Factors Associated to the Cicatrization Success of Lower-Limb Ulcer of Venous Etiology


  • Rusbert Fernando Álvarez-Del-Río Nurse, M.Sc. Professor, Universidad de Antioquia, Medellín (Colombia). email: rusbert.alvarez@udea.edu.co




Varicose ulcer, risk factors, prospective studies, wound healing, survival analysis, nursing care.


Objective The study sought to establish the relationship among the sociodemographic and clinical factors with cicatrization success in patients with lower-extremity ulcers of venous etiology (UVE).

Methods Multi-center, prospective cohort study with participation of 80 patients with UVE assessed in three clinics from the city of Medellín (Colombia). Sociodemographic conditions were characterized and the clinical characteristics of the wounds evaluated with the Resvech 2.0 scale.

Results The work showed that 48.7% of the patients (52.5% of the women and 38.1% of the men) had cicatrization success of the lesion during a maximum time of 90 days. The Cox proportional risk model showed that cicatrization time was higher in patients belonging to low socioeconomic level (HR = 2.0), with lesions of greater compromise (HR = 2.7), and who were treated by nurses with experience <5 years (HR = 2.1).

ConclusionThe factors associated with cicatrization success of ulcers of venous etiology are: belonging to socioeconomic levels above two (on a scale from 1 to 6), with a slight lesion, and the nursing staff treating the patient having five or more years of experience in the treatment of wounds. Promotion should take place for nurses to be trained on these themes and on improving their expertise, given that this is a factor that can be modified and which indicates the success of the cicatrization of these lesions.


How to cite this article: Álvarez-Del-RíoRF. Factors Associated to the Cicatrization Success of Lower-Limb Ulcer of Venous Etiology. Invest. Educ. Enferm. 2018; 36(3):e08.

= 763 veces | PDF
= 572 veces| | HTML ENGLISH
= 6 veces| | HTML SPANISH
= 4 veces| | VIDEO
= 0 veces|


Download data is not yet available.


(1) Nettel F, Rodriguez N, Nigro J, González M, Conde A, Muñoa A, et al. Primer Consenso Latinoamericano de Úlceras Venosas. Rev. Mex. Angiol. 2013; 41(3):95-126.

(2) Chayamiti EM, Caliri MH. Úlcera por pressão em pacientes sob assistência domiciliária. Acta Paul. Enferm. 2010; 23:29-34.

(3) Crawford JM, Lal BK, Durán WN, Pappas PJ. Pathophysiology of venous ulceration. J. Vasc. Surg. Venous Lymphat. Disord. 2017; 5(4):596-605.

(4) González RV, Verdú J. Quality of life in people with venous leg ulcers: an integrative review. J. Adv. Nurs. 2011; 67(5):926-44.

(5) Marola S, Ferrarese A, Solej M, Enrico S, Nano M, Martino V. Management of venous ulcers: State of the art. Int. J. Surg. 2016; 33:S132-S4.

(6) Comerota A, Lurie F. Pathogenesis of venous ulcer. Semin Vasc Surg. 2015;28(1):6-14.

(7) Raffetto JD. Pathophysiology of chronic venous disease and venous ulcers. Surg. Clin. North Am. 2018; 98(2):337-47

(8) Fukaya E, Margolis D. Approach to diagnosing lower extremity ulcers. Dermatol. Ther. 2013; 26:181-6.

(9) Ribu L, Birkeland K, Hanestadc B, Moumd T, Rustoen T. A longitudinal study of patients with diabetes and foot ulcers and their-health-related quality of life: wound healing and quality-of-life changes. J. Diabetes Complications. 2008; 22:400-7.

(10) Selvaraj D. Kota A, Premkumar P, Stephen E, Agarwal S. Socio-demography and clinical profile of venous ulcers. Wound Med. 2017; 19:1-4.

(11) Marinel. J, Verdú J. Conferencia Nacional de Consenso sobre las Ulceras de la Extremidad Inferior (C.O.N.U.E.I.). Documento de consenso 2018. 2nd ed. Madrid: Ergon; 2018. P.35.

(12) Gordon P, Widener JM, Heffline M. Venous leg ulcers: Impact and dysfunction of the venous system. J. Vasc. Nurs. 2015; 33(2):54-9.

