Predictive Value of Clinical and Demographic Variables in Martorell Ulcers: An Analysis Based on Case Reports.
Hypertensive ulcer, also known as Martorell ulcer, comprises cutaneous lesions induced by microvascular arteriolitis, which leads to ischaemia and subsequent ulceration in patients with long‐standing hypertension. These lesions predominantly affect women and have traditionally been considered rare;...
| Publicado en: | International Wound Journal Vol. 22; no. 8; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187569161&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187569161 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Aug2025 vid: 22 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 187569161 187569161 187569161 10.1111/iwj.70721 187569161 ppf: 1 ppct: 10 formats: tig: atl: Predictive Value of Clinical and Demographic Variables in Martorell Ulcers: An Analysis Based on Case Reports. aug: au: de la Rosa‐Negrón, Francisco Isaac Castaño‐López, Miguel Ángel Navarro‐Roldán, Francisco affil: Pediatric ICU, Virgen Macarena University Hospital, Seville, Spain sug: subj: Leg Ulcer Diagnosis Hypertension Complications Prediction Models Diagnosis, Differential Human Logistic Regression Systematic Review PubMed Cochrane Library Leg Ulcer Symptoms Descriptive Statistics Inferential Statistics Systolic Pressure Early Diagnosis ab: Hypertensive ulcer, also known as Martorell ulcer, comprises cutaneous lesions induced by microvascular arteriolitis, which leads to ischaemia and subsequent ulceration in patients with long‐standing hypertension. These lesions predominantly affect women and have traditionally been considered rare; however, recent studies suggest that their prevalence may be significantly higher than previously assumed. Early and accurate diagnosis is crucial, as these ulcers are often mistaken for lesions of alternative aetiologies, such as venous ulcers or pyoderma gangrenosum, thereby contributing to their frequent underdiagnosis. Moreover, this pathology is associated with pronounced painful symptomatology and exhibits a suboptimal response to both analgesic regimens and conventional wound care protocols, potentially necessitating alternative management strategies. This diagnostic delay or misdiagnosis consequently escalates the utilisation of healthcare resources. The primary objective of this study was to develop a predictive model for the differential diagnosis of Martorell ulcers. The investigation entailed a systematic case review, during which the most prevalent signs and symptoms, medical histories and demographic characteristics associated with these lesions were scrutinised. A comprehensive descriptive and inferential analysis of the various variables was performed, followed by a binomial logistic regression to construct the predictive model. In this logistic regression analysis, systolic blood pressure (SBP) emerged as the principal predictor among the cases examined. Additionally, pain intensity was incorporated into the predictive model as a clinically relevant variable, thereby confirming its utility in conjunction with SBP for the identification of this pathology. These findings underscore the importance of integrating key variables, such as elevated SBP and severe pain, into diagnostic tools to enhance early detection and clinical management of Martorell ulcers. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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