Estimation of the prevalence of lymphoedema/chronic oedema in acute hospital in-patients

Quere, I., Palmier, S., Nørregaard, S., Pastor, J., Sykorova, M., Dring, E., Franks, P.J., Murray, S., Keeley, V., Bermark, S., Karlsmark, T., Kyne, T., Colgan, M.-P., Coulombe, M.-M., Mestre, S., Mercier, G. and Moffatt, C.J. ORCID: 0000-0002-2436-0129, 2019. Estimation of the prevalence of lymphoedema/chronic oedema in acute hospital in-patients. Lymphatic Research and Biology, 17 (2), pp. 135-140. ISSN 1539-6851

[img]
Preview
Text
13618_a1472_Moffatt.pdf - Published version

Download (156kB) | Preview

Abstract

Background: To estimate the prevalence of lymphoedema/chronic oedema and wounds in acute hospital in-patients in 5 different countries.

Method: A point-prevalence study was carried out during working day periods in six general hospitals in four countries (Denmark, France, United Kingdom, Australia) and one hospital oncology in-patient unit in one other country (Ireland). The study used validated clinical tools for the assessment and collection of data. Data were collected by expert clinicians through interviews and physical examination of the patients present in the wards.

Results: A total of 1905 patients could be included and investigated among the 3041 total bed occupancy in the seven hospitals. Lymphoedema/chronic oedema was present in 723 of them (38%). Main risk factors associated with chronic oedema were age, morbid obesity and heart failure as well as chair bound immobility and neurological deficiency. History of cellulitis was frequent in patients with chronic oedema and wounds (24.8%), chronic oedema alone (14.1%) as compared to the 1.5% prevalence in patients without chronic oedema.

Conclusion: Lymphoedema/chronic oedema is very frequent in patients hospitalized in hospital acute wards. It is strongly associated with obesity, venous insufficiency and heart failure. Our results strongly suggest a hidden health care burden and cost linked to chronic oedema independently of chronic wounds.

Item Type: Journal article
Publication Title: Lymphatic Research and Biology
Creators: Quere, I., Palmier, S., Nørregaard, S., Pastor, J., Sykorova, M., Dring, E., Franks, P.J., Murray, S., Keeley, V., Bermark, S., Karlsmark, T., Kyne, T., Colgan, M.-P., Coulombe, M.-M., Mestre, S., Mercier, G. and Moffatt, C.J.
Publisher: Mary Ann Liebert
Date: 22 April 2019
Volume: 17
Number: 2
ISSN: 1539-6851
Identifiers:
NumberType
10.1089/lrb.2019.0024DOI
Rights: This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Divisions: Schools > School of Social Sciences
Depositing User: Jonathan Gallacher
Date Added: 20 Mar 2019 16:27
Last Modified: 29 Apr 2019 10:41
URI: http://irep.ntu.ac.uk/id/eprint/36109

Actions (login required)

Edit View Edit View

Views

Views per month over past year

Downloads

Downloads per month over past year