Retrospective analysis of wound outpatient cases from a tertiay hospital of Leshan City_West China Medical Journal

Authors：

 CHEN Bing , CHEN Miao , ZENG Yangyang , RUAN Xiaoling , LIAO Qian

Nursing Department, Leshan People’s Hospital, Leshan, Sichuan 614000, P. R. China;

Corresponding?author：

CHEN Bing, Email: 417883131@qq.com

Keywords：

Wound clinic; Outpatient; Skin and soft tissue injury; Epidemiology; Retrospective analysis

DOI：

10.7507/1002-0179.202103146

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Objective To explore the epidemiological characteristics and analyze the related diagnosis and treatment information of wound outpatient cases in a tertiay hospital in Leshan City.Methods The data of cases admitted to the wound clinic in a tertiary hospital of Leshan City between January 1st, 2017 and December 31st, 2019 were retrospectively collected. The SPSS software was used for statistical analyses in terms of basic patient information, wound type and dressing use, number of visits and expenses.Results A total of 10 880 cases were enrolled. The average age of the patients treated was (45.23±13.45) years old. Patients from the Central District, where the hospital was located in, accounted for the highest proportion (38.63%). The proportion of acute skin and soft tissue injuries was higher than that of chronic skin and soft tissue injuries (62.51% vs. 37.49%). According to the proportions from high to low, the top three chronic skin and soft tissue injuries were postoperative refractory wounds (19.63%), skin and soft tissue infections (3.90%), and stoma complications (3.04%), respectively. A total of 22 937 functional wound dressings were used, of which non-woven outer dressings accounted for 47.52%. Patients with acute skin and soft tissue injuries had a higher healing rate compared with those with chronic skin and soft tissue injuries (96.65% vs. 43.03%, P<0.05). The type of skin and soft tissue injuries with the most visits was cancerous wound [the median (lower quartile, upper quartile) was 68 (35, 121) visits], and the one with the least visits was acute skin and soft tissue injuries [the median (lower quartile, upper quartile) was 2 (1, 7) visits].Conclusions As the distance between residence and hospital grows, the number of patients decreases, suggesting that the specialized nursing assistance has achieved initial results in remote areas, but the task of assistance in surrounding areas is still heavy. The type of skin and soft tissue injuries is changing under the concept of enhanced recovery after surgery, and wound care plays an important role in the recovery of patients after surgery. The concept of wet healing and new dressings to promote wound healing are widely used, but still need to be further popularized among patients and medical staff. For chronic wounds that are more expensive to treat, it is necessary to formulate comprehensive treatment plans such as wound treatment, psychological support, and systemic nutrition to promote healing.

Citation： CHEN Bing, CHEN Miao, ZENG Yangyang, RUAN Xiaoling, LIAO Qian. Retrospective analysis of wound outpatient cases from a tertiay hospital of Leshan City. West China Medical Journal, 2021, 36(4): 465-470. doi: 10.7507/1002-0179.202103146 Copy

