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A relational database within the Leg Club Network: an audit

The growing prevalence of venous leg ulcers in an ageing population presents challenges for wound care and management. The Lindsay Leg Club model is an alternative approach to the management of leg health that can improve patient outcomes. This article reports on an audit of a relational database lo...

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Autores principales: McIntyre, Neil, Galazka, Anna Milena, Lindsay, Ellie, Bawden, Robert, Renyi, Roland
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244080/
https://www.ncbi.nlm.nih.gov/pubmed/33236851
http://dx.doi.org/10.1111/iwj.13522
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author McIntyre, Neil
Galazka, Anna Milena
Lindsay, Ellie
Bawden, Robert
Renyi, Roland
author_facet McIntyre, Neil
Galazka, Anna Milena
Lindsay, Ellie
Bawden, Robert
Renyi, Roland
author_sort McIntyre, Neil
collection PubMed
description The growing prevalence of venous leg ulcers in an ageing population presents challenges for wound care and management. The Lindsay Leg Club model is an alternative approach to the management of leg health that can improve patient outcomes. This article reports on an audit of a relational database located within the Leg Club Network, containing records of more than 17 000 patients (known as members) who attended a Leg Club in a 5‐year period (2014‐2019). Overall, over 266 000 member leg assessments and treatments were entered into the database. The average nurse‐member attendance time was 28 min, with a skill mix of 23% senior nurses, 70% qualified and associate nurses, and 7% nurses in supervisory roles. Healing rates averaged 62% after 12 weeks. Recurrence rates were 20% after 12 weeks. Annual clinical and volunteer hours averaged 821 and 800 h, respectively. Staffing costs were £28 per wound treatment or leg assessment with a typical duration of 27 min; 71% of members were aged 70 to 94 years old, which indicates the need for a service that caters to the specific requirements of this age group. However, no data on psychosocial and well‐being outcomes were recorded. Their inclusion in further developments of this database is recommended.
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spelling pubmed-82440802021-07-02 A relational database within the Leg Club Network: an audit McIntyre, Neil Galazka, Anna Milena Lindsay, Ellie Bawden, Robert Renyi, Roland Int Wound J Original Articles The growing prevalence of venous leg ulcers in an ageing population presents challenges for wound care and management. The Lindsay Leg Club model is an alternative approach to the management of leg health that can improve patient outcomes. This article reports on an audit of a relational database located within the Leg Club Network, containing records of more than 17 000 patients (known as members) who attended a Leg Club in a 5‐year period (2014‐2019). Overall, over 266 000 member leg assessments and treatments were entered into the database. The average nurse‐member attendance time was 28 min, with a skill mix of 23% senior nurses, 70% qualified and associate nurses, and 7% nurses in supervisory roles. Healing rates averaged 62% after 12 weeks. Recurrence rates were 20% after 12 weeks. Annual clinical and volunteer hours averaged 821 and 800 h, respectively. Staffing costs were £28 per wound treatment or leg assessment with a typical duration of 27 min; 71% of members were aged 70 to 94 years old, which indicates the need for a service that caters to the specific requirements of this age group. However, no data on psychosocial and well‐being outcomes were recorded. Their inclusion in further developments of this database is recommended. Blackwell Publishing Ltd 2020-11-25 /pmc/articles/PMC8244080/ /pubmed/33236851 http://dx.doi.org/10.1111/iwj.13522 Text en © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
McIntyre, Neil
Galazka, Anna Milena
Lindsay, Ellie
Bawden, Robert
Renyi, Roland
A relational database within the Leg Club Network: an audit
title A relational database within the Leg Club Network: an audit
title_full A relational database within the Leg Club Network: an audit
title_fullStr A relational database within the Leg Club Network: an audit
title_full_unstemmed A relational database within the Leg Club Network: an audit
title_short A relational database within the Leg Club Network: an audit
title_sort relational database within the leg club network: an audit
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244080/
https://www.ncbi.nlm.nih.gov/pubmed/33236851
http://dx.doi.org/10.1111/iwj.13522
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