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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Prevalence and Risk Factors for Chronic Edema in U.K. Community Nursing Services

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DOI

  1. Clinical and Ethical Challenges in Undertaking LIMPRINT in Vulnerable Populations

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. LIMPRINT: Prevalence of Chronic Edema in Health Services in Copenhagen, Denmark

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. LIMPRINT: Estimation of the Prevalence of Lymphoedema/Chronic Oedema in Acute Hospital in In-Patients

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. LIMPRINT: The UK Experience-Subjective Control of Swelling in Patients Attending Specialist Lymphedema Services

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. LIMPRINT in Specialist Lymphedema Services in United Kingdom, France, Italy, and Turkey

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Clinical and Ethical Challenges in Undertaking LIMPRINT in Vulnerable Populations

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. LIMPRINT: Prevalence of Chronic Edema in Health Services in Copenhagen, Denmark

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. LIMPRINT: Estimation of the Prevalence of Lymphoedema/Chronic Oedema in Acute Hospital in In-Patients

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. LIMPRINT: The UK Experience-Subjective Control of Swelling in Patients Attending Specialist Lymphedema Services

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. LIMPRINT in Specialist Lymphedema Services in United Kingdom, France, Italy, and Turkey

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Christine J Moffatt
  • Rebecca Gaskin
  • Martina Sykorova
  • Eleanor Dring
  • Aimee Aubeeluck
  • Peter J Franks
  • Paul Windrum
  • Gregoire Mercier
  • Lorraine Pinnington
  • Isabelle Quere
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Background and Study Design: Chronic edema (CO) is believed to be a major clinical problem within community nursing services in the United Kingdom. This study was undertaken as part of the LIMPRINT international study to determine the number of people with CO and its impact on health services. Methods and Results: Three urban-based community nursing services participated in the United Kingdom with prospective evaluation for 4 weeks of all patients receiving nursing care using a questionnaire-based interview and clinical assessment using the LIMPRINT tools. Of the total 2541 patients assessed, 1440 (56.7%) were considered to have CO, comprising Leicester City [768/1298 (59.2%)], Nottingham West [124/181 (68.5%)], and Nottingham City [548/1062 (51.6%)]. The mean age for women with CO was 78.6 (standard deviation [SD] 12.8) years and that for men with CO was 72.9 (SD 14.5). More patients with CO suffered from diabetes (32.1% vs. 27.9%, p = 0.027), heart failure/ischemic heart disease (27.3% vs. 14.0%, p < 0.001), and peripheral arterial occlusive disease (5.5% vs. 1.9%, p < 0.001). By far the greatest association was with the presence of a wound (73.6% vs. 37.9%, p < 0.001). Cellulitis affected 628 patients (24.7%) and 688 patients (47.8%) had a concurrent leg ulcer. Rates of reduced mobility (71.6% vs. 61.9%) and obesity were higher in those with CO. Six independent factors associated with CO were service location, age, ethnicity, obesity, heart failure, and the presence of a wound. Conclusion: CO is a major and growing health care problem within primary care that has been previously unrecognized and requires effective service provision.

Original languageEnglish
JournalLymphatic Research and Biology
Volume17
Issue number2
Pages (from-to)147-154
Number of pages8
ISSN1539-6851
DOIs
Publication statusPublished - Apr 2019

    Research areas

  • Adult, Age Factors, Aged, Aged, 80 and over, Cellulitis/diagnosis, Chronic Disease, Cross-Sectional Studies, Diabetes Mellitus/diagnosis, Diagnosis, Differential, Edema/diagnosis, Female, Humans, Leg Ulcer/diagnosis, Lower Extremity/pathology, Lymphatic System/pathology, Lymphedema/diagnosis, Male, Middle Aged, Myocardial Ischemia/diagnosis, Nursing Services/statistics & numerical data, Obesity, Morbid/diagnosis, Prevalence, Risk Factors, Surveys and Questionnaires, United Kingdom/epidemiology

ID: 59236034