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Epidemiology of chronic cutaneous wounds in China.

Chronic cutaneous wounds represent a major health care burden in China. However, limited information exists regarding the epidemiologic changes associated with recent social and economic development. We designed a cross-sectional survey in 2,513 patients who underwent treatment of chronic cutaneous...

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Published in:Wound Repair & Regeneration Vol. 19; no. 2; pp. 181 - 189
Main Authors: Jiang, Yufeng, Huang, Sha, Fu, Xiaobing, Liu, Hongwei, Ran, Xingwu, Lu, Shuliang, Hu, Dahai, Li, Qiang, Zhang, Hongwei, Li, Ying, Wang, Runxiu, Xie, Ting, Cheng, Biao, Wang, Lingfeng, Liu, Yi, Ye, Xiangbai, Han, Chunmao, Chen, Huade
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Mar/Apr2011
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Epidemiology of chronic cutaneous wounds in China.
      aug:
        au:
          Jiang, Yufeng
          Huang, Sha
          Fu, Xiaobing
          Liu, Hongwei
          Ran, Xingwu
          Lu, Shuliang
          Hu, Dahai
          Li, Qiang
          Zhang, Hongwei
          Li, Ying
          Wang, Runxiu
          Xie, Ting
          Cheng, Biao
          Wang, Lingfeng
          Liu, Yi
          Ye, Xiangbai
          Han, Chunmao
          Chen, Huade
        affil: Wound Healing Unit, Trauma Center of Postgraduate Medical College, Chinese PLA General Hospital, Beijing, China; Burns Institute, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing, China; The 306 Hospital of Chinese PLA, Beijing, China
      sug:
        subj:
          Skin Injuries
          Wounds and Injuries Epidemiology
          Chronic Disease
          China
          Human
          Funding Source
          Prevalence
          Infant, Newborn
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Male
          Female
          Blue Collar Workers
          Chi Square Test
          Kruskal-Wallis Test
          Data Analysis Software
          Infant, Newborn: birth-1 month
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Chronic cutaneous wounds represent a major health care burden in China. However, limited information exists regarding the epidemiologic changes associated with recent social and economic development. We designed a cross-sectional survey in 2,513 patients who underwent treatment of chronic cutaneous wounds from a nationally representative sample in 17 hospitals between 2007 and 2008. Results revealed the prevalence of chronic cutaneous wounds among hospitalized patients was 1.7‰. Patient ages ranged from 18 days to 96 years (median, 58 years). The highest ratios were among 40-60 and 60-80-year-old patients (31% and 38%, respectively). The leading causes of chronic cutaneous wounds were diabetes (31.3% men, 35.3% women) trauma (26.4% men, 19.2% women). Manual workers (38.5% men, 29.3% women) and retirees (27.9% men, 23.5% women) accounted for over half the chronic cutaneous wound patients. Regarding treatments, only 22.4% were treated with modern dressings or other novel technologies and more patients received antibiotics (77.8%). Treatment was paid for by the patients in 42.3% of cases, by social medical insurance in 25.0%, by commercial medical insurance in 4.8%, while 27.9% received free medical care. Approximately half the patients' wounds were completely healed at discharge (1,345/2,513). In conclusion, diabetes has recently become the leading cause of chronic cutaneous wounds in China. The large population and considerable financial burden mean that serious attention should be paid to the early detection, prevention and diagnosis of chronic cutaneous wounds, and suggest that an overall health insurance system should be established, especially for the elderly.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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