Estudio AURIGA-04. Aplicación y utilidad de los resultados de la investigación con la gama de apósitos Allevyn en atención primaria / AURIGA-04 study on the use of a range of Allevyn hydro-cellular dressing in the treatment of bed scores and leg ulcers by primary health care professionals

RESUMEN

Se analiza la aplicadón y utilidad de una gama de apósitos hidrocelulares, tanto en la cicatrizadón como en el control del exudado, y otras variables características de las lesiones crónicas, en condidones clínicas reales y tratadas por profesionales de atendón primaria. Se estudiaron 441 padentes con heridas crónicas (úlceras por presión y de pierna) aplicando un diseño de medidas repetidas durante 20 cambios de apósito, o cicatrización completa si se producía antes de este intervalo. La muestra quedó configurada por pacientes de edad avanzada, mayoritariamente mujeres y con un estado general de medio a malo. Respecto a las heridas, el 63% era úlceras por presión, el 27 ,2% venosas y el 9,8% de pierna de otra etiolog(a (mixtas, arteriales y pie diabético). Estas lesiones cumplían, en promedio, unos 6,1 meses de evoludón y una superficie de 30,43 cm2 al inido del estudio. Cicatrizaron 126 lesiones (28,8%) en un promedio de 47,3 dlas. Entre las 315 lesiones que no hablan dcatrizado al finalizar los 20 cambios, un 90,5% habla experimentado mejorla. Durante el estudio, las lesiones mostraron una reducdón significativa de la superfide, así como una mejoría significativa de los bordes de la lesión y de la piel periulceral. El personal sanitario que realizó las curas con estos apósitos valoró muy favorablemente su manejo. Al finalizar el estudio, la comparación con otros apósitos previos mostró que en un 43,43% de los casos se consideró mejor Allevyn en cuanto a facilidad de aplicación en un 51,79% mejor en cuanto a capaddad de absorción; y en un 43,23% mejor en cuanto a facilidad de retirada

ABSTRACT

The objective of this study was to analyze the application and usefulness of a range of Allevyn trademark hydro-cellular dressings during cicatrisation and in the control of exudation and other various characteristics of chronic lesions in real clinical conditions where patients were treated by primary health care professionals. In this study, 441 patients having chronic wounds, either bed sores or leg ulcers, were studied; health care professionals applied a planned program of measures repeated during 20 dressing changes or until cicatrisation was completed if this happened during this interval. The sample population was comprised of elderly patients, the majority of whom were women whose general health could be classified from medium to poor. These patients suffered from these types ofwounds 63% had bed sores, 27.2% had varicose ulcers and 9.8% had leg ulcers caused by another etiology such as mixed ulcers, arterial ulcers or diabetic foot. On average, these lesions were characterized by an evolutionary period of 6.1 months and had a 30.43 square centimetre surface afea at the start of the study. 126 lesions, or 28.8%, cicatrized on average of47.3 days. Among the 315 lesions which had not cicatrized by the end of 20 dressing changes, 90.5% showed evidence of improvement. During the study, these lesions showed a significant reduction in their surface area, as well as a significant improvement at the edges of these lesions and the peri-ulceral skin. The health personnel which carried out the treatment using these dressings gave a very favorable evaluation for their use. At the end of this study, in comparison with other dressings previous used, this study showed that in 43.43% of the cases an Allevyn dressing was deemed better in terms of ease in application, in 51.79% of the cases an Allevyne dressing was better in terms of absorption and in 43.23% of the cases an Alevyn dressing was better during removal