The influence of socioeconomic factors on intervention and postoperative healing of venous ulcers: a prospective study.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2024-07-02 DOI:10.12968/jowc.2022.0143

Lena Blomgren, Linda Jansson

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引用次数: 0

Abstract

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.

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社会经济因素对静脉溃疡干预和术后愈合的影响：一项前瞻性研究。

目的：以往的研究发现，社会经济地位较低的患者更容易发生静脉溃疡（VUs）。本研究旨在探讨社会经济因素是否会影响转诊至血管服务机构的延迟或浅静脉介入治疗后的愈合时间：在这项前瞻性研究中，患者回答了一份调查问卷，内容包括：VU的持续时间和复发情况、合并症、体重指数（BMI）、吸烟、酗酒、社交和体育活动、行动状况、教育程度、婚姻状况、住房、经济状况感知以及对家庭护理的依赖性。术后并发症、VU愈合情况以及浅静脉介入治疗一年后的复发情况均被记录在案：本研究共纳入 63 名患者（30 名女性和 33 名男性），平均年龄为 71.2 岁（37-92 岁）。14% 的患者目前的 VU 持续时间为 12 个月。延迟转诊的风险因素是复发性 VU（几率比（OR）：4.92；P=0）：4.92；p=0.021）、行走障碍（OR：5.43；p=0.009）和依赖家庭护理（OR：4.89：p=0.039）。在与社会经济风险因素（OR：4.89；p=0.035）进行的多变量分析中，后者是唯一显著的结果。85%的患者在一年的随访中痊愈，没有复发。如果患者年龄较大（p=0.033）、体重指数正常（独立样本t检验，p=0.028）、VU复发（OR：5.00；p=0.049）或行走障碍（菲舍尔精确检验，OR：9.14；p=0.008），痊愈时间会更长，但没有发现明显的社会经济风险因素：结论：在这项研究中，社会经济因素并不是导致VU患者延迟转诊至血管服务机构或浅静脉介入治疗后愈合时间延长的重要风险因素：本研究得到了斯堪的纳维亚静脉曲张和其他静脉疾病研究基金会（SFÅV）以及厄勒布鲁地区ALF的资助。作者无利益冲突需要声明。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.