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The impact of specialised care on treatment and management of the venous leg ulcer : time to heal, cost to heal and quality of life
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Orientador(es)
Resumo(s)
As úlceras venosas são uma patologia com impacto significativo na qualidade de vida dos doentes e nos custos inerentes aos sistemas de saúde. Apesar da evidência científica apontar um claro benefício no tratamento destes doentes com terapia compressiva e em centros especializados a nível nacional, estes doentes são atualmente dispersos por várias especialidades. Com este estudo, pretendeu-se avaliar o impacto da abordagem destes doentes em consulta especializada em feridas crónicas no custo de tratamento, tempo necessário para encerramento da úlcera e impacto na qualidade de vida. Neste sentido, realizou-se um estudo retrospetivo descritivo com base na população de doentes seguidos numa consulta de feridas complexas num período de 2 anos, avaliando-se impacto da úlcera na qualidade de vida, gasto com os cuidados de penso, tempo até encerramento da ferida e tipos de tratamentos realizados. A análise dos dados dos 89 doentes identificou uma diferença significativa relativamente ao custo de tratamento, duração da ferida e qualidade de vida dos doentes quando o tratamento é feito por uma equipa especializada, corroborando as vantagens deste tipo de seguimento e tratamento descritos na evidência cientifica já existente.
Venous leg ulcers are a pathology with significant impact on patients’ quality of life as well as having high costs to the national health systems. Regardless of the evidence stating the benefits of this patients being treated on specialised centres with compressive therapy, this patients are currently spread out throughout many different specialties with lack of evidence-based care. With this study we aimed to evaluate the impact of a specialised consult, directed to chronic wound care, in hospital setting, on the time to heal, the cost of treatment and the impact on quality of life on patients with venous leg ulcer. A retrospective descriptive study was designed with a patient data base from a specialised chronic wound consult in a 2-year period, evaluating ulcer impact on quality of life, costs with management and treatment, time to heal and types of compressive therapy used. After analysing the data regarding 89 patients’ VLUs, we concluded that specialised chronic wound consult and compressive therapy have a significant impact on the management and treatment of the venous leg ulcer, with significantly lower times needed to heal, costs to heal and with ta significant improvement on patients’ quality of life.
Venous leg ulcers are a pathology with significant impact on patients’ quality of life as well as having high costs to the national health systems. Regardless of the evidence stating the benefits of this patients being treated on specialised centres with compressive therapy, this patients are currently spread out throughout many different specialties with lack of evidence-based care. With this study we aimed to evaluate the impact of a specialised consult, directed to chronic wound care, in hospital setting, on the time to heal, the cost of treatment and the impact on quality of life on patients with venous leg ulcer. A retrospective descriptive study was designed with a patient data base from a specialised chronic wound consult in a 2-year period, evaluating ulcer impact on quality of life, costs with management and treatment, time to heal and types of compressive therapy used. After analysing the data regarding 89 patients’ VLUs, we concluded that specialised chronic wound consult and compressive therapy have a significant impact on the management and treatment of the venous leg ulcer, with significantly lower times needed to heal, costs to heal and with ta significant improvement on patients’ quality of life.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2021
Palavras-chave
Úlcera venosa Tratamento Custo Qualidade de vida Terapia compressiva