Quality‐of‐care for leg ulcers in the metropolitan area of Hamburg – a community‐based study

Herberger, Katharina; Rustenbach, Stephan Jeff; Grams, Lena; Münter, Karl-Christian; Schäfer, Elmar; Augustin, Matthias

doi:10.1111/j.1468-3083.2011.04110.x

Cited by 35 publications

(36 citation statements)

References 11 publications

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“…The mean age, sex ratio and BMI were the same as those previously described as being associated with VLU . Herein, the high frequencies of patients without high‐school diplomas and with monthly incomes below the French median suggest, as shown previously in other European countries, that VLU might also be associated with low social status in France …”

Section: Discussionsupporting

confidence: 83%

“…1,2,4 Herein, the high frequencies of patients without high-school diplomas and with monthly incomes below the French median suggest, as shown previously in other European countries, that VLU might also be associated with low social status in France. 4,9 Clinical leg characteristics indicated that our population had severe venous disease. Indeed, lipodermatosclerosis and white atrophy are signs of severe chronic venous disorders, and were observed in 84% and 59% of the study patients, respectively.…”

Section: Discussionmentioning

confidence: 96%

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Prognostic factors associated with healing of venous leg ulcers: a multicentre, prospective, cohort study

et al. 2013

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 96%

Prognostic factors associated with healing of venous leg ulcers: a multicentre, prospective, cohort study

et al. 2013

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“…used a specific instrument, called the Freiburg Life Quality Assessment of Wounds, which has not been validated in Portuguese. 27 Similarly, Gonzalez-Consuegra and Verdú showed the process of cultural adaptation into Spanish of another QoL instrument for chronic leg ulcers, the Charing Cross Venous Ulcer Questionnaire, which is not available in Portuguese. 28 A systematic review of the literature on the impact of leg ulcers on QoL found a large proportion of qualitative and quantitative studies using the SF-36 and the Nottingham Health Profile.…”

Section: Discussionmentioning

confidence: 99%

Quality of life profile and correlated factors in chronic leg ulcer patients in the mid-west of São Paulo State, Brazil

Wachholz

Masuda

Nascimento

et al. 2014

An. Bras. Dermatol.

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BACKGROUNDChronic leg ulcer may have an impact on patients' quality of life. OBJECTIVESThis study aimed to identify the impact of leg ulcers on patient's quality of life using the Dermatology Life Quality Index and to define the main factors correlated with this perception. METHODCross-sectional, non-probabilistic sampling study. We included patients with chronic leg ulcers being treated for at least 3 months. A sociodemographic and clinical survey was conducted to assess the profile of the ulcers. We administered a screening for depressive symptoms and the Dermatology Life Quality Index. We performed a descriptive statistical analysis, chi-square test and Mann-Whitney test for categorical data, Pearson for numeric variables, and multiple regression for categorical data. RESULTSForty-one patients were assessed. Their mean age was 61.78 years. Venous ulcers (48.8%) were the most prevalent. Seventy-three percent of the sample perceived no impact/low impact on quality of life in the past week, and 26.8% perceived moderate/high impact. A multiple regression analysis identified the causes of lesion, pain related to the ulcers, time of onset, and severity of the depressive symptoms as the variables that had an influence on quality of life. CONCLUSIONSThe majority of the sample perceived low or no impact of the condition on the quality of the life. The variables etiology of the lesion (p<0.001), pain related to the ulcers (p=0.001), time of onset (p=0.006), and severity of the depressive symptoms (p<0.001) had an influence on the quality of life, suggesting the need for further studies with more robust designs to confirm the causal relationship between these characteristics and quality of life.

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“…This study shows some limitations, which should be mentioned. The study was implemented in a university wound centre, which means that the patient collective is highly selected and generally experienced multiple pre‐treatments in other medical facilities, and therefore, it does not reflect basic care. On the other hand, approximately 70% of patients with leg ulcers are treated by a general practitioner in Germany The 679 analysed swabs originate from 285 patients, corresponding to a mean of 2.4 swabs per patients, which were included in the analysis.…”

Section: Limitationsmentioning

confidence: 99%

Impact of Gram‐negative bacteria on the treatment of venous leg ulcers

Engelberg

Dörler

Stücker

et al. 2018

International Wound Journal

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Gram-negative germs with and without multi-resistance are garnering more and more importance. The aim of this study was to investigate the frequency and rate of resistance against antibiotics and to clarify the impact of Gram-negative bacteria, especially with high rates of resistance, for the treatment of venous leg ulcers. This is a retrospective, monocentric, non-randomised open study. Included were all data within 1 year of bacterial swabs of venous leg ulcers. We performed summarization, pooling, and descriptive analysis for frequencies and crossover. We analysed 679 swabs of 285 patients with venous leg ulcers. The mean patient age was 69.78 years. There were 76.1% Gram-positive and 58.2% Gram-negative germs detected; 56.5% of the swabs showed multi-resistance. Gram-negative bacteria were associated with more pain. Exacerbation and relevant aggravation of wounds that led to stationary treatment occurred more frequently. With polihexanid treatment, we saw less Gram-negative flora. This study showed an immediate impact of Gram-negative germs on the patient's pain, the risk for aggravation, and the choice of treatment. Further studies for prophylaxis and treatment of Gram-negative germs in venous leg ulcer therapy are needed.

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Quality‐of‐care for leg ulcers in the metropolitan area of Hamburg – a community‐based study

Abstract: Although the majority of patients received adequate therapy, many patients are not being treated properly in accordance with the guidelines.

Cited by 35 publications

References 11 publications

Prognostic factors associated with healing of venous leg ulcers: a multicentre, prospective, cohort study

Prognostic factors associated with healing of venous leg ulcers: a multicentre, prospective, cohort study

Quality of life profile and correlated factors in chronic leg ulcer patients in the mid-west of São Paulo State, Brazil

Impact of Gram‐negative bacteria on the treatment of venous leg ulcers

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