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Factors related to the size of venous leg ulcers: A cross-sectional study

Venous leg ulcers (VLUs) are an important health problem, and the size of ulcers often affects patient care, healing time, and quality of life. However, the risk factors associated with ulcer size have been rarely reported. The aim of this study was to establish the risk factors for the size of veno...

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Autores principales: Liu, Xiaochun, Zheng, Guofu, Ye, Bo, Chen, Weiqing, Xie, Hailiang, Zhang, Teng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380848/
https://www.ncbi.nlm.nih.gov/pubmed/30702633
http://dx.doi.org/10.1097/MD.0000000000014389
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author Liu, Xiaochun
Zheng, Guofu
Ye, Bo
Chen, Weiqing
Xie, Hailiang
Zhang, Teng
author_facet Liu, Xiaochun
Zheng, Guofu
Ye, Bo
Chen, Weiqing
Xie, Hailiang
Zhang, Teng
author_sort Liu, Xiaochun
collection PubMed
description Venous leg ulcers (VLUs) are an important health problem, and the size of ulcers often affects patient care, healing time, and quality of life. However, the risk factors associated with ulcer size have been rarely reported. The aim of this study was to establish the risk factors for the size of venous ulceration by analyzing the patient demographics and the results of duplex ultrasonography. This study was an in-patient population-based cross-sectional study conducted at a single center during the period from 2013 to 2017. Men and women aged >18 years, who consecutively presented to our hospital with VLU, were included. According to the size of the ulcer, patients were divided into two groups, those with ulcers≤2 cm and those with ulcers >2 cm. Demographic, anthropometric, and clinical data were collected. For the analysis, univariate and multivariate logistic regressions were used. A total of 232 patients with VLUs were admitted to our hospital from 2013 to 2017, including 117 patients (50.4%) with ulcer diameters ≤2 cm and 115 patients (49.6%) with ulcer diameters >2 cm. According to the results of the multivariate analysis, the ulcer duration (P = .001), the diameter of perforating veins (PVs) around the ulcers (P = .025), the reflux time of common femoral veins (CFVs) (P = .013), the reflux time of great saphenous veins (GSVs) (P = .021), and the reflux time of PVs around the ulcers (P = .001) were independent risk factors for VLUs. These findings provide evidence that the size of VLU was significantly related to the ulcer duration, the diameter of PV around the ulcers, the CFV reflux time, the GSV reflux time, and the PV reflux time.
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spelling pubmed-63808482019-03-11 Factors related to the size of venous leg ulcers: A cross-sectional study Liu, Xiaochun Zheng, Guofu Ye, Bo Chen, Weiqing Xie, Hailiang Zhang, Teng Medicine (Baltimore) Research Article Venous leg ulcers (VLUs) are an important health problem, and the size of ulcers often affects patient care, healing time, and quality of life. However, the risk factors associated with ulcer size have been rarely reported. The aim of this study was to establish the risk factors for the size of venous ulceration by analyzing the patient demographics and the results of duplex ultrasonography. This study was an in-patient population-based cross-sectional study conducted at a single center during the period from 2013 to 2017. Men and women aged >18 years, who consecutively presented to our hospital with VLU, were included. According to the size of the ulcer, patients were divided into two groups, those with ulcers≤2 cm and those with ulcers >2 cm. Demographic, anthropometric, and clinical data were collected. For the analysis, univariate and multivariate logistic regressions were used. A total of 232 patients with VLUs were admitted to our hospital from 2013 to 2017, including 117 patients (50.4%) with ulcer diameters ≤2 cm and 115 patients (49.6%) with ulcer diameters >2 cm. According to the results of the multivariate analysis, the ulcer duration (P = .001), the diameter of perforating veins (PVs) around the ulcers (P = .025), the reflux time of common femoral veins (CFVs) (P = .013), the reflux time of great saphenous veins (GSVs) (P = .021), and the reflux time of PVs around the ulcers (P = .001) were independent risk factors for VLUs. These findings provide evidence that the size of VLU was significantly related to the ulcer duration, the diameter of PV around the ulcers, the CFV reflux time, the GSV reflux time, and the PV reflux time. Wolters Kluwer Health 2019-02-01 /pmc/articles/PMC6380848/ /pubmed/30702633 http://dx.doi.org/10.1097/MD.0000000000014389 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Liu, Xiaochun
Zheng, Guofu
Ye, Bo
Chen, Weiqing
Xie, Hailiang
Zhang, Teng
Factors related to the size of venous leg ulcers: A cross-sectional study
title Factors related to the size of venous leg ulcers: A cross-sectional study
title_full Factors related to the size of venous leg ulcers: A cross-sectional study
title_fullStr Factors related to the size of venous leg ulcers: A cross-sectional study
title_full_unstemmed Factors related to the size of venous leg ulcers: A cross-sectional study
title_short Factors related to the size of venous leg ulcers: A cross-sectional study
title_sort factors related to the size of venous leg ulcers: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380848/
https://www.ncbi.nlm.nih.gov/pubmed/30702633
http://dx.doi.org/10.1097/MD.0000000000014389
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