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Changes in the aetiological spectrum of leg ulcers after a broad-scale intervention in a defined geographical population in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
2012 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 44, no 5, 498-503 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The study aims to compare the spectrum of leg ulcer aetiology in Skaraborg County in 1988 and 2002, an evaluation of 14 years of targeted leg ulcer intervention. Design: Cross-sectional study within the professional health-care system in Skaraborg County. Materials: In 2002, 621 leg ulcer patients were identified through a cross-sectional population survey. Methods: Half of the registered patients were randomly selected and offered clinical examination. A total of 198 patients with 246 legs underwent examination and were categorised in detail according to aetiology. Data were compared with the initial study in 1988. Results: Venous incompetence was present in 140 (57%) legs and the dominating cause in 94 (38%) of the leg ulcers, 40 (16%) due to deep venous incompetence. Arterial insufficiency was identified in 90 (37%) legs and the dominating aetiological factor in 41 legs (17%), eight (3%) being critical ischaemic ulcers. The relative risk (RR) of developing a leg ulcer in 2002 vs. 1988 was 0.77. The RR of a venous ulcer was reduced by 46%, arterial by 28%, while there was an increase in diabetic ulcers by 29% and multifactorial by 42%. Conclusion: The aetiological spectrum of leg ulcers has changed, most likely due to a new management strategy in the care of leg ulcer patients.

Place, publisher, year, edition, pages
2012. Vol. 44, no 5, 498-503 p.
Keyword [en]
Aetiology, Arterial ulcers, Diabetic ulcers, Epidemiology, Leg ulcers, Venous ulcers
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-184960DOI: 10.1016/j.ejvs.2012.07.016ISI: 000311183600008OAI: oai:DiVA.org:uu-184960DiVA: diva2:569958
Available from: 2012-11-15 Created: 2012-11-15 Last updated: 2012-12-17Bibliographically approved

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Nelzén, Olle
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