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Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
NORIEGA-RODRIGUEZ, Daniel et al. Utility of laminated polyurethane foam as temporary coverage in burn injuries. Rev Ciencias Médicas [online]. 2024, vol.28, n.1 Epub Jan 01, 2024. ISSN 1561-3194.
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.
Keywords : BURNS; HEALING; BURN UNITS.