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Epidemiological characteristics and clinical analyses of chronic cutaneous wounds of inpatients in China: Prevention and control

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机构: [1]Department of Burn and Plastic Surgery, General Hospital of Southern Theater Command, PLA, Guangzhou, China [2]Wound Healing Center, PLA Strategic Support Force Characteristic Medical Center, Beijing, China [3]Wound Healing Unit, Medical Innovation Department and the Fourth Medical Center, PLA General Hospital and PLA Medical College, Beijing, China [4]Department of Burns and Plastic Surgery, Fourth Medical Center of Chinese PLA General Hospital, Beijing, China [5]Department of Plastic Surgery, the First Affiliated Hospital, Jinan University, Guangzhou, Key Laboratory of Regenerative Medicine, Ministry of Education, Institute for New Technologies Plastic Surgery of Jinan University, Guangzhou, China [6]Center of Burns and Plastic Surgery, The 940th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou, China [7]Department of Burns and Wound Repair Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China [8]Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China [9]Department of Burns Surgery, Inner Mongolia Baogang Hospital, Inner Mongolia burn Medical Research Institute, Baotou, China [10]Department of Burns and Cutaneous Surgery, The First Affiliated Hospital (Xijing Hospital), Air Force Military Medical University, Xi'an, China [11]Department of Plastic surgery, Tongren Hospital of Wuhan University (Wuhan Third Hospital), Wuhan, China [12]Department of Burns, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China [13]Department of Endocrinology and Metabolism, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China [14]Diabetic Foot Care Centre, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China [15]Department of Burn and Plastic Surgery, The Affiliated Hospital of Jining Medical University, Jining, China
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The increased incidence of chronic cutaneous wounds is likely to lead to increased mortality, and therefore, deserves greater attention. More insight is needed into the magnitude of the problem of chronic cutaneous wounds and methods for their prevention and treatment in China. A retrospective analysis of data retrieved from an electronic health-records database on 3300 patients with chronic skin wounds was conducted from 1 January 2018 to 31 December 2018. The patients had been admitted to the medical and surgical wards of 17 third-grade class-A hospitals in China. The study's aim was to compare the characteristics (eg, demographic and clinical) associated with different causes and distributions of patients' chronic wounds. Among the 3300 patients, 66.03% were males and 33.97% were females. The mean age was 57 years and the increasing prevalence of chronic skin wounds with aging was quite high. The primary causes of chronic wounds were diabetes or infection, followed by pressure ulcers, trauma, and iatrogenic wounds. The distribution of skin wounds was mainly in the lower extremities (56.1%), followed by the trunk (18.6%). The mean duration of hospital stay was 29 days and the mean recurrence was 3 months. Chronic skin wounds were related to occupation, educational level, lifestyle habits, and income. The main cause of chronic skin wounds has shifted from trauma to chronic disease. Normalization checks, bacterial cultures, and antibiotic use in China need to be standardized and the training of wound specialists should be further strengthened. The association of aging and wound infection was significant. Preventive management and efficient treatment should correspond to the needs of the different regions of China. These results may serve as a reference for other developing countries in their transitional development. © 2020 by the Wound Healing Society

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 2 区 皮肤病学 3 区 医学:研究与实验 3 区 外科 4 区 细胞生物学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 皮肤病学 3 区 医学:研究与实验 3 区 外科
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出版当年[2018]版:
Q2 MEDICINE, RESEARCH & EXPERIMENTAL Q2 SURGERY Q2 DERMATOLOGY Q3 CELL BIOLOGY
最新[2023]版:
Q1 DERMATOLOGY Q1 SURGERY Q2 CELL BIOLOGY Q2 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Department of Burn and Plastic Surgery, General Hospital of Southern Theater Command, PLA, Guangzhou, China
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通讯机构: [3]Wound Healing Unit, Medical Innovation Department and the Fourth Medical Center, PLA General Hospital and PLA Medical College, Beijing, China [*1]Wound Healing Unit, Medical Innovation Department and the Fourth Medical Center, PLA General Hospital and PLA Medical College, 28 Fu Xing Road, Beijing 100853, China
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