Abstract：
UNASSIGNED: In previous studies, venous ulcers (VUs) have been found to occur more often in patients with lower socioeconomic status. The aim of this study was to explore if socioeconomic factors influence the delay of referral to a vascular service or the time to healing after superficial venous intervention.
UNASSIGNED: In this prospective study, patients answered a questionnaire about the duration and recurrence of their VU, comorbidities, body mass index (BMI), smoking, alcohol, social and physical activities, ambulatory status, education, marital status, housing, perceived economic status and dependence on home care. Postoperative complications, VU healing and recurrence were noted one year after superficial venous intervention.
UNASSIGNED: A total of 63 patients were included in this study (30 females and 33 males), with a mean age of 71.2 years (range: 37-92 years). Duration of the present VU in patients was: <3 months in 48%; 3-6 months in 27%; 6-12 months in 11%; and >12 months in 14%. Risk factors for delayed referral were recurrent VU (odds ratio (OR): 4.92; p=0.021); walking impairment (OR: 5.43; p=0.009) and dependence on home care (OR: 4.89: p=0.039) in a univariable analysis. The latter was the only significant finding in a multivariable analysis with socioeconomic risk factor (OR: 4.89; p=0.035). In 85% of patients, their VU healed without recurrence during one year follow-up. Healing took longer if the patients: were of older age (p=0.033); had a normal BMI (independent samples t-test, p=0.028); had a recurrent VU (OR: 5.00; p=0.049); or walking impairment (Fishers exact test, OR: 9.14; p=0.008), but no significant socioeconomic risk factors were found.
UNASSIGNED: In this study, socioeconomic factors were not important risk factors for delayed referral of VU patients to a vascular service or prolonged healing time after superficial venous intervention.
UNASSIGNED: This work was supported by the Scandinavian Research Foundation for Varicose Veins and other Venous Diseases (SFÅV) and by ALF funding from Region Örebro County. The authors have no conflicts of interest to declare.
UNASSIGNED: In this prospective study, patients answered a questionnaire about the duration and recurrence of their VU, comorbidities, body mass index (BMI), smoking, alcohol, social and physical activities, ambulatory status, education, marital status, housing, perceived economic status and dependence on home care. Postoperative complications, VU healing and recurrence were noted one year after superficial venous intervention.
UNASSIGNED: A total of 63 patients were included in this study (30 females and 33 males), with a mean age of 71.2 years (range: 37-92 years). Duration of the present VU in patients was: <3 months in 48%; 3-6 months in 27%; 6-12 months in 11%; and >12 months in 14%. Risk factors for delayed referral were recurrent VU (odds ratio (OR): 4.92; p=0.021); walking impairment (OR: 5.43; p=0.009) and dependence on home care (OR: 4.89: p=0.039) in a univariable analysis. The latter was the only significant finding in a multivariable analysis with socioeconomic risk factor (OR: 4.89; p=0.035). In 85% of patients, their VU healed without recurrence during one year follow-up. Healing took longer if the patients: were of older age (p=0.033); had a normal BMI (independent samples t-test, p=0.028); had a recurrent VU (OR: 5.00; p=0.049); or walking impairment (Fishers exact test, OR: 9.14; p=0.008), but no significant socioeconomic risk factors were found.
UNASSIGNED: In this study, socioeconomic factors were not important risk factors for delayed referral of VU patients to a vascular service or prolonged healing time after superficial venous intervention.
UNASSIGNED: This work was supported by the Scandinavian Research Foundation for Varicose Veins and other Venous Diseases (SFÅV) and by ALF funding from Region Örebro County. The authors have no conflicts of interest to declare.
摘要：
■在以前的研究中，发现静脉性溃疡(VU)更常见于社会经济地位较低的患者.这项研究的目的是探讨社会经济因素是否会影响浅静脉介入后转诊血管服务的延迟或愈合时间。
■在这项前瞻性研究中，患者回答了一份关于他们的VU的持续时间和复发的问卷，合并症,体重指数（BMI），吸烟,酒精,社会和体育活动，卧床状态,教育,婚姻状况,住房,感知的经济地位和对家庭护理的依赖。术后并发症,浅静脉介入后一年，发现VU愈合和复发。
■本研究共纳入63名患者（30名女性和33名男性），平均年龄71.2岁（范围：37-92岁）。患者当前VU的持续时间为：48％<3个月；27％为3-6个月；11％为6-12个月；14％为>12个月。在单变量分析中，延迟转诊的危险因素是复发性VU（比值比（OR）：4.92；p=0.021）；步行障碍（OR：5.43；p=0.009）和对家庭护理的依赖性（OR：4.89：p=0.039）。后者是具有社会经济危险因素的多变量分析中唯一有意义的发现（OR：4.89；p=0.035）。在85%的患者中，在1年随访期间,他们的VU愈合无复发.如果患者：年龄较大（p=0.033）;BMI正常（独立样本t检验，p=0.028）；患有复发性VU（OR：5.00；p=0.049）；或行走障碍（Fishers精确测试，OR：9.14；p=0.008），但没有发现显著的社会经济危险因素。
■在这项研究中，社会经济因素不是VU患者延迟转诊或浅静脉介入治疗后愈合时间延长的重要危险因素.
■这项工作得到了斯堪的纳维亚静脉曲张和其他静脉疾病研究基金会（SFV）以及厄勒布罗县地区的ALF资助。作者没有利益冲突要声明。
■在这项前瞻性研究中，患者回答了一份关于他们的VU的持续时间和复发的问卷，合并症,体重指数（BMI），吸烟,酒精,社会和体育活动，卧床状态,教育,婚姻状况,住房,感知的经济地位和对家庭护理的依赖。术后并发症,浅静脉介入后一年，发现VU愈合和复发。
■本研究共纳入63名患者（30名女性和33名男性），平均年龄71.2岁（范围：37-92岁）。患者当前VU的持续时间为：48％<3个月；27％为3-6个月；11％为6-12个月；14％为>12个月。在单变量分析中，延迟转诊的危险因素是复发性VU（比值比（OR）：4.92；p=0.021）；步行障碍（OR：5.43；p=0.009）和对家庭护理的依赖性（OR：4.89：p=0.039）。后者是具有社会经济危险因素的多变量分析中唯一有意义的发现（OR：4.89；p=0.035）。在85%的患者中，在1年随访期间,他们的VU愈合无复发.如果患者：年龄较大（p=0.033）;BMI正常（独立样本t检验，p=0.028）；患有复发性VU（OR：5.00；p=0.049）；或行走障碍（Fishers精确测试，OR：9.14；p=0.008），但没有发现显著的社会经济危险因素。
■在这项研究中，社会经济因素不是VU患者延迟转诊或浅静脉介入治疗后愈合时间延长的重要危险因素.
■这项工作得到了斯堪的纳维亚静脉曲张和其他静脉疾病研究基金会（SFV）以及厄勒布罗县地区的ALF资助。作者没有利益冲突要声明。
