Quéré Isabelle, Palmier Sylvie, Noerregaard Susan, Pastor Jenica, Sykorova Martina, Dring Eleanor, Franks Peter J, Murray Susie, Keeley Vaughan, Bermark Susan, Karlsmark Tonny, Kyne Norah, Colgan Mary-Paula, Coulombe Marie-Michelle, Mestre Sandrine, Mercier Gregoire, Moffatt Christine J
1 Department of Vascular Medicine, EA2992, University of Montpellier, CHU Montpellier, Montpellier, France.
2 Department of Dermatology, University Hospital of Montpellier, Montpellier, France.
Lymphat Res Biol. 2019 Apr;17(2):135-140. doi: 10.1089/lrb.2019.0024.
To estimate the prevalence of lymphedema/chronic edema (CO) and wounds in acute hospital inpatients in five different countries. A point-prevalence study was carried out during working day periods in six general hospitals in four countries (Denmark, France, United Kingdom, and Australia) and one hospital oncology inpatient 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. A total of 1905 patients could be included and investigated among the 3041 total bed occupancy in the seven hospitals. Lymphedema/CO was present in 723 of them (38%). Main risk factors associated with CO were age, morbid obesity, and heart failure, as well as chair bound immobility and neurological deficiency. History of cellulitis was frequent in patients with CO and wounds (24.8%) and CO alone (14.1%) compared to the 1.5% prevalence in patients without CO. Lymphedema/CO 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 CO independently of chronic wounds.
评估五个不同国家急性医院住院患者中淋巴水肿/慢性水肿（CO）和伤口的患病率。在四个国家（丹麦、法国、英国和澳大利亚）的六家综合医院以及另一个国家（爱尔兰）的一家医院肿瘤科住院病房的工作日期间开展了一项现况研究。该研究使用经过验证的临床工具进行数据评估和收集。数据由专业临床医生通过对病房内患者的访谈和体格检查收集。在七家医院的3041个总床位占用中，共有1905名患者可被纳入并进行调查。其中723人（38%）存在淋巴水肿/CO。与CO相关的主要危险因素包括年龄、病态肥胖、心力衰竭，以及久坐不动和神经功能缺陷。与无CO患者1.5%的患病率相比，CO合并伤口患者（24.8%）和单纯CO患者（14.1%）的蜂窝织炎病史更为常见。急性医院病房住院患者中淋巴水肿/CO非常常见。它与肥胖、静脉功能不全和心力衰竭密切相关。我们的结果强烈表明，与CO相关存在一个隐藏的医疗负担和成本，且与慢性伤口无关。
