Aetiology, comorbidities and cofactors of chronic leg ulcers: retrospective evaluation of 1 000 patients from 10 specialised dermatological wound care centers in Germany.

Abstract:

:Numerous comorbidities and cofactors have been known to influence wound healing processes. In this multicentre study, clinical data of 1 000 patients with chronic leg ulcers from ten specialised dermatological wound care centers were analysed. The patient cohort comprised 567 females and 433 males with an average age of 69·9 years. The wounds persisted on average for 40·8 months and had a mean size of 43·7 cm(2) . Venous leg ulcers represented the most common entity accounting for 51·3% of all chronic wounds, followed by mixed-type ulcers in 12·9% and arterial ulcerations in 11·0% of the patients. Vasculitis was diagnosed in 4·5%, trauma in 3·2%, pyoderma gangrenosum in 2·8%, lymphoedema in 1·7%, neoplasia in 1·0% and delayed post-surgical wound healing in 0·6% of the included patients. In total, 70·5% of patients suffered from arterial hypertension, 45·2% were obese, 27·2% had non-insulin dependent diabetes, and 24·4% dyslipidaemia. Altogether 18·4% suffered from metabolic syndrome. Cofactors and comorbidities of patients with chronic leg ulcers have previously been studied but not in detail. Here, we were able to demonstrate the existence of several potentially relevant cofactors, comorbidities of their associations and geographical distributions, which should be routinely examined in patients with chronic leg ulcers and - if possible - treated.

journal_name

Int Wound J

authors

Jockenhöfer F,Gollnick H,Herberger K,Isbary G,Renner R,Stücker M,Valesky E,Wollina U,Weichenthal M,Karrer S,Kuepper B,Roesch A,Dissemond J

doi

10.1111/iwj.12387

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

821-8

issue

5

eissn

1742-4801

issn

1742-481X

journal_volume

13

pub_type

杂志文章,多中心研究
  • Nicorandil: from ulcer to fistula into adjacent organs.

    abstract::Nicorandil is an original vasodilatator used to control angina by decreasing cardiac preload and afterload. Since 1997, many reports of single or multiple nicorandil-induced ulcerations have been published. To date, eight cases of nicorandil-induced fistula into adjacent organs have been described. The pathogeneses of...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.00966.x

    authors: Trechot P,Petitpain N,Guy C,Pinzano A,Javot L,Schmutz JL,Marie B,Barbaud A

    更新日期:2013-04-01 00:00:00

  • Feasibility and safety of image-guided vacuum-assisted breast biopsy: A PRISMA-compliant systematic review and meta-analysis of 20 000 population from 36 longitudinal studies.

    abstract::Breast cancer is a serious disease in women. We estimated the global technical success rate and complication rates of percutaneous vacuum-assisted breast biopsy (VABB). PubMed, Embase, Web of Science, and Scopus databases were retrieved up to July 2018 to find studies in which technical success rate and complication r...

    journal_title:International wound journal

    pub_type: 杂志文章,meta分析

    doi:10.1111/iwj.13224

    authors: Fang M,Liu G,Luo G,Wu T

    更新日期:2019-12-01 00:00:00

  • Comparative effectiveness of the SNaP™ Wound Care System.

    abstract::Diabetic lower extremity wounds cause substantial burden to healthcare systems, costing tens of thousands of dollars per episode. Negative pressure wound therapy (NPWT) devices have been shown to be cost-effective at treating these wounds, but the traditional devices use bulky electrical pumps that require a durable m...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00775.x

    authors: Hutton DW,Sheehan P

    更新日期:2011-04-01 00:00:00

  • Use of prophylactic silicone adhesive dressings for maintaining skin integrity in intensive care unit patients: A randomised controlled trial.

    abstract::The aims of this randomised controlled study were to determine whether the application of silicone adhesive dressings with standard preventive care would reduce the impairment of skin integrity and to evaluate the subepidermal moisture (SEM) value in anatomical locations to predict impairment of skin integrity. Of the...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.13028

    authors: Lee YJ,Kim JY,Shin WY

    更新日期:2019-03-01 00:00:00

  • Comparing the reported burn conditions for different severity burns in porcine models: a systematic review.

    abstract::There are many porcine burn models that create burns using different materials (e.g. metal, water) and different burn conditions (e.g. temperature and duration of exposure). This review aims to determine whether a pooled analysis of these studies can provide insight into the burn materials and conditions required to c...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12786

    authors: Andrews CJ,Cuttle L

    更新日期:2017-12-01 00:00:00

  • Prognosis of stage I pressure ulcers and related factors.

