gms | German Medical Science

19. Deutscher Kongress für Versorgungsforschung

Deutsches Netzwerk Versorgungsforschung e. V.

30.09. - 01.10.2020, digital

Prevalence and gender specific differences of chronic wounds in nursing home residents (2012–2018)

Meeting Abstract

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  • Kathrin Raeder - Charité-Universitätsmedizin Berlin, Forschungsgruppe Geriatrie | AG Pflegeforschung, Berlin, Deutschland
  • Deborah Jachan - Charité-Universitätsmedizin Berlin, Forschungsgruppe Geriatrie | AG Pflegeforschung, Berlin, Deutschland
  • Nils Lahmann - Charité-Universitätsmedizin Berlin, Forschungsgruppe Geriatrie | AG Pflegeforschung, Berlin, Deutschland

19. Deutscher Kongress für Versorgungsforschung (DKVF). sine loco [digital], 30.09.-01.10.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. Doc20dkvf445

doi: 10.3205/20dkvf445, urn:nbn:de:0183-20dkvf4457

Veröffentlicht: 25. September 2020

© 2020 Raeder et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background and current state of (inter)national research: Chronic wounds represent a long-term problem for all those affected (impairment of quality of life) and for the health care system (hospital stays, dressing costs) [1], [2].

Research questions and objectives: The aim of this study was to show the prevalence of chronic wounds and their gender-specific differences.

Methods or hypothesis: Data analysis of seven consecutive annual cross-sectional studies (2012–2018) in German nursing homes was conducted. Randomly sampled residents who were ≥60 years old were included in the study. A total of 7,662 residents were subjected to a body inspection by trained nursing staff. Sociodemographic data, frequencies and various types of chronic wounds were recorded.

Results: The prevalence of chronic wounds among all participating residents was 7.9%. Chronic wounds occurred significantly more often among male residents compared to female residents (9.0% vs. 7.5%; p=0.033). Within the group of residents with a chronic wound, pressure ulcer was the most frequent with 50.5%, followed by other chronic wounds (19.6%), lower leg ulcer (12.2%), diabetic foot ulcer (11.5%) and peripheral arterial occlusive disease (PAOD) (6.4%). Male residents were twice as often affected by diabetic foot ulcer than female residents (18.0% vs. 8.9%; p=0.002).

Discussion: The proportion of men affected by chronic wounds (especially for diabetic foot ulcer) is to some extent higher than that of women. These results confirm previous studies [3]. Further research is needed to identify the causal factors of the gender difference.

Practical implications: This gender-specific difference may affect the choice of prophylactic and therapeutic measures.


References

1.
Kapp S, Miller C, Santamaria N. The quality of life of people who have chronic wounds and who self-treat. J Clin Nurs. 2018 Jan;27(1-2):182-192. DOI: 10.1111/jocn.13870 Externer Link
2.
Olsson M, Järbrink K, Divakar U, Bajpai R, Upton Z, Schmidtchen A, Car J. The humanistic and economic burden of chronic wounds: A systematic review. Wound Repair Regen. 2019 Jan;27(1):114-125. DOI: 10.1111/wrr.12683 Externer Link
3.
Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med. 2017 Mar;49(2):106-116. DOI: 10.1080/07853890.2016.1231932 Externer Link