<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5307</journal-id>
<journal-title><![CDATA[Investigación y Educación en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. educ. enferm]]></abbrev-journal-title>
<issn>0120-5307</issn>
<publisher>
<publisher-name><![CDATA[Imprenta Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-53072018000100011</article-id>
<article-id pub-id-type="doi">10.17533/udea.iee.v36n1e11</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso de curativos hidrocoloides na prevenção de úlceras por pressão em pacientes de alto risco: uma coorte retrospectiva]]></article-title>
<article-title xml:lang="es"><![CDATA[Uso de apósitos hidrocoloides en la prevención de úlceras por presión en pacientes de alto riesgo: una cohorte retrospectiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[Olga Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar-Beltrán]]></surname>
<given-names><![CDATA[Luz Dary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Castañeda]]></surname>
<given-names><![CDATA[Yudi Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarado-Muriel]]></surname>
<given-names><![CDATA[Paula Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serna-Restrepo]]></surname>
<given-names><![CDATA[Aracelly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grinspun]]></surname>
<given-names><![CDATA[Doris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Cardiología Fundación Cardioinfantil ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Cardiología  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Registered Nurses´ Association of Ontario  ]]></institution>
<addr-line><![CDATA[Toronto ]]></addr-line>
<country>Canada</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-53072018000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-53072018000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-53072018000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients.  Methods Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Braden scale and who had been admitted with preventive purposes to a skin care program. The preventive care prescribed by the nursing staff included using hydrocolloid dressing plus conventional care (HD+CC) or only conventional care (CC), in a tier IV hospital in Bogotá, Colombia. Information was obtained from the clinical records of the demographic variables, health, and complications during hospitalization.  Results One-hundred seventy subjects were included in the study (23 in HD+CC and 147 in CC). In all, 30.4% of the patients in the HD+CC group and 17% in the CC group had PU during follow up (p=0.15). The ratio between the type of preventive treatment received and the development of PU obtained a raw Hazzard ratio (HR) of 1.35 (CI95%: 0.58-3.14; p=0.48) and HR adjusted for confounding variables of 1.06 (CI95%: 0.29-3.84 p=0.92).  Conclusion Our results showed no superiority of HD+CC against CC in preventing PU in adult patients with high risk according to the Braden scale. The cohort study did not reveal significant differences between both interventions. It is necessary to promote and develop clinical trials to evaluate the effectiveness of using dressings and other conventional care in high-risk patients for this type of event.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo Avaliar a associação entre o uso de curativos hidrocoloides preventivos e a aparição de úlceras por pressão em pacientes hospitalizados.  Métodos Estudo de coorte retrospectivo que incluiu pacientes adultos com alto risco de úlceras por pressão (UPP) avaliados segundo escala Braden e que haviam sido admitidos com fins preventivos num programa de cuidado da pele, num hospital de quarto nível de atenção, em Bogotá, Colômbia. Os cuidados preventivos prescritos pelo pessoal de enfermagem incluíram o uso de curativo hidrocoloide mais cuidado convencional (AH+CC) ou só cuidado convencional (CC). Se obteve informação das histórias clínicas das variáveis demográficas, de saúde e complicações durante hospitalização.  Resultados Um total de 170 pacientes foram incluídos no estudo (23 de AH+CC e 147de CC). 30.4% no grupo AH+CC e 17% de CC apresentaram UPP durante o seguimento (p=0.15). A relação entre o tipo de tratamento preventivo recebido e o desenvolvimento de UPP obteve um HR cru de 1.35 (IC95%: 0.58-3.14; p=0.48) e um HR ajustado por fatores de confusão de 1.06 (IC95%: 0.29-3.84 p=0.92).  Conclusão Nossos resultados mostraram não superioridade de AH+CC frente a CC enfermeiro na prevenção de UPP em pacientes adultos com alto risco segundo Braden. O estudo da coorte não revelou diferencias significativas entre as duas intervenções. Se faz necessário a promoção e desenvolvimento de ensaios clínicos que avaliem a efetividade do uso dos curativos e outros cuidados convencionais em pacientes de alto risco para este tipo de evento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Evaluar la asociación entre el uso de apósitos hidrocoloides preventivos y la aparición de úlceras por presión en pacientes hospitalizados.  Métodos Estudio de cohorte retrospectivo que incluyó pacientes adultos con alto riesgo de úlceras por presión (UPP) evaluados según escala Braden y que habían sido admitidos con fines preventivos en un programa de cuidado de la piel, en un hospital de cuarto nivel de atención, en Bogotá, Colombia. Los cuidados preventivos prescritos por el personal de enfermería incluyeron el uso de apósito hidrocoloide más cuidado convencional (AH+CC) o solo cuidado convencional (CC). Se obtuvo información de las historias clínicas de las variables demográficas, de salud y complicaciones durante hospitalización.  Resultados Se incluyeron en el estudio un total de 170 pacientes (23 de AH+CC y 147de CC). El 30.4% en el grupo AH+CC y el 17% de CC presentó UPP durante el seguimiento (p=0.15). La relación entre el tipo de tratamiento preventivo recibido y el desarrollo de UPP obtuvo un HR crudo de 1.35 (IC95%: 0.58-3.14; p=0.48) y un HR ajustado por factores de confusión de 1.06 (IC95%: 0.29-3.84 p=0.92).  Conclusión Nuestros resultados mostraron no superioridad de AH+CC frente al CC enfermero en la prevención de UPP en pacientes adultos con alto riesgo según Braden. El estudio de la cohorte no reveló diferencias significativas entre las dos intervenciones. Se hace necesario la promoción y desarrollo de ensayos clínicos que evalúen la efectividad del uso de los apósitos y otros cuidados convencionales en pacientes de alto riesgo para este tipo de evento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[adult]]></kwd>
<kwd lng="en"><![CDATA[bandages, hydrocolloid]]></kwd>
<kwd lng="en"><![CDATA[hospitalization]]></kwd>
<kwd lng="en"><![CDATA[pressure ulcer]]></kwd>
<kwd lng="en"><![CDATA[retrospective studies]]></kwd>
<kwd lng="en"><![CDATA[skin care]]></kwd>
<kwd lng="en"><![CDATA[adulto]]></kwd>
<kwd lng="en"><![CDATA[curativos hidrocoloides]]></kwd>
<kwd lng="en"><![CDATA[hospitalização]]></kwd>
<kwd lng="en"><![CDATA[lesão por pressão]]></kwd>
<kwd lng="en"><![CDATA[estudos retrospectivos]]></kwd>
<kwd lng="en"><![CDATA[higiene da pele]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="es"><![CDATA[vendas hidrocoloidales]]></kwd>
<kwd lng="es"><![CDATA[hospitalización]]></kwd>
<kwd lng="es"><![CDATA[úlcera por presión]]></kwd>
<kwd lng="es"><![CDATA[estudios retrospectivos]]></kwd>
<kwd lng="es"><![CDATA[cuidados de la piel]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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