Clinical characteristics of patients with chronic wounds: A cross-sectional study with 125 patients at Wound Healing Center of National Burn Hospita

Dinh Van Han1,, Tran Thi Hien2, Dinh Thanh Hung1
1 Le Huu Trac National Burn Hospital
2 HaNoi Center For Disease Control

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Abstract

The number of patients with chronic wounds has been increasing recently. To have a more general view of the epidemiology and characteristics of chronic wounds in our country, we conducted this study to determine some related factors and characteristics of patients with chronic wounds immediately upon admission to the Wound Healing Center of Le Huu Trac National Burn Hospital.
A cross-sectional study included 125 patients with a total of 245 wounds. Data were analysed by descriptive statistics. The average age was 59.33 ± 19.03, and males were 62.4%. There were 94.6% of patients who had a combination of diseases and 14% had 3 or more diseases, 89.6% had pressure ulcers, and 74.8% had injuries around the pelvis. The number of patients with 2 or more wounds was 48%, most of them had signs of cachexy, such as anemia and hypoalbuminemia. The average wound area was 67.97 cm2, the grade IV was 86.5%, the wounds that were not epithelialized from the edge were 95.51%, exudate levels at moderate and high were 64.5% and with an average pH value of 8.14 ± 0.50. The healthy skin around the wounds has changes in humidity and temperature.

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References

1. Cutting K. (2003). Wound exudate: Composition and functions. Br J Community Nurs, 8, 4-9.
2. Sen C.K. (2019). Human Wounds and Their Burden: An Updated Compendium of Estimates. Adv Wound Care, 8(2), 39-48.
3. Phillips C.J., Humphreys I., Fletcher J., et al. (2015). Estimating the costs associated with the management of patients with chronic wounds using linked routine data. Int Wound J, 13(6), 1193-1197.
4. Sen C.K. (2021). Human Wound and Its Burden: Updated 2020 Compendium of Estimates. Adv Wound Care, 10(5), 281-292.
5. Martinengo L., Olsson M., Bajpai R., et al. (2019). Prevalence of chronic wounds in the general population: systematic review and meta-analysis of observational studies. Ann Epidemiol, 29, 8-15.
6. Iyun A.O., Ademola S.A., Olawoye O.A., et al. (2016). Point Prevalence of Chronic Wounds at a Tertiary Hospital in Nigeria. Wounds Compend Clin Res Pract, 28(2), 57-62.
7. Rondas A.A., Schols J.M., Stobberingh E.E., et al. (2013). Prevalence of chronic wounds and structural quality indicators of chronic wound care in Dutch nursing homes. Int Wound J, 12(6), 630-635.
8. Markova A. and Mostow E. (2012). US Skin Disease Assessment: Ulcer and Wound Care. Dermatol Clin, 30, 107-111.
9. Martin P. and Nunan R. (2015). Cellular and molecular mechanisms of repair in acute and chronic wound healing. Br J Dermatol, 173(2), 370-378.
10. Nunan R., Harding K.G., and Martin P. (2014). Clinical challenges of chronic wounds: searching for an optimal animal model to recapitulate their complexity. Dis Model Mech, 7(11), 1205-1213.
11. Fierheller M., Sibbald R.G (2010). A clinical investigation into the relationship between increased periwound skin with chronic leg ulcers. Adv Skin Wound care, 23(8):369-379.
12. Edsberg L.E., Black J.M., Goldberg M., et al. (2016). Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System. J Wound Ostomy Continence Nurs, 43(6), 585-597.
13. Harris C., Bates-Jensen B., Parslow N., et al. (2010). Bates-Jensen Wound Assessment Tool: Pictorial Guide Validation Project. J Wound Ostomy Continence Nurs, 37(3), 253-259.
14. Dowsett C. and Nyløkke M. (2015). Taking wound assessment beyond the edge. Clin Pract, 6(1), 5.