Prevalence of people with sickle cell disease and leg ulcers in Brazil: socioeconomic and clinical overview

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dc.creatorJosimare Aparecida Otoni Spira
dc.creatorEline Lima Borges
dc.creatorAntônio Carlos Martins Guedes
dc.creatorPaula Gabriela Ribeiro Andrade
dc.creatorVera Lúcia de Araújo Nogueira Lima
dc.date.accessioned2023-11-28T20:41:55Z
dc.date.accessioned2025-09-08T23:27:27Z
dc.date.available2023-11-28T20:41:55Z
dc.date.issued2022-09-09
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0274254
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/1843/61490
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista Enfermagem Uerj
dc.rightsAcesso Aberto
dc.subjectEnfermagem
dc.subjectÚlcera da Perna
dc.subjectAnemia Falciforme
dc.subject.otherLeg Ulcer
dc.subject.otherAnemia
dc.subject.otherSickle Cell
dc.subject.otherPrevalence
dc.titlePrevalence of people with sickle cell disease and leg ulcers in Brazil: socioeconomic and clinical overview
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issue9
local.citation.spage1
local.citation.volume17
local.description.resumoObjective To identify the prevalence of people with leg ulcers resulting from sickle cell disease, as well as to describe the clinical, social, economic, and demographic conditions of these people. Method Descriptive study, carried out at the Minas Gerais Hematology and Hemotherapy Center Foundation. The study population consisted of individuals over the age of 18 with a diagnosis of sickle cell disease in the State of Minas Gerais, Brazil. Data collection was performed from August 2019 to April 2020 through interviews. For the prevalence calculation, a census was taken of 5,379 people over the age of 18 with sickle cell disease, 77 of whom had activen leg ulcers. Descriptive data analysis was performed using SPSS software (version 20.0, Chicago, IL, USA). Results The prevalence of people with leg ulcers in Minas Gerais, Brazil was 1.4%. Of the 72 respondents, the average age was 39 years (range 18–64 years), 41.7% were single, 48.6% said they were black, 84.7% lived in their own house, 38.9% were retired, 61.1% had an income of one minimum wage. The median years of education was 10.5, 50% cited the church as a place for leisure activities, 79.2% denied smoking. Regarding pain, the median score was 3, the median baseline hemoglobin was 7.7 g/dL, and 91.7% had the HbSS genotype. The median age of the first ulcer was 18 years, 77.8% of active ulcers were recurrent, and 59.7% had only one active ulcer. The median time of existence of the ulcer was 3 years. The ulcer prevented 80.6% of people from doing some activity. Prejudice was experienced by 48.6% of the participants. Conclusion The estimated prevalence of leg ulcers was lower than what it reported in the literature, however, the recurrence and the duration of ulcers were high. These findings bring reflection about the assistance to people with leg ulcer.
local.identifier.orcidhttps://orcid.org/0000-0001-8068-1114
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA
local.publisher.initialsUFMG
local.url.externadoi:10.1371/journal.pone.0274254

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