Australian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work, Faculty of Health, Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia.
University of Chichester, Chichester, West Sussex, UK.
Int Wound J. 2019 Feb;16(1):84-95. doi: 10.1111/iwj.12996. Epub 2018 Sep 26.
Chronic wounds are a significant problem in Australia. The health care-related costs of chronic wounds in Australia are considerable, equivalent to more than AUD $3.5 billion, approximately 2% of national health care expenditure. Chronic wounds can also have a significant negative impact on the health-related quality of life of affected individuals. Studies have demonstrated that evidence-based care for chronic wounds improves clinical outcomes. Decision analytical modelling is important in confirming and applying these findings in the Australian context. Epidemiological and clinical data on chronic wounds are required to populate decision analytical models. Although epidemiological and clinical data on chronic wounds in Australia are available, these data have yet to be systematically summarised. To address these omissions and clarify the state of existing evidence, we conducted a systematic review of the literature on key epidemiological and clinical parameters of chronic wounds in Australia. A total of 90 studies were selected for inclusion. This paper presents a synthesis of the evidence on the prevalence and incidence of chronic wounds in Australia, as well as rates of infection, hospitalisation, amputation, healing, and recurrence.
慢性伤口是澳大利亚的一个重大问题。澳大利亚慢性伤口的医疗保健相关成本相当高，相当于超过 35 亿澳元，约占国家医疗保健支出的 2%。慢性伤口还会对受影响个体的健康相关生活质量产生重大负面影响。研究表明，对慢性伤口进行循证护理可以改善临床结果。决策分析模型在确认和应用澳大利亚的这些发现方面非常重要。需要对慢性伤口的流行病学和临床数据进行决策分析模型。尽管澳大利亚有关于慢性伤口的流行病学和临床数据，但这些数据尚未得到系统总结。为了解决这些遗漏并阐明现有证据的状况，我们对澳大利亚慢性伤口的关键流行病学和临床参数的文献进行了系统审查。共选择了 90 项研究进行纳入。本文综合了澳大利亚慢性伤口的流行率和发生率以及感染率、住院率、截肢率、愈合率和复发率的证据。
