Trends in the incidence of venous stasis syndrome and venous ulcer: A 25-year population-based study

被引:189
作者
Heit, JA
Rooke, TW
Silverstein, MD
Mohr, DN
Lohse, CM
Petterson, TM
O'Fallon, WM
Melton, LJ
机构
[1] Mayo Clin & Mayo Fdn, Div Cardiovasc Dis, Sect Vasc Med, Rochester, MN 55905 USA
[2] Mayo Clin & Mayo Fdn, Div Area Gen Internal Med, Rochester, MN 55905 USA
[3] Mayo Clin & Mayo Fdn, Dept Internal Med, Biostat Sect, Rochester, MN 55905 USA
[4] Mayo Clin & Mayo Fdn, Clin Epidemiol Sect, Rochester, MN 55905 USA
[5] Mayo Clin & Mayo Fdn, Dept Hlth Sci Res, Rochester, MN 55905 USA
[6] Med Coll S Carolina, Ctr Hlth Care Res, Charleston, SC USA
关键词
D O I
10.1067/mva.2001.113308
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The incidence rates of venous stasis syndrome and venous ulcer are uncertain, and trends in incidence are unknown. Methods: We performed a retrospective review of the complete (inpatient and outpatient) medical records of a community population (Olmsted County, Minnesota) to estimate the incidence of venous stasis syndrome and venous ulcer during the 25-year period, 1966 to 1990, and to describe trends in incidence. Results: A total of 1131 patients received a first lifetime diagnosis of venous stasis syndrome. A total of 263 patients received a first lifetime diagnosis of venous ulcer. The overall incidence of venous stasis syndrome and venous ulcer were 76.1 and 18.0 per 100,000 person-years, respectively. The incidence of both was higher in women than in men (83.7 vs 67.4 per 100,000 person-years for venous stasis syndrome; 20.4 vs 14.6 per 100,000 for venous ulcer) and increased with age for both sexes. There was no clear trend in the incidence of venous stasis syndrome over the 25-year period. Compared with 1966 to 1970, the incidence of venous ulcer decreased in 1971 to 1980, but was unchanged after 1981. Among 945 patients with venous stasis only 60 subsequently had a venous ulcer. The average (+/- SD) time from venous stasis diagnosis to development of a venous ulcer was 5.0 (+/- 5.0) years. Conclusion: Venous stasis syndrome and venous ulcer are common, especially in the elderly population. The incidence of venous stasis syndrome has not changed since 1966, and venous ulcer incidence is unchanged since 1981. More accurate identification of patients at risk for venous stasis syndrome and venous ulcer and more effective prevention are needed.
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页码:1022 / 1027
页数:6
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