Prevalence and risk factors of chronic wounds in nursing homes in Germany

Raeder, Kathrin; Jachan, Deborah Elisabeth; Müller‐Werdan, Ursula; Lahmann, Nils

doi:10.1111/iwj.13486

Cited by 38 publications

(33 citation statements)

References 33 publications

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“…25 Being underweight was also associated with wounds. 47 Studies have contradictory findings regarding obesity, perhaps due to the wound type 32,48 and we did not find an independent association. The growing evidence of the connection between obesity and lymphoedema 37 is worthy of further investigations.…”

Section: Discussioncontrasting

confidence: 74%

“…40 We found that being male had a greater association with wounds than diabetes. Male predominance has been reported in chronic wounds, 47 VLU, 26,27 and DFU. 31,32 Yet, contradictory results for VLU have been reported 28,48 and sex was not a risk factor in pressure ulcers.…”

Section: Discussionmentioning

confidence: 98%

“…Similar results on immobility have been reported for VLU 48 and chronic wounds. 47 This is complex and can reflect poor general health, worsened oedema, or increased tendency of pressure ulcers. Regular walking (≥5 d/wk) has been found to be an independent protective factor from VLU (OR 0.26, 95% CI 0.08-0.90).…”

Section: Discussionmentioning

confidence: 99%

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Wounds in chronic leg oedema

Burian

Karlsmark

Nørregaard

et al. 2021

International Wound Journal

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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 1Á41, 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 < .001). Hard/fibrotic tissue (OR 1.71, 95% CI 1.19-2.48), and a positive Stemmers sign (OR 1.57, 95% CI 1.05-2.35) were associated with wounds. The study reinforces the importance of measures to control oedema, as controlled swelling was associated with a 50% lower risk of wounds.chronic oedema, leg ulcers, LIMPRINT, lymphoedema, wounds and injuries Key Messages• chronic leg oedema (oedema >3 months ) and wounds are frequent conditions, but have rarely been studied together. Little is known about mechanisms linking wounds and oedematous limbs

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Section: Discussioncontrasting

confidence: 74%

Section: Discussionmentioning

confidence: 98%

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Wounds in chronic leg oedema

Burian

Karlsmark

Nørregaard

et al. 2021

International Wound Journal

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“…Similar to our results, some previous studies also reported that sex cannot be regarded as an independent risk factor for decubitus ulcers development, and the differences regarding decubitus ulcers prevention interventions seem to be minimal 4 , 13 . However, some studies have shown that the prevalence of decubitus ulcers in men may be higher than that in women 10 , 14 . According to their opinions, smoking was more common in men than women.…”

Section: Discussionmentioning

confidence: 98%

The global burden of decubitus ulcers from 1990 to 2019

Zhang

Zhu

et al. 2021

Sci Rep

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There are no studies assessing the epidemiology and burden of decubitus ulcers at global, regional, and national levels. We aim to report this issue from 1990 to 2019 by extracting data from the Global Burden of Disease Study (GBD) 2019 and stratifying it by age, gender, and socio-demographic index (SDI). Globally, the number of prevalent cases of decubitus ulcers in 2019 is 0.85 (95% UI 0.78 to 0.94) million. The age-standardized rates of prevalence, incidence, and years lived with disability (YLDs) in 2019 are 11.3 (95% UI 10.2 to 12.5), 41.8 (37.8 to 46.2), and 1.7 (1.2 to 2.2) per 100,000 population, and compared with 1990, it has decreased by 10.6% (95% UI 8.7% to 12.3%), 10.2% (8.2 to 11.9%), and 10.4% (8.1 to 12.5%), respectively. In addition, the global prevalence rate of decubitus ulcers increases with age, peaking at the > 95 age group among men and women. At the regional and national levels, we observe a positive correlation between age-standardized YLDs and SDI. Malaysia, Saudi Arabia, and Thailand experienced the most significant increases in age-standardized prevalence rates at the national level. Finally, we concluded that the age-standardized prevalence, incidence, and YLDs rates of decubitus ulcer declined from 1990 to 2019, with significant regional differences. In order to monitor the dynamic changes of decubitus ulcers burden, it is recommended to improve the quality of decubitus ulcer health data in all regions and countries.

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“…The interruption in the healing process may occur for a number of reasons connected to one's lifestyle and health condition. For example, smoking, malnutrition, obesity, low mobility, neuropathy, diabetes, vascular diseases and skin disorders have been linked to the increasing chronicity of wounds, where healing has not been achieved within 3-6 weeks [2][3][4].…”

Section: Wound Healing and Electrospun Wound Dressingsmentioning

confidence: 99%

Electrospinning Proteins for Wound Healing Purposes: Opportunities and Challenges

Akhmetova

Heinz

2020

Pharmaceutics

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With the growth of the aging population worldwide, chronic wounds represent an increasing burden to healthcare systems. Wound healing is complex and not only affected by the patient’s physiological conditions, but also by bacterial infections and inflammation, which delay wound closure and re-epithelialization. In recent years, there has been a growing interest for electrospun polymeric wound dressings with fiber diameters in the nano- and micrometer range. Such wound dressings display a number of properties, which support and accelerate wound healing. For instance, they provide physical and mechanical protection, exhibit a high surface area, allow gas exchange, are cytocompatible and biodegradable, resemble the structure of the native extracellular matrix, and deliver antibacterial agents locally into the wound. This review paper gives an overview on cytocompatible and biodegradable fibrous wound dressings obtained by electrospinning proteins and peptides of animal and plant origin in recent years. Focus is placed on the requirements for the fabrication of such drug delivery systems by electrospinning as well as their wound healing properties and therapeutic potential. Moreover, the incorporation of antimicrobial agents into the fibers or their attachment onto the fiber surface as well as their antimicrobial activity are discussed.

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Prevalence and risk factors of chronic wounds in nursing homes in Germany

Cited by 38 publications

References 33 publications

Wounds in chronic leg oedema

Wounds in chronic leg oedema

The global burden of decubitus ulcers from 1990 to 2019

Electrospinning Proteins for Wound Healing Purposes: Opportunities and Challenges

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