The Impact of COVID-19 Pandemic on Vascular Leg Ulcers
The Impact of COVID-19 Pandemic on Vascular Leg Ulcers
复制标题
DOI：
10.1177/15347346211010958
复制
发表时间：
2021-04-28
影响因子：
1.7
通讯作者：
Florio, Anna
中科院分区：
文献类型：
--
作者：
Sallustro, Marianna;Florio, Anna
本研究的目的是评估2019冠状病毒病（COVID-19）期间的2个封城期对下肢不愈合血管溃疡的病程和管理的影响。共有41例患者入选本研究。在大流行开始之前，他们每周都会在我们单位看到。在2020年3月9日至2020年5月18日的封锁期间，受试者不允许进入医院，除非他们需要紧急手术或肿瘤管理。在2020年10月19日至2020年12月11日的第二次封锁期间，患者可以通过直接外展（包括电话联系）进行远程随访。每次封锁后早期获得的数据与大流行前获得的数据进行了比较。第一次封锁的数据显示，与封锁前相比，疼痛加剧，伤口复发率、严重程度和叠加感染率增加。下肢截肢的风险也要大得多。在第二次限制较少的封锁期间，通过远程医疗对患者进行了随访，数据表明皮肤病变没有进一步恶化。血管伤口的管理受到大流行的不利影响，医院和初级保健机构的医疗保健失败。总之，随着COVID-19大流行在全球蔓延，血管性腿部溃疡的治疗受到挑战。这似乎与其他疾病的情况一致。我们获得的数据表明，与流行病相关的封锁对血管皮肤伤口有有害影响，严重程度和死亡风险增加。这种影响似乎与对人们施加的限制的数量和程度成正比。
The aim of this study was to evaluate the impact of 2 lockdown periods during coronavirus disease 2019 (COVID-19) on the course and management of nonhealing vascular ulcers of lower limbs. A total of 41 patients were included in the study. Before the pandemic began they had been seen at our unit at weekly intervals. During lockdown from March 9, 2020, to May 18, 2020 subjects were not allowed to enter the hospital unless they needed urgency or emergency surgery, or oncological management. During the second lockdown, from October 19, 2020, to December 11, 2020 patients could be followed up at distance by direct outreach including telephoning contacts. Data obtained early after each lockdown were compared with those obtained prior to the pandemic. Data for the first lockdown show that pain intensified and there was an increase in the recurrence rate of wounds, of their severity, and of superimposed infections as compared with the prelockdown period. The risk of lower-limb amputation was also considerably greater. During the second and less restrictive lockdown, patients were followed up by telemedicine and data indicate that skin lesions had not worsened any further. The management of vascular wounds was impacted by the pandemic unfavorably with health care failures in the hospital as well as in the primary care settings. In conclusion, the treatment of vascular leg ulcers is challenged by the COVID-19 pandemic as this spreads worldwide. This seems to be in keeping with what happens for other diseases. The data we obtained indicate that the pandemic-related lockdown has a deleterious effect on vascular skin wounds, with an increase of severity and mortality risk. The impact appears to be proportional to the number and the degree of limitations imposed on people.