Comorbidities as prognostic factors in the healing of venous ulcers

Vasileva, Mirela and Brishkovska, Vesna and Drakalska, Elena (2023) Comorbidities as prognostic factors in the healing of venous ulcers. Our Dermatology Online. ISSN 2081-9390

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Abstract

Background: The problem of venous ulcers and chronic venous insufficiency is quite common in dermatological
clinics. Every day, we face challenges regarding treatment and prognosis. As the patients are more often over fifty years
of age, with more comorbidities, and at the very beginning of treatment, we already have an idea of how the entire
process of epithelization of the ulcers may take place. Materials and Methods: A total of 105 patients with chronic
venous insufficiency and venous ulcers were included in the study. Each was followed for more than twelve weeks.
Patients with hypertension, diabetes mellitus, and thrombophlebitis were analyzed separately. Results: Patients with
an ulcer closure time of twelve weeks and longer had a high blood pressure more often. Diabetics with venous ulcers
on the lower extremities more often had delayed ulcer healing. A statistically significant difference was confirmed in
the distribution of the patients with and without thrombophlebitis. Conclusion: The existence of comorbidities, such
as hypertension, diabetes mellitus, and thrombosis, may affect the healing process of venous ulcers, yet thrombosis
proved to be the most important factor.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Elena Drakalska
Date Deposited: 02 May 2023 10:58
Last Modified: 02 May 2023 10:58
URI: https://eprints.ugd.edu.mk/id/eprint/31690

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