An Indian community-based epidemiological study of wounds.

OBJECTIVE To establish the prevalence of wounds in a community, with an emphasis on chronic lower extremity wounds, and to identify the various aetiological factors involved. METHOD A cross-sectional study was conducted to screen the population of two nearby communities (one urban and one rural) in India for wounds. This involved conducting a door-to-door survey between July 2001 and February 2003. RESULTS The prevalence of wounds in the population studied (n = 6917) was 15.03 per 1000. The prevalences of acute and chronic wounds were 10.55 and 4.48 per 1000 of the population respectively. CONCLUSION The most common site for both acute and chronic wounds was the lower extremity. In contrast to Western studies, the most common aetiology for a chronic lower extremity wound was an untreated acute traumatic wound. This in turn highlights the need to establish community-based wound-care teams in India.

[1]  E. Andersson,et al.  Leg ulcer epidemiology in Gothenburg. , 1988, Acta chirurgica Scandinavica. Supplementum.

[2]  S. Ballantyne,et al.  Management of leg ulcers , 2000, Postgraduate medical journal.

[3]  C. Ruckley,et al.  Chronic ulcers of the leg: a study of prevalence in a Scottish community. , 1983, Health bulletin.

[4]  F. Gottrup,et al.  A new concept of a multidisciplinary wound healing center and a national expert function of wound healing. , 2001, Archives of surgery.

[5]  R. Galland,et al.  Cost effectiveness of community leg ulcer clinics , 1998, BMJ.

[6]  S. Gupta,et al.  Leg Ulcers in the Tropics , 2002, The international journal of lower extremity wounds.

[7]  J. R. Young Differential diagnosis of leg ulcers. , 1983, Cardiovascular clinics.

[8]  J J Dale,et al.  Chronic ulcer of the leg: clinical history. , 1987, British medical journal.

[9]  D. Bergqvist,et al.  Venous and non‐venous leg ulcers: Clinical history and appearance in a population study , 1994, The British journal of surgery.

[10]  C. Doré,et al.  Leg ulcers: Epidemiology and aetiology , 1986, The British journal of surgery.

[11]  S R Baker,et al.  Epidemiology of chronic venous ulcers , 1991, The British journal of surgery.

[12]  C. Morrell,et al.  Cost effectiveness of community leg ulcer clinics: randomised controlled trial , 1998, BMJ.