Zexin Yao1, Jun Niu, Biao Cheng. 1. Zexin Yao, MPH, is a postgraduate student, School of Public Health, Guangdong Pharmaceutical University, and General Hospital of Southern Theater Command of PLA, Guangdong, China. Jun Niu, MD, PhD, is a professor of wound healing, the 967 Hospital of PLA, Dalian. Biao Cheng, MD, PhD, is a professor of plastic surgery, School of Public Health, Guangdong Pharmaceutical University, and General Hospital of Southern Theater Command of PLA, Guandong. Acknowledgments: This study was supported by a grant of the National Natural Science Foundation of China (81272105, and 81671924), the National Key Research and Development Plan of China (2017YFC1103301), the Science and Technology Key Project of Guangdong Province (2014B020212010), the Science and Technology Planning Project of Guangdong Province of China (2015B020233012), and the Military Medical Innovation Special Projects (18CXZ029). Zexin Yao and Jun Niu contributed equally to this work. The authors have disclosed no other financial relationships related to this article. Submitted December 10, 2019; accepted in revised form March 10, 2020.
Abstract
OBJECTIVE: To gain insight into the magnitude of the problem of chronic skin wounds in a hospital in northern China. METHODS: Researchers conducted a retrospective analysis of electronic health records of cases and controls, including 1,977 patients with chronic skin wounds admitted to the hospital's medical wards over 5 years. Multiple logistic regression was used to establish factors correlating with the development of chronic wounds. RESULTS: The total prevalence of chronic wounds increased over the study period, and the occurrence of these wounds was significantly correlated with male sex, married status, unemployment, autumn season, and older age. The primary causes of chronic wounds were infection and diabetic ulcer. There were proportionally more wounds secondary to disease than traumatic wounds. The mean duration of hospitalization for patients with wounds was 13 days, and patients were readmitted an average of 10 times. CONCLUSIONS: With the rapidly aging population in China, disability and chronic wounds are significant problems. Reducing hospital lengths of stay and readmissions remains a challenge. Palliative care may be appropriate for the management of some chronic wounds to prevent and treat further complications. Establishing funding guarantees and the reasonable allocation of health resources is required.
OBJECTIVE: To gain insight into the magnitude of the problem of chronic skin wounds in a hospital in northern China. METHODS: Researchers conducted a retrospective analysis of electronic health records of cases and controls, including 1,977 patients with chronic skin wounds admitted to the hospital's medical wards over 5 years. Multiple logistic regression was used to establish factors correlating with the development of chronic wounds. RESULTS: The total prevalence of chronic wounds increased over the study period, and the occurrence of these wounds was significantly correlated with male sex, married status, unemployment, autumn season, and older age. The primary causes of chronic wounds were infection and diabetic ulcer. There were proportionally more wounds secondary to disease than traumatic wounds. The mean duration of hospitalization for patients with wounds was 13 days, and patients were readmitted an average of 10 times. CONCLUSIONS: With the rapidly aging population in China, disability and chronic wounds are significant problems. Reducing hospital lengths of stay and readmissions remains a challenge. Palliative care may be appropriate for the management of some chronic wounds to prevent and treat further complications. Establishing funding guarantees and the reasonable allocation of health resources is required.
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