دورية أكاديمية
The influence of socioeconomic factors on intervention and postoperative healing of venous ulcers: a prospective study.
| العنوان: | The influence of socioeconomic factors on intervention and postoperative healing of venous ulcers: a prospective study. |
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| المؤلفون: | Blomgren L; Karlskoga Vein Centre, Department of Cardiovascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Sweden., Jansson L; Karlskoga Vein Centre, Karlskoga Hospital, Region Örebro County, Sweden. |
| المصدر: | Journal of wound care [J Wound Care] 2024 Jul 02; Vol. 33 (7), pp. 474-479. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MA Healthcare Country of Publication: England NLM ID: 9417080 Publication Model: Print Cited Medium: Internet ISSN: 0969-0700 (Print) Linking ISSN: 09690700 NLM ISO Abbreviation: J Wound Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : MA Healthcare Original Publication: Ruislip, UK : Journal of Wound Care, |
| مواضيع طبية MeSH: | Varicose Ulcer*/surgery , Wound Healing* , Socioeconomic Factors*, Humans ; Female ; Male ; Prospective Studies ; Aged ; Middle Aged ; Aged, 80 and over ; Adult ; Risk Factors ; Surveys and Questionnaires ; Referral and Consultation ; Recurrence |
| مستخلص: | Objective: In previous studies, venous ulcers (VUs) have been found to occur more often in patients with lower socioeconomic status. The aim of this study was to explore if socioeconomic factors influence the delay of referral to a vascular service or the time to healing after superficial venous intervention. Method: In this prospective study, patients answered a questionnaire about the duration and recurrence of their VU, comorbidities, body mass index (BMI), smoking, alcohol, social and physical activities, ambulatory status, education, marital status, housing, perceived economic status and dependence on home care. Postoperative complications, VU healing and recurrence were noted one year after superficial venous intervention. Results: A total of 63 patients were included in this study (30 females and 33 males), with a mean age of 71.2 years (range: 37-92 years). Duration of the present VU in patients was: <3 months in 48%; 3-6 months in 27%; 6-12 months in 11%; and >12 months in 14%. Risk factors for delayed referral were recurrent VU (odds ratio (OR): 4.92; p=0.021); walking impairment (OR: 5.43; p=0.009) and dependence on home care (OR: 4.89: p=0.039) in a univariable analysis. The latter was the only significant finding in a multivariable analysis with socioeconomic risk factor (OR: 4.89; p=0.035). In 85% of patients, their VU healed without recurrence during one year follow-up. Healing took longer if the patients: were of older age (p=0.033); had a normal BMI (independent samples t-test, p=0.028); had a recurrent VU (OR: 5.00; p=0.049); or walking impairment (Fishers exact test, OR: 9.14; p=0.008), but no significant socioeconomic risk factors were found. Conclusion: In this study, socioeconomic factors were not important risk factors for delayed referral of VU patients to a vascular service or prolonged healing time after superficial venous intervention. Declaration of Interest: This work was supported by the Scandinavian Research Foundation for Varicose Veins and other Venous Diseases (SFÅV) and by ALF funding from Region Örebro County. The authors have no conflicts of interest to declare. |
| فهرسة مساهمة: | Keywords: chronic; hard-to-heal; socioeconomic factors; superficial venous insufficiency; superficial venous intervention; venous ulcer; wound; wound care; wound dressing; wound healing |
| تواريخ الأحداث: | Date Created: 20240705 Date Completed: 20240705 Latest Revision: 20240705 |
| رمز التحديث: | 20240705 |
| DOI: | 10.12968/jowc.2022.0143 |
| PMID: | 38967345 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0969-0700 |
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| DOI: | 10.12968/jowc.2022.0143 |