Wounds in chronic leg oedema

Wounds and chronic oedema are common disorders, but rarely studied together. The objective of this cross‐sectional study was to investigate the point‐prevalence and risk factors of wounds on the leg, in chronic leg oedema. Forty sites in nine countries were included. Of 7077 patients with chronic le...

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Published in:International wound journal 2022-02, Vol.19 (2), p.411-425
Main Authors: Burian, Ewa Anna, Karlsmark, Tonny, Nørregaard, Susan, Kirketerp‐Møller, Klaus, Kirsner, Robert Scott, Franks, Peter John, Quéré, Isabelle, Moffatt, Christine Joy
Format: Article
Language:English
Subjects:
Body mass index
Cancer
Cellulitis
Chronic Disease
chronic oedema
Compression therapy
Cross-Sectional Studies
Dermatology
Edema
Edema - epidemiology
Edema - etiology
Hippocrates (460?-377? BC)
Human health and pathology
Humans
Leg
Leg ulcers
Legs
Life Sciences
LIMPRINT
Lymphedema
Lymphedema - epidemiology
lymphoedema
Male
Medical records
Obesity
Original
Patients
Risk factors
Surgery
Variables
Wound healing
wounds and injuries
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creator Burian, Ewa Anna
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Moffatt, Christine Joy
description Wounds and chronic oedema are common disorders, but rarely studied together. The objective of this cross‐sectional study was to investigate the point‐prevalence and risk factors of wounds on the leg, in chronic leg oedema. Forty sites in nine countries were included. Of 7077 patients with chronic leg oedema, 12.70% had wounds. Independent risk factors were: peripheral arterial disease (odds ratio (OR) 4.87, 95% confidence intervals (CI) 3.63‐6.52), cellulitis within the past 12 months (OR 2.69, 95% CI 2.25‐3.21), secondary lymphoedema (OR 2.64, 95% CI 1.93‐3.60), being male (OR 2.08, 95% CI 1.78‐2.44), being over 85 years of age (OR 1.80, 95% CI 1.23‐2.62), underweight (OR 1.79, 95% CI 1.14‐2.79), bed bound (OR 1.79, 95% CI 1.01‐3.16), chair bound (OR 1.52, 95% CI 1.18‐1.97), diabetes (OR 1.47, 95% CI 1.23‐1.77), and walking with aid (OR 1·41, 95% CI 1.17‐1.69). 43.22% of those with wounds had clinically defined well‐controlled oedema, associated with a significantly lower risk of wounds (OR 0.50, 95% CI 0.42‐0.58, P 
doi_str_mv 10.1111/iwj.13642
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The objective of this cross‐sectional study was to investigate the point‐prevalence and risk factors of wounds on the leg, in chronic leg oedema. Forty sites in nine countries were included. Of 7077 patients with chronic leg oedema, 12.70% had wounds. Independent risk factors were: peripheral arterial disease (odds ratio (OR) 4.87, 95% confidence intervals (CI) 3.63‐6.52), cellulitis within the past 12 months (OR 2.69, 95% CI 2.25‐3.21), secondary lymphoedema (OR 2.64, 95% CI 1.93‐3.60), being male (OR 2.08, 95% CI 1.78‐2.44), being over 85 years of age (OR 1.80, 95% CI 1.23‐2.62), underweight (OR 1.79, 95% CI 1.14‐2.79), bed bound (OR 1.79, 95% CI 1.01‐3.16), chair bound (OR 1.52, 95% CI 1.18‐1.97), diabetes (OR 1.47, 95% CI 1.23‐1.77), and walking with aid (OR 1·41, 95% CI 1.17‐1.69). 43.22% of those with wounds had clinically defined well‐controlled oedema, associated with a significantly lower risk of wounds (OR 0.50, 95% CI 0.42‐0.58, P &lt; .001). 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source Open Access: Wiley-Blackwell Open Access Journals; PubMed Central
subjects Body mass index
Cancer
Cellulitis
Chronic Disease
chronic oedema
Compression therapy
Cross-Sectional Studies
Dermatology
Edema
Edema - epidemiology
Edema - etiology
Hippocrates (460?-377? BC)
Human health and pathology
Humans
Leg
Leg ulcers
Legs
Life Sciences
LIMPRINT
Lymphedema
Lymphedema - epidemiology
lymphoedema
Male
Medical records
Obesity
Original
Patients
Risk factors
Surgery
Variables
Wound healing
wounds and injuries
title Wounds in chronic leg oedema
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