Utility of laminated polyurethane foam as temporary coverage in burn injuries
Keywords:
BURNS, HEALING, BURN UNITS.Abstract
Introduction: burns are traumatic injuries of variable extension and depth that require prompt and effective treatment to minimize their sequelae. Polyurethane laminated dressings could be a therapeutic alternative, since they allow isolating, protecting, and optimizing the healing process by providing the necessary optimal environment.
Objective: to assess the utility of laminated polyurethane foam as temporary coverage in patients with burn injuries. Patients and
Methods: observational, descriptive, longitudinal prospective study in 60 patients with dermal and hypodermic burns selected by non-probabilistic sampling: 30 treated with laminated polyurethane dressings (Group I) and 30 treated with 1% silver sulfadiazine gauze (Group II). As dependent variables, epithelialization time, the appearance of useful granulation tissue in hypodermic burns.
Results: the demographic and clinical variables did not show significant differences between the study groups. Patients exposed to treatment with laminated polyurethane showed shorter epithelialization time (Z=-2,94; p=0,0031) and more rapid formation of granulation tissue (χ2=0,90; p=0,3427), than those treated with silver sulfadiazine. There were 42 complications, 17 (40,5 %) in the laminated polyurethane group and 25 (59,5 %) in the silver sulfadiazine group, and when grouped together they were lower in group I patients (χ2=4,73, p=0,0295).
Conclusions: laminated polyurethane foam, as a temporary cover for burns, was useful because it decreased epithelialization time, granulation time, and the appearance of complications, compared to the group with silver sulfadiazine.
Downloads
References
1. Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: Classification, Pathophysiology, and Treatment: A Review. Int. J. Mol. Sci. [Internet]. 2023 [citado 14/08/2023]; 24(4): 3749. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959609/
2. Markiewicz-Gospodarek A, Kozioł M, Tobiasz M, Baj J, Radzikowska-Büchner E, Przekora A. Burn Wound Healing: Clinical Complications, Medical Care, Treatment, and Dressing Types: The Current State of Knowledge for Clinical Practice. Int. J. Environ. Res. Public Health [Internet]. 2022 [citado 14/08/2023]; 19(3): 1338. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35162360/
3. D´Angelo W, Torres R, González M. Malla de poliuretano: nueva alternativa como reemplazo temporario de pared abdominal en sepsis graves. Rev. Fac. Med. Univ. Nac. Nordeste [Internet]. 2018 [citado 14/08/2023]; 9(1): 7–11. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-288897
4. Lavrentieva A. Critical care of burn patients: New approaches to old problems. Burns [Internet]. 2016 [citado 14/08/2023]; 42(1): 13-19. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25997751/
5. Miranda Altamirano A. Uso de apósitos en quemaduras. Cir. plást. iberolatinoam [Internet]. 2020 [citado 14/08/2023]; 46(Suppl1): 31-38. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0376-78922020000200008
6. Romero-Ramírez L, Soto Cáceres V, Gómez Díaz MA. Estudio comparativo de las curaciones tradicionales y las curaciones avanzadas con apósito hidrocoloide en el tratamiento de heridas superficiales. Rev. Cuerpo Méd. Hosp. Nac. Almanzor Aguinaga Asenjo [Internet]. 2016 [citado 14/08/2023]; 9(1): 48-52. Disponible en: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/150
7. Martínez-Correa E, Osorio-Delgado MA, Henao-tamayo LJ, Castro-Herazo CI. Clasificación Sistemática de Apósitos: Una Revisión Bibliográfica. Rev. mex. ing. Bioméd [Internet]. 2020 [citado 14/08/2023]; 41(1): 5-28. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0188-95322020000100005
8. Nathanson V. Revising the Declaration of Helsinki. BMJ [Internet]. 2013 [citado 14/08/2023]; 346: f2837. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23657182/
9. World Health Organization Media Center. Burns Fact Sheet Updated January 2018. [Internet]. WHO; 2018 [citado 14/08/2023]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/burns
10. Sánchez Hidalgo L, Acosta Batista C, Lozada Chinea M, Gómez Zayas O. Morbimortalidad por quemaduras en el Hospital Universitario "General Calixto García" (2013-2015). Rev. Cubana Cir [Internet]. 2017 [citado 14/08/2023]; 56(3): 1-10. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932017000300001
11. Rodríguez-Rodríguez Y, Vega-Rojas M, Lozada-Chinea M, Mora-Sota M, García-Rodríguez O. Complicaciones y mortalidad en pacientes con quemaduras del Hospital Universitario "General Calixto García". Archivos del Hospital Universitario "General Calixto García" [Internet]. 2022 [citado 14/08/2023]; 10(2). Disponible en: https://revcalixto.sld.cu/index.php/ahcg/article/view/e847/788
12. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers [Internet]. 2020 [citado 14/08/2023]; 6(1): 11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32054846/
13. Moss LS. Treatment of the burn patient in primary care. Adv Skin Wound Care [Internet]. 2010 [citado 14/08/2023]; 23(11): 517-24; quiz 525-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20966733/
14. Costagliola M, Agrosì M. Second-degree burns: a comparative, multicenter, randomized trial of hyaluronic acid plus silver sulfadiazine vs. silver sulfadiazine alone. Curr Med Res Opin [Internet]. 2005 [citado 14/08/2023]; 21(8): 1235-40. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16083533/
15. Singer AJ, Mohammad M, Thode HC Jr, McClain SA. Octylcyanoacrylate versus polyurethane for treatment of burns in swine: a randomized trial. Burns [Internet]. 2000 [citado 14/08/2023]; 26(4): 388-92. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10751707/
16. Chimbo Sacoto JP. Técnicas quirúrgicas alternativas para el tratamiento de quemaduras [Tesis]. Cuenca-Ecuador. Universidad Católica de Cuenca; 2022 [citado 14/08/2023]. Disponible en: https://dspace.ucacue.edu.ec/handle/ucacue/10233
17. Mason SA, Nathens AB, Byrne JP, Gonzalez A, Fowler R, Karanicolas PJ, et al. Trends in the epidemiology of major burn injury among hospitalized patients: A population-based analysis. J Trauma Acute Care Surg [Internet]. 2017 [citado 14/08/2023]; 83(5): 867-874. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656518/
18. Ramió-Lluch L, Cerrato S, Brazis P, Rabanal RM, Fondevila D, Puigdemont A. Proof of concept of a new autologous skin substitute for the treatment of deep wounds in dogs. Vet J [Internet]. 2017 [citado 14/08/2023]; 230: 36-40. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29208214/
19. Tadeo Chávez G. Tratamiento Integral de las Quemaduras [Internet]. México, DF: Galenus MED; 2020 [citado 14/08/2023]. Disponible en: https://med-cmc.com/tratamiento-integral-de-las-quemaduras/
20. Jiménez Serrano R, García Fernández FP. Manejo de las quemaduras de primer y segundo grado en atención primaria. Gerokomos [Internet]. 2018 [citado 14/08/2023]; 29(1): 45-51. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2018000100045
100045
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
