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Lymphoedema quality of life hospital-based wound mgmt clinic

PostPosted: Sat Sep 17, 2011 10:14 am
by patoco
Prevalence of lymphoedema and quality of life among patients attending a hospital-based wound management and vascular clinic.

Int Wound J. 2011 Sep 13.


G Gethin, PhD, HE Dip. Wound Care, RGN, Dip. Anatomy, Dip. Applied Physiology, FFNMRCSI, Centre for Nursing and Midwifery Research, Royal College of Surgeons in Ireland, Dublin, Ireland D Byrne, 4th year medical student, Trinity College Dublin, Dublin, Ireland S Tierney, BSc, MCh, FRCSI, Royal College of Surgeons in Ireland, Dublin, Ireland; Vascular Surgery Unit, Adelaide & Meath Hospital, Dublin, Ireland H Strapp, RGN, RSCN, PG Dip., MSc Nursing, Vascular Surgery Unit, Adelaide & Meath Hospital, Dublin, Ireland S Cowman, MSc, PhD, FFNMRCSI, PGCEA, RNT, DipN (London), RGN, Head of Department, Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.


Lymphoedema is a chronic, incurable, debilitating condition, usually affecting a limb and causes discomfort, pain, heaviness, limited motion, unsatisfactory appearance and impacts on quality of life. However, there is a paucity of prevalence data on this condition. This study aimed to determine the prevalence of lymphoedema among persons attending wound management and vascular clinics in an acute tertiary referral hospital. Four hundred and eighteen patients meeting the inclusion criteria were assessed. A prevalence rate of 2.63% (n = 11) was recorded. Thirty-six percent (n = 4) had history of cellulitis and broken skin, 64% (n = 7) had history of broken skin and 36% (n = 4) had undergone treatment for venous leg ulcers. The most common co-morbidities were hypertension 55% (n = 6), deep vein thrombosis (DVT) 27% (n = 3), hypercholesterolemia 36% (n = 4) and type 2 diabetes 27% (n = 3). Quality of life scores identified that physical functioning was the domain most affected among this group. This study has identified the need to raise awareness of this condition among clinicians working in the area of wound management.

© 2011 The Authors. © 2011 Blackwell Publishing Ltd and Inc.

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