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Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: A cross-sectional study in Singapore

Olsson, MM; Zhu, Xiaoli; Järbrink, Krister; Tang, WE; Car, Josip; Bajpai, Ram

Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: A cross-sectional study in Singapore Thumbnail


Authors

MM Olsson

Xiaoli Zhu

Krister Järbrink

WE Tang

Josip Car



Abstract

Chronic wounds commonly decrease patients' quality of life. Understanding how chronic wounds impact a patient's health-related quality of life (HRQoL) is important for healthcare service delivery and treatment management. This study explored HRQoL among patients suffering from chronic wounds and investigated associations with patients' socio-demographics and wound characteristics. Two hundred and thirty-three patients across six primary care clinics were assessed and responded to a survey that collected information on socio-demographic, wound characteristics, and HRQoL using the EQ-5D-5L instrument. Data were analysed by descriptive statistics and generalised linear models. The mean age of patients was 61.2 (SD: 14.6) years; 68.2% were males; and 61.8% were of Chinese origin. Arterial ulcers had the greatest negative impact on HRQoL related to mobility, self-care, pain/discomfort and anxiety/depression, and the lowest VAS mean score 62.31 (SD: 28.3; range: 0-100) indicating the worst health. HRQoL related to mobility was significantly associated with age (ß = 0.008, P?<?.001), non-Chinese ethnicity (ß = 0.25, P = .001), mixed ulcers (ß = -0.41, P = .022), atypical hard-to-heal wounds (ß = -0.38, P = .021), wounds with low (ß = 0.24, P = .044) to moderate (ß = 0.29, P = .018) exudate level, and a wound duration =6 months (ß = 0.19, P = .033). The findings can be used to improve healthcare delivery for patients with chronic wound to optimise their HRQoL.

Citation

Olsson, M., Zhu, X., Magdalena Olsson, M., Järbrink, K., Tang, W., Car, J., …Bajpai, R. (2022). Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: A cross-sectional study in Singapore. International Wound Journal, 19(5), 1121-1132. https://doi.org/10.1111/iwj.13708

Journal Article Type Article
Acceptance Date Oct 20, 2021
Online Publication Date Dec 2, 2021
Publication Date 2022-08
Publicly Available Date May 30, 2023
Journal International Wound Journal
Print ISSN 1742-4801
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 19
Issue 5
Pages 1121-1132
DOI https://doi.org/10.1111/iwj.13708
Keywords Dermatology, Surgery
Publisher URL https://onlinelibrary.wiley.com/doi/10.1111/iwj.13708

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