Prevalence and risk factors for chronic oedema in U.K. community nursing services

Moffatt, Christine; Gaskin, Rebecca; Sykorova, Martina; Dring, Eleanor; Aubeeluck, Aimee; Franks, P.J.; Windrum, Paul; Mercier, Gregoire; Pinnington, Lorraine; Quere, Isabelle

Abstract

© Christine J. Moffatt et al. 2019; Published by Mary Ann Liebert, Inc. 2019. 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.

Citation

Moffatt, C., Gaskin, R., Sykorova, M., Dring, E., Aubeeluck, A., Franks, P., Windrum, P., Mercier, G., Pinnington, L., & Quere, I. (2019). Prevalence and risk factors for chronic oedema in U.K. community nursing services. Lymphatic Research and Biology, 17(2), 147-154. https://doi.org/10.1089/lrb.2018.0086

• Journal Article Type: Article
• Acceptance Date: Mar 13, 2019
• Online Publication Date: Apr 22, 2019
• Publication Date: Apr 22, 2019
• Deposit Date: Apr 8, 2019
• Publicly Available Date: May 2, 2019
• Journal: Lymphatic Research and Biology
• Print ISSN: 1539-6851
• Electronic ISSN: 1557-8585
• Publisher: Mary Ann Liebert
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 2
• Pages: 147-154
• DOI: https://doi.org/10.1089/lrb.2018.0086
• Keywords: Edema
• Public URL: https://nottingham-repository.worktribe.com/output/1760648
• Publisher URL: https://liebertpub.com/doi/10.1089/lrb.2018.0086
• Contract Date: Apr 8, 2019