100% of mixed wounds records and pentoxifylline in 10.7% of the venous ones. The health recommendations in exercise and tobacco was found in 66,7% of histories with mixed pathology. Exercise recommendation was given on venous injuries by 10.7%. The location was recorded in 66.7% in mixed wounds and in 21.4% in venous ones. The pulse palpation record was 66.7% in mixed injuries and 17.9% in venous ones. The ankle-brachial pressure index was recorded in 66.7% in mixed injuries and in 7.1% in venous ones. Conclusions: Recommendations of CPG for venous leg ulcers were found to be recorded in less than a quarter of the assessed histories. The arterial pathology is carried mainly by vascular surgery and the venous pathology by primary care.