    abstract::The prognosis of stage I pressure ulcers cannot be predicted; therefore, nursing interventions for preventing their deterioration have not been clearly established. This study describes the clinical course of stage I pressure ulcers and prospectively investigates the factors related to their deterioration. Thirty-one ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2006.00267.x

    authors: Sato M,Sanada H,Konya C,Sugama J,Nakagami G

    更新日期:2006-12-01 00:00:00

  • Comparison of the efficacy and safety of povidone-iodine foam dressing (Betafoam), hydrocellular foam dressing (Allevyn), and petrolatum gauze for split-thickness skin graft donor site dressing.

    abstract::We evaluated the efficacy and safety of a povidone-iodine (PVP-I) foam dressing (Betafoam) for donor site dressing versus a hydrocellular foam dressing (Allevyn) and petrolatum gauze. This prospective Phase 4 study was conducted between March 2016 and April 2017 at eight sites in Korea. A total of 106 consenting patie...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13043

    authors: Pak CS,Park DH,Oh TS,Lee WJ,Jun YJ,Lee KA,Oh KS,Kwak KH,Rhie JW

    更新日期:2019-04-01 00:00:00

  • Epidermal growth factor in clinical practice - a review of its biological actions, clinical indications and safety implications.

    abstract::Chemotaxis, mitogenesis, motogenesis and cytoprotection are common cellular events involved in both tumourigenesis and tissue repair, which appear amplified upon growth factors exposure. Epidermal growth factor (EGF) promotes these events in epithelial and mesenchymal cells through the binding to a specific tyrosine k...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2009.00622.x

    authors: Berlanga-Acosta J,Gavilondo-Cowley J,López-Saura P,González-López T,Castro-Santana MD,López-Mola E,Guillén-Nieto G,Herrera-Martinez L

    更新日期:2009-10-01 00:00:00

  • Combination therapy using non-ablative fractional laser and intralesional triamcinolone injection for hypertrophic scars and keloids treatment.

    abstract::Combinations of various treatment modalities were shown to be more effective than monotherapy when treating hypertrophic scars and keloids. This study was conducted to assess the effectiveness of combination therapy with non-ablative fractional laser and intralesional steroid injection. From May 2015 to June 2017, a t...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13213

    authors: Shin J,Cho JT,Park SI,Jung SN

    更新日期:2019-12-01 00:00:00

  • Infection mechanism of biofilm-forming Staphylococcus aureus on indwelling foreign materials in mice.

    abstract::Indwelling foreign-body infections are a critical medical problem, especially in immunocompromised patients. To examine the pathogenicity of biofilm-forming bacteria settling on foreign materials, mice implanted with plastic discs were infected with Staphylococcus aureus. After opening a wide subcutaneous pocket on th...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12061

    authors: Makino T,Jimi S,Oyama T,Nakano Y,Hamamoto K,Mamishin K,Yahiro T,Hara S,Takata T,Ohjimi H

    更新日期:2015-04-01 00:00:00

  • The influence of different sizes and types of wound fillers on wound contraction and tissue pressure during negative pressure wound therapy.

    abstract::Negative pressure wound therapy (NPWT) contracts the wound and alters the pressure in the tissue of the wound edge, which accelerates wound healing. The aim of this study was to examine the effect of the type (foam or gauze) and size (small or large) of wound filler for NPWT on wound contraction and tissue pressure. N...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00790.x

    authors: Anesäter E,Borgquist O,Hedström E,Waga J,Ingemansson R,Malmsjö M

    更新日期:2011-08-01 00:00:00

  • The operative treatment of pressure wounds: a 10-year experience in flap selection.

    abstract::This study sought to both assist in the selection of flaps for ischial pressure wound re-construction and to evaluate the overall complication rates associated with re-construction. A retrospective medical record review was conducted for 78 patients following the surgical re-construction of an ischial pressure sore. R...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2010.00662.x

    authors: Ahluwalia R,Martin D,Mahoney JL

    更新日期:2010-04-01 00:00:00

  • Nurses are research leaders in skin and wound care.

    abstract::The World Health Assembly declared 2020, the International Year of the Nurse and the Midwife. Recent editorials and commentaries support the leading role of nurses and midwives as frontline caregivers emphasizing the need to invest in the nursing workforce worldwide to meet global health needs. Today nurses are also l...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13492

    authors: Gethin G,Probst S,Weller C,Kottner J,Beeckman D

    更新日期:2020-12-01 00:00:00

  • An observational study of the maintenance of the 30° side-lying lateral tilt position among aged care residents at risk of developing pressure injuries when using the standard care pillow and a purpose-designed positioning device.

