Leg ulcers in tertiary public hospital in a sub-Saharan African country (Togo)

  • Komla Sena Amouzou University of Lome
  • Tete Edem Kouevi-Koko University of Lome
  • Koffi Mawuli Domtse University of Lome
  • Anani Abalo University of Lome
  • Assang Michel Dossim University of Lome
Keywords: Leg ulcer, fasciitis, diabetic foot, wound, amputation, Africa

Abstract

Purpose: Data about the epidemiological and clinical characteristics of leg ulcers in our country are still insufficiently documented. Material and methods: Charts of patients hospitalised for leg ulcers in the Department of General Surgery between 1 January 2009 and 31 December 2014 were retrospectively assessed for sociodemographic, clinical, therapeutic, and outcome characteristics. Results: In total, 582 charts reported leg ulcers thus representing 33% of all charts in the Department of Surgery during the study period. Among them, 144 charts contained enough information to be included in the study. The population of patients with leg ulcers was approximately balanced with respect to gender (1.15 men to women ratio). Median age was 53.07± 17.9 years old (yo), (range 18–90). Diabetes (27.8%), hypertension (11.8%) and alcohol consumption (8%) were the most prevalent of the reported medical history. Leg ulcers presented as infectious ulcers (necrotising fasciitis, superinfected traumatic wounds) in 48 (33.3 %) patients, vascular ulcers (arterial, venous or mixed) in 25 (17.4 %) patients, and diabetic foot ulcers in 71 (49.3 %) patients, according to the major etiology factor accounted. Ten amputations (7%) at the level of leg or thigh were performed, all in diabetic patients. The median length of hospitalisation was 37.55 ± 51.45 days (range 1–380 days). Ninety-eight patients (68.1%) achieved complete healing, while 38 patients (26.4%) died. Conclusion: Leg ulcers occur in Togo as in other African countries at a young age, mostly caused by infections and complications of diabetes, with a high rate of amputations and mortality.

Author Biographies

Komla Sena Amouzou, University of Lome
Department of Burns and Wound Care Teaching Hospital Sylvanus Olympio Lome Togo
Tete Edem Kouevi-Koko, University of Lome
Department of Burns and Wound Care Teaching Hospital Sylvanus Olympio Lome Togo
Koffi Mawuli Domtse, University of Lome
Orthopedics and Traumatology Department Teaching Hospital Sylvanus Olympio Lome Togo
Anani Abalo, University of Lome
Orthopedics and Traumatology Department Teaching Hospital Sylvanus Olympio Lome Togo
Assang Michel Dossim, University of Lome
Orthopedics and Traumatology Department Teaching Hospital Sylvanus Olympio Lome Togo
Published
2017-09-29
Section
Original Research