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Related Experiment Videos

Studies on leg and foot ulcers.

C Hansson1

  • 1Department of Dermatology, University of Göteborg, Sweden.

Acta Dermato-Venereologica. Supplementum
|January 1, 1988
PubMed
Summary

Leg and foot ulcers affect 0.3% of the population, primarily older women, with a high mortality rate. Compression bandages are key for treatment, but can cause skin issues like candidiasis.

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Epidemiology

Background:

  • Leg and foot ulcers are significant health issues, particularly in older populations.
  • Vascular disorders are a primary cause of these ulcers, impacting patient morbidity and mortality.
  • Understanding the prevalence, demographics, and treatment outcomes is crucial for effective patient management.

Purpose of the Study:

  • To investigate the prevalence, patient demographics, and clinical characteristics of leg and foot ulcers in Göteborg in 1980.
  • To assess the long-term outcomes, including ulcer recurrence, healing rates, and mortality, in patients with leg and foot ulcers.
  • To evaluate the effectiveness and potential complications of compression bandage therapy for venous leg ulcers.

Main Methods:

  • Retrospective analysis of medical records of patients with leg and foot ulcers caused by vascular disorders.
  • Prevalence estimation based on population data from Göteborg in 1980.
  • Follow-up interviews conducted in 1984 for a subset of patients initially treated at the Department of Dermatology.

Main Results:

  • The prevalence of leg and foot ulcers was approximately 0.3%, with a median patient age of 73 years and 60% being women.
  • Ulcer prevalence increased significantly with age, especially after 70.
  • During a 3.5-year follow-up, 27% of patients died, with mortality rates twice as high as the general population; 44% had recurrent ulcers, and 24% healed without recurrence.

Conclusions:

  • Leg and foot ulcers are associated with increased mortality, particularly from ischemic heart disease.
  • Compression bandages are vital for treating venous leg ulcers, but careful application is needed to prevent complications.
  • A method for regulating sub-bandage pressure was developed, and a case of Candida albicans infection secondary to compression bandaging was identified.

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