    abstract::The aim of the study was to evaluate the maintenance of the 30° side-lying lateral tilt position among aged care residents at the risk of developing pressure injuries when using the standard care pillow and a purpose-designed positioning device. An observational study was conducted. Participants were monitored during ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13142

    authors: Kapp S,Gerdtz M,Gefen A,Prematunga R,Santamaria N

    更新日期:2019-10-01 00:00:00

  • Use of negative pressure wound therapy with instillation and a reticulated open cell foam dressing with through holes in the acute care setting.

    abstract::Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an automated system used to deliver, dwell, and remove topical solutions from the wound bed. Recently, a reticulated open cell foam dressing with through holes (ROCF-CC) was developed, which assists with wound cleansing by removing thick exu...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13097

    authors: McElroy EF

    更新日期:2019-06-01 00:00:00

  • A simple concept for covering pressure sores: wound edge-based propeller perforator flap.

    abstract::We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between J...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12783

    authors: Kelahmetoglu O,Van Landuyt K,Yagmur C,Sommeling CE,Keles MK,Tayfur V,Simsek T,Demirtas Y,Guneren E

    更新日期:2017-12-01 00:00:00

  • Late complication after tropic storm accident: subcutaneous and intracranial actinomycetoma.

    abstract::We report a 53-year-old farmer who developed subcutaneous and cerebral masses 24 years after penetrating trauma during a tropic storm. Computed tomography scans, magnetic resonance imaging and histopathology disclosed actinomycetoma, a disease that rarely develops after trauma and is only occasionally seen with intrac...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2008.00456.x

    authors: Verma SB,Nayak S,Pasale RK,Kittner T,Wollina U

    更新日期:2008-12-01 00:00:00

  • The use of a surgical incision management system on vascular surgery incisions: a pilot study.

    abstract::Health care-associated infections in hospitals, including surgical site infections, contribute significantly to morbidity as well as mortality. Surgical incision management (SIM) using negative pressure wound therapy (Prevena™ Incision Management System, Kinetic Concepts, Inc., San Antonio, TX, USA) is designed to cov...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12261

    authors: Weir G

    更新日期:2014-06-01 00:00:00

  • An update review on risk factors and scales for prediction of deep sternal wound infections.

    abstract::Surgical site infections are the most common nosocomial infections in surgical patients. The preventable and the unmodifiable risk factors for deep sternal wound infections (DSWI) have been amply assessed in the literature. The aim of this review was to describe the results of the numerous published studies to describ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2011.00896.x

    authors: Buja A,Zampieron A,Cavalet S,Chiffi D,Sandonà P,Vinelli A,Baldovin T,Baldo V

    更新日期:2012-08-01 00:00:00

  • Autologous platelet-rich plasma for healing chronic venous leg ulcers: Clinical efficacy and potential mechanisms.

    abstract::The overall quality of evidence of autologous platelet-rich plasma (PRP) for treating chronic wounds remains low. While further well-designed clinical studies are clearly required to convincingly demonstrate the efficacy of autologous PRP in improved healing of venous leg ulcers (VLUs) and other chronic wounds, there ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13098

    authors: Weller CD,Gardiner EE,Arthur JF,Southey M,Andrews RK

    更新日期:2019-06-01 00:00:00

  • Topical grape (Vitis vinifera) seed extract promotes repair of full thickness wound in rabbit.

    abstract::In recent years, oxidative stress and free radicals have been implicated in impaired wound healing. Grape (Vitis vinifera) seed extract (GSE) possesses anti-inflammatory and antioxidant properties. The present study was undertaken to assess the potential activity of grape seed hydroalcoholic extract in wound healing i...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00833.x

    authors: Hemmati AA,Aghel N,Rashidi I,Gholampur-Aghdami A

    更新日期:2011-10-01 00:00:00

  • A prospective window into medical device-related pressure ulcers in intensive care.

    abstract::The aim of this study was to determine the prevalence, severity, location, aetiology, treatment and healing of medical device-related pressure ulcers (PUs) in intensive care patients for up to 7 days. A prospective repeated measures study design was used. Patients in six intensive care units of two major medical centr...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12026

    authors: Coyer FM,Stotts NA,Blackman VS

    更新日期:2014-12-01 00:00:00

  • A prospective, randomised, controlled, multicentre clinical trial examining healing rates, safety and cost to closure of an acellular reticular allogenic human dermis versus standard of care in the treatment of chronic diabetic foot ulcers.

