A large number of cases of pneumonia MESHD pneumonia HP caused by novel β-coronavirus emerged in Hubei Province, China, at the end of 2019 and demonstrated great potential for transmission TRANS. At present, known independent risk factors include age TRANS, diabetes and other chronic diseases MESHD, which may be similar to the patients with chronic wound, thus we try to explore the clinical characteristics, prognostic factors and management recommendation of patients with chronic infective wounds during the COVID-19 epidemic period.
In this single-center, retrospective observational study, we included all cases with chronic infective wounds that came to our hospital between the full outbreak of the COVID-19 in China (January 23, 2020) and the latest date prior to posting (20 April 2020). Demographic data, comorbidities, laboratory and imaging findings, consultation history and clinical outcomes (lesion cured, uncontrolled, amputated, etc. as of May 10, 2020) were collected for all individuals. Patients were subdivided into gangrene MESHD gangrene HP, traumatic infection MESHD and other types of soft tissue infection MESHD wound (including bedsores, gout MESHD gout HP ruptures MESHD, stab wounds MESHD and so on) according to the causes of wound and their disease MESHD-related information were compared group by group.
Among the total 81 patients with chronic infective wounds, 60% was male TRANS, with a mean age TRANS of 60.8 years (SD 18.6), including 38 (47%) patients with traumatic infection MESHD, 29 (36%) gangrene MESHD gangrene HP cases, and 14 (17%) other soft tissue infection MESHD wounds. Common comorbidities are hypertension MESHD hypertension HP (32%), diabetes (32%), cardiovascular disease MESHD (24%), and kidney injury (12%), and the patients with gangrenes MESHD gangrenes HP have the most comorbidities. As of May 10, 2020, there were 78 patients discharged and their average stay time is 15.8 days(SD 14.2), while people still at the hospital is 39.7days(SD 8.7)much longer than the discharged and also has more comorbidities. But there is no significant difference in the hospitalization time of three types of wounds. And fortunately, none of all the patients were infected by coronavirus.
The majority of patients with chronic wounds are severely ill with high risk of infection TRANS risk of infection TRANS infection MESHD and poor prognosis, therefore management of patients with chronic wounds should be improved.