Doctoral Programme in Population Health, University of Helsinki, Helsinki, Finland.
City of Helsinki Social and Health Services, Helsinki, Finland.
Int Wound J. 2019 Apr;16(2):522-526. doi: 10.1111/iwj.13077. Epub 2019 Jan 22.
The prevalence of chronic wounds in the Helsinki metropolitan area in 2008 was investigated. Thereafter, a specialised wound care team was founded as part of the City of Helsinki Health Services, aiming for early diagnoses of chronic wounds. In the current study, we have repeated the prevalence study to analyse the changes in the prevalence of chronic wounds. A questionnaire on wound patients was sent to all units of social and health care in the Helsinki metropolitan area. We asked about the number of patients with wounds treated during a 24-hour period, as well the aetiology and location of the wounds. A total of 911 patients had, altogether, 1021 wounds. Thus, prevalence was 0.08%. Pressure and multifactorial ulcers were the most common aetiological groups, whereas wound without defined aetiology had diminished greatly (61%) The prevalence of chronic wound decreased when compared with 2008 (0.08% vs 0.1%). The number of elderly people aged over 65 years had increased 35%, and the age-adjusted prevalence had decreased. Wounds are treated mostly in primary care units and as outpatients. Therefore, the following conclusion may be reached: diagnostic process and implementation of treatment paths are strengthened within primary care units, yet prevalence of wounds has decreased.
2008 年，我们对赫尔辛基大都市区慢性伤口的流行情况进行了调查。此后，作为赫尔辛基卫生服务的一部分，成立了一个专门的伤口护理团队，旨在对慢性伤口进行早期诊断。在本研究中，我们重复了流行情况研究，以分析慢性伤口流行情况的变化。我们向赫尔辛基大都市区的所有社会和卫生保健单位发送了一份关于伤口患者的问卷，询问在 24 小时内治疗的伤口患者数量以及伤口的病因和位置。共有 911 名患者共有 1021 处伤口。因此，患病率为 0.08%。压力性和多因素溃疡是最常见的病因组，而无明确病因的伤口则大大减少（61%）。与 2008 年相比，慢性伤口的患病率有所下降（0.08%比 0.1%）。65 岁以上老年人的数量增加了 35%，经年龄调整后的患病率有所下降。伤口主要在初级保健单位和门诊治疗。因此，可以得出以下结论：初级保健单位的诊断过程和治疗路径的实施得到了加强，但伤口的患病率有所下降。
