Table 7.
Delays in different subgroups. Figures are presented as medians (IQR; min–max; range)
| Delays are calculated and analysed with the inclusion criterion ‘wound appearance within 365 days prior to wound care team appointment’. | |||||||
| n | Wound appearance - first contact to healthcare | Wound appearance to first physician evaluation | Wound appearance to wound care team | Delay from first contact to wound care team (organisational delay within primary care) | Delay wound care team to specialist care | Mann-Whitney U | |
| All patients | 182 | 2 (0–14; 0 to 351; 351) | 8 (1–32; 0 to 314; 314) | 57 (33–101; 2 to 358; 356) | 42 (22–80; 1 to 484; 483) | 21 (7–52; –58 to 252; 414) | |
| Male | 81 | 3 (0–24; 0 to 351; 351) | 9 (1–37; 0 to 314; 314) | 69 (37–111; 2 to 358; 356)* | 44 (23–85; 2 to 484; 482) | 23 (3–48; –58 to 235; 293) | *p=0.058 |
| Female | 101 | 1 (0–8; 0 to 295; 295) | 8 (1–24; 0 to 295; 295) | 54 (30–96; 2 to 306; 304)* | 41 (22–76; 1 to 264; 263) | 20 (8–58; 0 to 176; 176) | |
| Age under 65 years1 | 46 | 6 (1–27; 0 to 298; 298)* | 9 (3–30; 0 to 142; 142) | 62 (36–100; 11 to 320; 309) | 37 (22–76; 6 to 382; 376) | 28 (14–48; 1 to 182; 181) | *1 vs 2; p=0.005 |
| Age 65–80 years2 | 62 | 0 (0–14; 0 to 258; 258)* | 10 (0–38; 0 to 314; 314) | 61(41–106; 10 to 337; 327) | 49 (25–88; 4 to 264; 260) | 16 (2–50; 0 to 235; 235) | *1 vs 3; p=0.003 |
| Age over 80 y3 | 74 | 1 (0–8; 0 to 351; 351)* | 7 (1–32; 0 to 295; 295) | 53.5 (30–98; 2 to 358; 356) | 40 (22–78; 1 to 484; 483) | 16 (6–56; –58 to 167; 225) | |
| DM+ | 72 | 1 (0–15; 0 to 142; 142) | 10 (1–37; 0 to 142; 142) | 59 (36–102; 2 to 324; 322) | 45 (26–75; 2 to 245; 243) | 14 (3–48; 0 to 235; 235) | No statistical |
| DM– | 110 | 2 (0–13; 0 to 351; 351) | 7 (1–32; 0 to 314; 314) | 56 (31–101; 4 to 358; 354) | 40 (22–84; 1 to 482; 483) | 26 (8–56; –58 to 167; 225) | Difference |
| Living at home | 160 | 2 (0–15; 0 to 351; 351) | 9 (1–33; 0 to 314; 314) | 57 (33–102; 2 to 358; 356) | 42 (22–83; 1 to 382; 381) | 20 (5–48; 0 to 235; 235)* | *p=0.010 |
| Living in institution | 22 | 1 (0–8; 0 to 295; 295) | 3 (0–14; 0 to 295; 295) | 55 (34–86; 7 to 306; 299) | 43 (24–72; 7 to 484; 477) | 56 (16–143; –58 to 176; 234)* | |
| Walking; outdoors | 134 | 3 (0–15; 0 to 351; 351)* | 8 (1–27; 0 to 246; 246) | 56 (33–97; 4 to 358; 354) | 40 (22–76; 1 to 382; 381) | 22 (6–56; −58 to 235; 293) | *p=0.047 |
| Not-walking; staying indoors | 48 | 0 (0–5; 0 to 298; 298) | 9 (1–55; 0 to 314; 314) | 71 (33–108; 2 to 337; 335) | 54 (24–94; 2 to 484; 482) | 16 (7–46; 0 to 182; 182) | |
| Delay before wound care team under 28 days | 61 | 6 (0–20; 0 to 351; 351)* | 7 (3–24; 0 to 295; 295) | 26 (19–41; 2 to 358; 356)* | 18 (12–22; 1 to 28; 27) | 22 (4–42; 0 to 167; 167) | *p<0.001 |
| Delay before wound care team over 28 days | 121 | 0 (0–8; 0 to 258; 258) | 9 (0–34; 0 to 314; 314) | 73 (51–112; 29 to 337; 308) | 70 (42–101; 29 to 484; 455) | 20 (7–55; –58 to 235; 293) | |
| Unchanged diagnosis (PC–WT–spec.) | 20 | 3 (2–12; 0 to 246; 246) | 7 (3–19; 0 to 246; 246) | 51 (32–80; 5 to 267; 262) | 35 (20–74; 2 to 186; 184) | 23 (8–45; 0 to 89; 89) | |
| Different diagnosis | 43 | 1 (0–17; 0 to 258; 258) | 8 (0–42; 0 to 314; 314) | 71 (37–111; 4 to 337; 333) | 57 (30–89;1 to 245; 244) | 18 (7–98; 0 to 235; 235) | |
| The same diagnosis within primary care | 55 | 2 (0–7; 0 to 246; 246) | 3 (1–18; 0 to 246; 246) | 52 (31–78; 5 to 267; 262)* | 40 (20–71; 2 to 186; 184) | 33 (9–56; 0 to 176; 176) | *p=0.042 |
| Different diagnosis | 61 | 1 (0–24; 0 to 258; 258) | 17 (1–56; 0 to 314; 314) | 73 (37–126; 4 to 337; 333) | 53 (31–98; 1 to 245; 244) | 15 (7–64; 0 to 235; 235) | |
Age categories are 1 under 65 years, 2 between 65-80 years, 3 over 80 years. There is a significancy in patient-related delay in seeking health services after onset of the wound between age group under 65 year older than 65 years.
DM, Diabetes mellitus; PC, Primary care; spec, specialist care; WT, Wound care Team.