The use of ultrasound by nurses in the assessment of complex chronic wounds: a systematic review

What is it about?

Introduction: Chronic wounds are difficult-to-heal lesions that generate high healthcare costs and significantly affect patients’ quality of life. Current visual assessment is limited, as it does not allow detecting subclinical alterations or deepening tissue assessment. Ultrasound, a non-invasive technique, provides accurate information in real time, improving diagnosis and early interventions. Hypothesis/aim: The main objective was to review the current knowledge on using ultrasound for complex chronic wound assessment, diagnosis, prevention, treatment and progression by nurses. Material and methods: Research articles published over 16 years (2008–2024) were collected. After screening, 31 articles were analysed for assessment. Data sources: Scielo, PUBMED, The Cochrane Library, Scopus and Cinahl were used. Main results: The studies identify ultrasound as useful for the diagnosis and follow-up of chronic wounds. Applications were found in different types of wounds, highlighting pressure ulcers. Lack of realisation by nurses is identified. Discussion and conclusions: Ultrasound is a promising tool for assessment and diagnosis in the management of chronic wounds, promoting evidence-based care. Implications for clinical practice: Ultrasound is a promising tool for evaluating and monitoring chronic wounds, providing objective data and improving management, although it remains an underexplored area. Its use can enhance the role of advanced nursing practice.

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