    abstract::Acellular dermal matrices can successfully heal wounds. This study's goal was to compare clinical outcomes of a novel, open-structure human reticular acellular dermis matrix (HR-ADM) to facilitate wound closure in non-healing diabetic foot ulcers (DFUs) versus DFUs treated with standard of care (SOC). Following a 2-we...

    journal_title:International wound journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/iwj.12600

    authors: Zelen CM,Orgill DP,Serena T,Galiano R,Carter MJ,DiDomenico LA,Keller J,Kaufman J,Li WW

    更新日期:2017-04-01 00:00:00

  • A case series and a review of the literature on foreign modelling agent reaction: an emerging problem.

    abstract::Foreign modelling agent reactions (FMAR) are the result of the injection of unapproved high-viscosity fluids with the purpose of cosmetic body modelling. Its consequences lead to ulceration, disfigurement and even death, and it has reached epidemic proportions in several regions of the world. We describe a series of p...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12643

    authors: Martínez-Villarreal AA,Asz-Sigall D,Gutiérrez-Mendoza D,Serena TE,Lozano-Platonoff A,Sanchez-Cruz LY,Toussaint-Caire S,Domínguez-Cherit J,López-García LA,Cárdenas-Sánchez A,Contreras-Ruiz J

    更新日期:2017-06-01 00:00:00

  • Ulcerated necrobiosis lipoidica as a rare cause for chronic leg ulcers: case report series of ten patients.

    abstract::Necrobiosis lipoidica is a rare granulomatous disorder of the skin. In up to 30% of the affected patients it can lead to ulcerations, which can impair the quality of life and are also very difficult to treat. Its pathogenesis is not fully understood. Only few studies focussing on necrobiosis lipoidica can be found, bu...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12159

    authors: Franklin C,Stoffels-Weindorf M,Hillen U,Dissemond J

    更新日期:2015-10-01 00:00:00

  • Contact sensitivity in patients with venous leg ulcer: A multi-centric Indian study.

    abstract::Venous leg ulcers are the most common form of non-healing leg ulcers. They are subjected to treatments such as topical medications, dressings, and compression therapies. This can lead to exposure to a number of allergens with subsequent sensitisation and contact dermatitis of the regional skin. This may contribute to ...

    journal_title:International wound journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/iwj.12905

    authors: Rai R,Shenoy MM,Viswanath V,Sarma N,Majid I,Dogra S

    更新日期:2018-08-01 00:00:00

  • A novel measurement instrument for pressure-injury risk assessment competence: Theoretical procedures, simulation, and psychometric quality.

    abstract::This study developed a measuring instrument of pressure-injury risk assessment competence for nursing education adopting theoretical procedures based on competence structuration to support the psychometric quality. The objective of this study is testing the psychometric properties of the instrument using simulation st...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13311

    authors: Moura ECC,Peres AM,Caliri MHL,Lopez V,F Soares S

    更新日期:2020-06-01 00:00:00

  • An audit to assess the perspectives of U.S. wound care specialists regarding the importance of proteases in wound healing and wound assessment.

    abstract::Chronic wounds represent an aberrant biochemistry that creates a toxic proteolytic milieu which can be detrimental to the healing process. Rebalancing the wound microenvironment and addressing elevated protease activity (EPA) could therefore help facilitate healing. To understand how clinicians currently diagnose and ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2012.01040.x

    authors: Snyder RJ,Cullen B,Nisbet LT

    更新日期:2013-12-01 00:00:00

  • Implementation of a successful electronic wound documentation system in rural Victoria, Australia: a subject of collaboration and community engagement.

    abstract::To describe the steps needed for a successful implementation of an e-health programme (the Mobile Wound Care system) in rural Victoria, Australia and to provide recommendations for future e-health initiatives. Wound care is a major burden on the health care system. Optimal wound care was found to be impeded by issues ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12041

    authors: Khalil H,Cullen M,Chambers H,Steers N,Walker J

    更新日期:2014-06-01 00:00:00

  • The smart negative pressure (SNaP) wound care system: A case series from Singapore.

    abstract::The Smart Negative Pressure (SNaP) wound care system is a novel device that is single-patient use, ultra-portable, and light weight and does not rely on battery or need recharging. A systematic search was performed on major databases to identify relevant articles including case reports, retrospective case series, and ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13114

    authors: Wee IJY,Mak M,O'Donnell G,Tan J,Chong TT,Tang TY

    更新日期:2019-08-01 00:00:00