Artikel
Prevalence and gender specific differences of chronic wounds in nursing home residents (2012–2018)
Suche in Medline nach
Autoren
Veröffentlicht: | 25. September 2020 |
---|
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
- 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
- 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