(13) Pannier F, Rabe E. Differential diagnosis of leg ulcers. Phlebology. 2012; 28(1):55-60.

(14) Finlayson K, Wu M-L, Edwards HE. Identifying risk factors and protective factors for venous leg ulcer recurrence using a theoretical approach: A longitudinal study. Int. J. Nurs. Stud. 2015; 52(6):1042-51.

(15) González RV, López WJ, Roa KT. Epidemiología de lesiones de piel relacionadas con el cuidado: estudio de la prevalencia en Colombia. Referência. 2017; 4(15):65-72.

(16) Restrepo JC. Instrumentos de monitorización clínica y medida de la cicatrización en úlceras por presión (UPP) y úlceras de la extremidad inferior (UEI). Desarrollo y validación de un índice de medida [Doctoral Thesis]. Alicante: Universidad de Alicante; 2010.

(17) Edwards H, Finlayson K, Skerman H, Alexander K, Miaskowski C, Aouizerat B, et al. Identification of symptom clusters in patients with chronic venous leg ulcers. J. Pain Symptom Manage. 2014; 47(5):867-75.

(18) Marques E, Bonetti W, Aragao V, Aderval J, Bitencurt L. Ulcer Due to Chronic Venous Disease: A sociodemographic study in northeastern Brazil. Ann. Vasc. Surg. 2013; 27:571-6.

(19) Labropoulos N, Wang ED, Lanier ST, Khan SU. Factors associated with poor healing and recurrence of venous ulceration. Plast. Reconstr. Surg. 2012; 129(1):179-86.

(20) Finlayson KJ, Courtney MD, Gibb MA, O'Brien JA, Parker CN, Edwards HE. The effectiveness of a four-layer compression bandage system in comparison with Class 3 compression hosiery on healing and quality of life in patients with venous leg ulcers: a randomised controlled trial. Int.Wound J. 2014; 11(1):21-7.

(21) Alexandre S, Arola N, Jovè M, Blanco J. Uso de terapias alternativas en la cicatrización de úlceras de etiología venosa. La cromoterapia. Gerokomos. 2012; 23(4):185-8.

(22) Borges EL, Caliri MH, Haas VJ. Systematic review of topic treatment for venous ulcers. Revisión sistemática del tratamiento tópico de la úlcera venosa. Rev. Latino-Am. Enfermagem. 2007;15(6):1163-7.

(23) Margolis DJ, Allen-Taylor L, Hoffstad O, Berlin JA. The accuracy of venous leg ulcer prognostic models in a wound care system. Wound Repair Regen. 2004;12(2):163-8.

(24) Meaume S, Couilliet D, Vin F. Prognostic factors for venous ulcer healing in a non-selected population of ambulatory patients. J. Wound Care. 2005;14(1):31-4.

(25) Adderley UJ, Thompson C. A comparison of the management of venous leg ulceration by specialist and generalist community nurses: A judgement analysis. Int. J. Nurs. Stud. 2016; 53:134-43.

(26) Ylönen M, Stolt M, Leino-Kilpi H, Suhonen R. Nurses' knowledge about venous leg ulcer care: a literature review. Int. Nurs. Rev. 2014; 61(2):194-202.

(27) Zarchi K, Jemec GB. Delivery of compression therapy for venous leg ulcers. JAMA Dermatol. 2014; 150(7):730-6.

(28) McDaniel JC, Kemmner KG, Rusnak S. Nutritional profile of older adults with chronic venous leg ulcers: A pilot study. Geriatr. Nurs. 2015; 36(5):381-6.

(29) Sousa ATO, Formiga NS, Oliveira SHS, Torres GVT, Costa MML, Soares MJGO. Validating an instrument to assess nurse knowledge related to preventing and treating individuals with venous ulcer. Invest. Educ. Enferm. 2016; 34(3): 433-43.



How to Cite

Álvarez-Del-Río, R. F. (2018). Factors Associated to the Cicatrization Success of Lower-Limb Ulcer of Venous Etiology. Investigación Y Educación En Enfermería, 36(3). https://doi.org/10.17533/udea.iee.v36n3e08




Similar Articles

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 > >> 

You may also start an advanced similarity search for this article.