Pressure injuries during the SARS-CoV-2 pandemic: A retrospective, case-control study.

AIM OF STUDY: The main objective of this study was to ascertain whether severe alterations in hypoxemic, inflammatory, and nutritional parameters in patients diagnosed with SARS-CoV-2 infection were associated with the occurrence and severity of developed dependency-related injuries. The secondary objective was to determine whether there were prognostic factors associated with the occurrence and severity of developed dependency-related injuries during the SARS-CoV-2 pandemic. MATERIAL AND METHODS: A retrospective, single-centre, case-control study was conducted to compare SARS-CoV-2 patients who developed dependency-related injuries after the first 48 h after admission with a control group made up of SARS-CoV-2 patients without dependency-related injuries. The cases of the 1987 patients diagnosed with SARS-CoV-2 infection during the study period were reviewed. Data from 94 patients who developed dependency-related injuries and from 190 patients who did not develop them during hospital admission were analysed. RESULTS: High baseline dependency levels, prolonged hospital stays, and low oxygen saturation levels on arrival in emergency department triage were associated with the occurrence of dependency-related injuries among patients diagnosed with SARS-CoV-2 infection. CONCLUSIONS: SARS-CoV-2 infection can lead to complications such as dependency-related injuries. Although there are several non-modifiable variables associated with the occurrence of dependency-related injuries in these patients, it is essential to conduct further research and introduce consensus guidelines to reduce their incidence and prevalence.

Guía rápida para el tratamiento tópico de lesiones vasculares en extremidades inferiores / Quick guide for the topical treatment of vascular lesions in the lower limbs

Las lesiones vasculares de las extremidades inferiores constituyen un problema de salud con importantes consecuencias socioeconómicas y sanitarias. Su prevalencia se sitúa en el 3% de la población adulta. Es fundamental establecer un diagnóstico diferencial entre los distintos tipos de lesiones, ya que el tratamiento difiere en función de su etiología. No existe un tratamiento único y efectivo para las úlceras de extremidad inferior,por lo que el equipo clínico ha de llegar a un acuerdo sobre el tratamiento a utilizar.La necesidad de tener un criterio común de actuación surgió en nuestro hospital a causa de la manifiesta diversidad en el tratamiento de las lesiones vasculares dependiendo del lugar donde estaba ubicado el paciente y la escasez de registro de las mismas, incluso en la unidad especializada. Además, las curas eran modificadas con demasiada frecuencia, no dejando tiempo a que se pudiera comprobar su eficacia. Esta situación de variablidad en el abordaje de las curas se agudizaba en los períodos de mayor concentración de personal suplente.El propósito de este artículo es presentar una experiencia de consenso sobre una guía para el tratamiento de lesiones vasculares, útil en diferentes niveles asistenciales y algunos documentos que forman parte de la guía,como son la guía rápida, el algoritmo de decisión de tratamiento y la hoja de registros de las curas, que pueden servir para agilizar el trabajo enfermero (AU)

Vascular lesions of the lower limbs represent a health problem with significant socioeconomic and healthcare consequences. The prevalence of this condition is around 3% in the adult population. It is of outmost importance to establish a differential diagnosis between the different types of lesions as the treatment varies depending on their aetiology.There is no single and effective treatment for ulcers of the lower limb and therefore the clinical team must be in agreement regarding the most appropriate treatment to follow.The need to have a common criteria for the course of action emerged in our hospital as a result of the various different treatments for vascular lesions depending there the patient was and a lack of a registry of the lesions, including at the specialist unit. In addition, wound care wasmodified way too frequently, leaving no time to verify their efficacy, This situation of variability in wound care approach exacerbated during the periods in which there were more nursing substitutes in attendance.The aim of this article is to present a consensus experience on a clinical practice guide for the treatment of vascular lesions that is useful at the different levels of health care and some documents that are part of such guide, such as the quick reference guide, the decision-making algorithm for treatment and the wound care log, which might help to expedite nursing work (AU)