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2.	姚遠. 住院創傷病人流行病學特點及嚴重創傷結局研究. 重慶: 第三軍醫大學, 2011.
3.	賈赤宇, 柴家科. 以循證醫學的視角分析我國目前創面修復領域的不足及改進對策. 創傷外科雜志, 2007, 9(4): 379-381.
4.	Shai A, Maibach H. Wound healing and ulcers of the skin diagnosis and thempy. Berlin: Springer, 2005: 31-48.
5.	Trostrup H, Bjarnsholt T, Kirketerp-Moller K, et al. What is new in the understanding of non healing wounds epidemiology, pathophysiology, and therapies. Ulcers, 2013, 2013: 1-8.
6.	Gottrup F. A specialized wound-healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds. Am J Surg, 2004, 187(5A): 38S-43S.
7.	Gottrup F. Organization of wound healing services: the Danish experience and the importance of surgery. Wound Repair Regen, 2003, 11(6): 452-457.
8.	冷文玉, 蔣志偉. 某醫院患者來源分析. 中國病案, 2015, 6: 53-56.
9.	張義丹, 孫揚, 童俊東, 等. 日間手術模式對醫療費用控制的作用機制研究. 中國衛生經濟, 2020, 39(4): 23-25.
10.	李娜. 手術切口感染的相關因素及門診換藥的護理措施研究. 國際感染病學(電子版), 2020, 9(2): 288-289.
11.	江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
12.	崔婷. 新型敷料治療慢性創面中的效果分析. 飲食保健, 2019, 6(30): 34-35.
13.	陳冰, 羅娜, 孫偉龍, 等. 10% 氯化鈉在Ⅲ期壓瘡清創期的應用研究. 華西醫學, 2015, 30(10): 1818-1821.
14.	潘玉霞, 王萍. 傷口濕性愈合理論在門診換藥護理中的應用. 中國衛生標準管理, 2018, 9(18): 191-192.
15.	楊義, 郝岱峰, 褚萬立, 等. 2017 年度北京市某三甲醫院創面修復專科住院病例回顧分析. 中華損傷與修復雜志(電子版), 2019, 14(5): 344-349.
16.	鄧匯典. 普外科腹部術后切口感染的影響因素分析. 基層醫學論壇, 2020, 24(10): 1400-1401.

1. Lindholm C, Searle R. Wound management for the 21st century: combining effectiveness and efficiency. Int Wound J, 2016, 13(Suppl 2): 5-15.
2. 姚遠. 住院創傷病人流行病學特點及嚴重創傷結局研究. 重慶: 第三軍醫大學, 2011.
3. 賈赤宇, 柴家科. 以循證醫學的視角分析我國目前創面修復領域的不足及改進對策. 創傷外科雜志, 2007, 9(4): 379-381.
4. Shai A, Maibach H. Wound healing and ulcers of the skin diagnosis and thempy. Berlin: Springer, 2005: 31-48.
5. Trostrup H, Bjarnsholt T, Kirketerp-Moller K, et al. What is new in the understanding of non healing wounds epidemiology, pathophysiology, and therapies. Ulcers, 2013, 2013: 1-8.
6. Gottrup F. A specialized wound-healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds. Am J Surg, 2004, 187(5A): 38S-43S.
7. Gottrup F. Organization of wound healing services: the Danish experience and the importance of surgery. Wound Repair Regen, 2003, 11(6): 452-457.
8. 冷文玉, 蔣志偉. 某醫院患者來源分析. 中國病案, 2015, 6: 53-56.
9. 張義丹, 孫揚, 童俊東, 等. 日間手術模式對醫療費用控制的作用機制研究. 中國衛生經濟, 2020, 39(4): 23-25.
10. 李娜. 手術切口感染的相關因素及門診換藥的護理措施研究. 國際感染病學(電子版), 2020, 9(2): 288-289.
11. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
12. 崔婷. 新型敷料治療慢性創面中的效果分析. 飲食保健, 2019, 6(30): 34-35.
13. 陳冰, 羅娜, 孫偉龍, 等. 10% 氯化鈉在Ⅲ期壓瘡清創期的應用研究. 華西醫學, 2015, 30(10): 1818-1821.
14. 潘玉霞, 王萍. 傷口濕性愈合理論在門診換藥護理中的應用. 中國衛生標準管理, 2018, 9(18): 191-192.
15. 楊義, 郝岱峰, 褚萬立, 等. 2017 年度北京市某三甲醫院創面修復專科住院病例回顧分析. 中華損傷與修復雜志(電子版), 2019, 14(5): 344-349.
16. 鄧匯典. 普外科腹部術后切口感染的影響因素分析. 基層醫學論壇, 2020, 24(10): 1400-1401.

West China Medical Journal

Retrospective analysis of wound outpatient cases from a tertiay hospital of Leshan City

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