Analysis Of Risk Factors For Erysipelas In Middle-aged Patients With Multimorbidity

Objectives:Investigate and analyze the general situation,history of basic chronic diseases,history of trauma surgery,and laboratory examination data of erysipelas and elderly patients with and coexisting multiple diseases were investigated and analyzed to explore the risk factors of erysipelas.It provides a theoretical basis for early treatment,relieving pain and discomfort,improving quality of life,reducing recurrence rate and public health planning.Methods:Selected inpatients admitted to emergency medicine,emergency surgery,vascular surgery,general practice and geriatric medicine in Shanghai Oriental Hospital from January 2018 to December 2022.A total of 57 patients were clearly diagnosed as erysipelas with three or more chronic diseases and aged over 45.At the same time collect 57 cases of Shanghai Oriental hospital general medicine,geriatric medicine with three or three kinds of chronic diseases,age more than 45 years of erysipelas patients as a control group,the general situation and history of single factor analysis,think P <0.05 has certain statistical significance,then multivariate logistic regression analysis,to P<0.05 factors of middle-aged and old elderly patients coexisting independent risk factors of erysipelas.Results:1.A total of 57 patients were included in the case group,including 34 male(59.65%)and 23 female(40.35%),respectively,with a mean age of 72.93 ± 11.28 years.In the control group,57 patients were included,including 32 male(56.14%),and 25female(43.86%),with a mean age of 74.03 ± 10.68 years.There was no significant gender difference between the two groups(P> 0.05),suggesting comparability between the two groups.2.The onset site of the case group was observed: 19(33.33%)in the left leg,23(40.35%)in the right leg,5(8.77%),2(3.51%)in the left foot,6(10.53%)in the left leg and left foot,and 2(3.51%)in the right leg and foot.3.Among the 114 study subjects,there were comorbid conditions,and the top five diseases and percentage with relatively high incidence were: hypertension 63 cases(55.23%),diabetes 63 cases(55.23%),cerebrovascular disease 59 cases(51.75%),54 coronary atherosclerotic heart disease(47.37%),and 45 tumors(39.47%).4.The results of univariate analysis showed that statistical clinical data(χ2=5.982,P<0.05),lower limb skin lesions(χ2=11.775,P <0.01),chronic venous insufficiency(χ2=8.739,P <0.01),and history of lower limb fracture surgery(χ2=4.897,P <0.05)were statistically significant in the two groups,which had a positive effect on the elderly with multiple diseases,which was the risk factor.However,obesity,alcohol consumption,smoking history and other chronic diseases such as hypertension,coronary atherosclerotic heart disease were not suggested to be the risk factors for erysipelas in coexisting middle-old and elderly patients in this statistical analysis.5.The results of multivariate Logistic regression analysis showed that tinea pedis(OR = 2.908,95%CI 1.222～6.920)was an independent risk factor for erysipelas in middle-aged and elderly patients with coexisting multimorbidity.Conclusion:For co-morbid elderly patients,with tinea pedis,lower limb skin lesions,chronic lower limb venous insufficiency and lower limb fracture surgery will affect the occurrence of erysipelas,and tinea is co-morbid elderly patients with erysipelas independent risk factors,can according to the above risk factors,corresponding intervention measures,reduce the incidence and recurrence rate.