Prevalence and risk factors for chronic edema in U.K. community nursing services

Moffatt, C.J. ORCID: 0000-0002-2436-0129, Gaskin, R., Sykorova, M., Dring, E., Aubeeluck, A., Franks, P.J., Windrum, P., Mercier, G., Pinnington, L. and Quere, I., 2019. Prevalence and risk factors for chronic edema in U.K. community nursing services. Lymphatic Research and Biology, 17 (2), pp. 147-154. ISSN 1539-6851

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Abstract

Background and study design: Chronic edema (CO) is believed to be a major clinical problem within community nursing services in the UK. This study was undertaken as part of the LIMPRINT international study to determine the number of people with chronic oedema and its impact on health services.

Methods and Results: Three urban based community nursing services participated in the UK with prospective evaluation over 4 weeks of all patients receiving nursing care using a questionnaire-based interview and clinical assessment using the LIMPRINT tools. Of the total 2,541 assessed 1,440 (56.7%) were considered to have CO, comprising Leicester City (768/ 1298 (59.2%), Nottingham West (124/ 181 (68.5%)) and Nottingham City (548/1062 (51.6%)). The mean age for women with CO was 78.6 (SD 12.8) years and for men 72.9 (SD14.5). More patients with CO suffered from diabetes (32.1% versus 27.9%, p=0.027), heart failure/ ischaemic heart disease (27.3% versus 14.0%, p<0.001) and peripheral arterial occlusive disease (5.5% versus 1.9%, p<0.001). By far the greatest association was with the presence of a wound (73.6% versus 37.9%, p<0.001). Cellulitis affected 628 (24.7%) and 688 (47.8%) had a concurrent leg ulcer. Rates of reduced mobility (71.6% versus 61.9%) and obesity were higher in those with CO. Six independent factors associated with chronic oedema were service location, age, ethnicity, obesity, heart failure and the presence of a wound.

Conclusion: Chronic oedema is a major and growing health care problem within primary care that has been previously unrecognised and requires effective service provision.

Item Type: Journal article
Publication Title: Lymphatic Research and Biology
Creators: Moffatt, C.J., Gaskin, R., Sykorova, M., Dring, E., Aubeeluck, A., Franks, P.J., Windrum, P., Mercier, G., Pinnington, L. and Quere, I.
Publisher: Mary Ann Liebert
Date: 22 April 2019
Volume: 17
Number: 2
ISSN: 1539-6851
Identifiers:
NumberType
10.1089/lrb.2018.0086DOI
Divisions: Schools > School of Social Sciences
Depositing User: Jill Tomkinson
Date Added: 20 Mar 2019 16:12
Last Modified: 24 Sep 2019 13:45
URI: http://irep.ntu.ac.uk/id/eprint/36107

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