Vết thương trên da người: Một mối đe dọa lớn và đang gia tăng đối với sức khỏe cộng đồng và kinh tế

Wound Repair and Regeneration - Tập 17 Số 6 - Trang 763-771 - 2009
Chandan K. Sen1, Gayle M. Gordillo1, Sashwati Roy1, Robert S. Kirsner2, Lynn Lambert1,3, Thomas K. Hunt4, Finn Gottrup5, Geoffrey C. Gurtner6, Michael T. Longaker6
1Department of Surgery, The Ohio State University Comprehensive Wound Center, Columbus, Ohio,
2Department of Dermatology, University of Miami Miller School of Medicine, Miami, Florida
3National Healing Corporation, Boca Raton, Florida,
4Department of Surgery, University of California-San Francisco, San Francisco, California,
5Department of Dermatology, Copenhagen Wound Healing Center, Bispebjerg University Hospital, Copenhagen, Denmark, and
6Department of Surgery, Stanford University School of Medicine, Stanford, California

Tóm tắt

TÓM TẮT

Tại Hoa Kỳ, các vết thương mãn tính ảnh hưởng đến 6,5 triệu bệnh nhân. Ước tính mỗi năm tiêu tốn hơn 25 tỷ USD cho việc điều trị các vết thương mãn tính và gánh nặng này đang gia tăng nhanh chóng do chi phí chăm sóc sức khỏe tăng, dân số già đi và sự gia tăng đột ngột trong tỷ lệ mắc bệnh tiểu đường và béo phì trên toàn cầu. Thị trường sản phẩm chăm sóc vết thương hàng năm được dự đoán sẽ đạt 15,3 tỷ USD vào năm 2010. Các vết thương mãn tính hiếm khi xuất hiện ở những cá nhân khác khỏe mạnh. Thực tế, bệnh nhân có vết thương mãn tính thường phải chịu đựng "các bệnh được thương hiệu cao" như bệnh tiểu đường và béo phì. Điều này có vẻ đã làm lu mờ sự quan trọng của vết thương nói riêng như một vấn đề sức khỏe chính. Ví dụ, Công cụ Báo cáo Danh mục Nghiên cứu của NIH (RePORT; http://report.nih.gov/), nhằm cung cấp quyền truy cập vào ước tính nguồn tài trợ cho các tình trạng bệnh khác nhau có liệt kê một số bệnh hiếm nhưng không liệt kê vết thương. Bốn mươi triệu ca phẫu thuật nội trú đã được thực hiện tại Hoa Kỳ vào năm 2000, tiếp theo là 31,5 triệu ca phẫu thuật ngoại trú. Nhu cầu chăm sóc vết thương sau phẫu thuật đang gia tăng mạnh mẽ. Chăm sóc vết thương khẩn cấp trong các tình huống cấp tính có ý nghĩa lớn không chỉ trong bối cảnh chiến tranh mà còn trong việc chuẩn bị quốc gia chống lại thiên tai cũng như chống lại các cuộc tấn công khủng bố. Một gánh nặng bổ sung của việc lành vết thương là vấn đề sẹo trên da, một thị trường hàng năm trị giá 12 tỷ USD. Ảnh hưởng kinh tế và xã hội to lớn của các vết thương trong xã hội của chúng ta yêu cầu phân bổ một mức độ chú ý và nguồn lực cao hơn để hiểu các cơ chế sinh học cơ bản liên quan đến các biến chứng của vết thương ngoài da.

Từ khóa


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