Here - EWMA 2013

POSTER: LEG ULCER
Poster: Leg Ulcer
P 315
WOUND PREVALENCE IN A NORTH EUROPEAN POPULATION, A POPULATION
BASED STUDY
Kian Zarchi 1 , Gabrielle R Vinding 1 , Iben M Miller 1 , Kristina Ibler 1 , Christina Ellervik 2 ,
Gregor BE Jemec 1
1 Department of Dermatology, Roskilde Hospital (Roskilde, Denmark);
2 Department of Clinical Biochemistry, Naestved Hospital (Naestved, Denmark).
Aim: To determine the prevalence of chronic leg ulcer in a Danish adult population
Method: In a municipality of Naestved, Denmark (pop. 81000), all inhabitants aged 30+
and a random selection of 25% of those aged 20-30 years were invited to participate a
questionnaire-based population study (The Danish General Suburban Population
Study). The study was initiated in January 2010 and is ongoing. Participants were asked
whether they currently suffer from a cutaneous ulcer located below the knee and above
the foot lasting longer than 6 weeks, and whether they ever had an ulcer below the knee
and above the foot which lasted longer than 6 weeks.
Results: So far, 14857 participants have responded. The number of inhabitants,
reporting current chronic ulcer (>6 weeks), was 172, corresponding to the point
prevalence of chronic leg ulcer being 1.2% among people above 20 years old.
Furthermore, 5,6% of participants reported that they had previously suffered from a
chronic leg ulcer for more than 6 weeks.
Conclusion: In this questionnaire-based study of a suburban Danish population, we
found the point prevalence of chronic leg ulcer to be 1,2%. Although, the point
prevalence is slightly higher than the previously reported prevalence’, which might be
due to the self reporting nature of the study, it emphasizes the point that chronic ulcers
continues to represent a major health burden in the Western countries.
P 316
NEGATIVE PRESSURE WOUND THERAPY FOR TREATMENT OF VENOUS
TROPHIC ULCERS
Poster: Leg Ulcer
Alexander Ermolov 1 , Vladimir Obolenskiy 2 , Grigoriy Rodoman 1
1 RNRMU (Moscow, Russia);
2 City Hospital # 13 (Moscow, Russia).
Aim: To assess the effectiveness of negative pressure wound therapy (NPWT) in
treatment of venous trophic ulcers (VTU).
Methods: Analysis of treatment outcomes of 21 patients with VTU was performed. In 9
patients NPWT was used (experimental group: 5 males, 4 females, mean age was
67.0±4.9 years, the mean VTU area was 163.3±36.2 cm 2 , bacterial contamination level
was 10^6), dressing was changed every 3-4 days. The control group: 12 patients (5/7;
71.8±4.9; 118.8±63.8 cm 2 ; 10^6) with traditional topical antiseptics were used. Following
wound decontamination and formation of granulation tissue, autodermoplastic surgery
(ADP) was performed using free split skin flap and NPWT was used for the transplanted
flap in the experimental group for 3 days. Mean duration of NPWT in the group was
5.7±0.5 days.
Results: Time to ADP in patients of the experimental group was 9.6±1.8 days; ADP was
performed for all patients and adaptation of the flap was achieved in 100% of cases. In
the control ADP was performed only for 3 patients during the ongoing hospital stay,
mean time to ADP was 15.7±0.3 days and the adaptation of transplanted grafts was
achieved in 80% of cases. The mean duration of hospital stay was 15.1±1.9 and
22.8±3.8 days, respectively. Mean cost of treatment was 1328.73 EUR and 1730.21
EUR per patient, respectively.
Conclusion: NPWT is a clinically beneficial and cost effective method for treatment of
VTU.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
187