Prevalence of Lower Limb Lesions and Podoiatric Pathologies in a Homeless Population
•
0 likes•378 views
Studio condotto da Ilaria Teobaldi sulle patologie e sulle lesioni ai piedi nella popolazione senza dimora . Lo studio è stato condotto all'interno della struttura del Progetto Homeless a Pisa .
![PrevalencePrevalence ofof LowerLower LimbLimb LesionsLesions
andand PodoiatricPodoiatric PathologiesPathologies in ain a
HomelessHomeless PopulationPopulation
Teobaldi Ilaria¹, Oliveri Elena¹, Davini Giulia¹, Materazzi Elisa¹,
Banchellini Elisa¹, Rossi Maurilio², Ruggeri Veronica²
¹ AISLeC (Pisa), ² AISLeC (Firenze), Italy
ISTAT REPORT 2011ISTAT REPORT 2011
• 47.648 Homeless People (HP) surveyed in 158 cities
• People who used soup kitchen, homeless hostel and other services in
November- December 2011
• (no gypsies, under age, small towns)
• Cat. ETHOS 1 and 2 , European Observatory on Homelessness
(ETHOS: European Typology on Homelessness and Housing Exclusion )
[LE PERSONE SENZA DIMORA. ISTAT,
fio.PSD, Caritas Italiana, Ministero del
Lavoro e delle Politiche Sociali,
09/10/2012]
• 90% men
• 57.9% < 45 years old
• 2/3 middle school certificate (10% no titols, almost illiterate)
• 28.3 % had a job (25.3% women)
• 60% foreigners (almost 10% graduated, 43.1% high school certificate)
• 2.5 years as Homeless
• 58.5% north Italy
• 31% has physical limitations/disability (insufficiencies, pathologies, mental
illness) and drugs addiction
• 16.2% declears to “feel bad” or “very bad”
AIMSAIMS
To quantify prevalence of:
- Lower limb lesions
- Skin dystrophy
- Nail dystrophy
- Deambulation disorders
- Foot morphology
- Life style
- Ethnicity
METHODSMETHODS
We surveyed HP
attending the Day
Centre and/or Public
Hostel of 5 cities in
Tuscany (IT) from 1st
Nov to 10th Dec 2012.
EE
PP
77
22
66](https://image.slidesharecdn.com/ep726-140520110723-phpapp01/85/Prevalence-of-Lower-Limb-Lesions-and-Podoiatric-Pathologies-in-a-Homeless-Population-1-320.jpg)
Recommended
Recommended
More Related Content
Viewers also liked
Viewers also liked (10)
Recently uploaded
Recently uploaded (20)
Prevalence of Lower Limb Lesions and Podoiatric Pathologies in a Homeless Population
- 1. PrevalencePrevalence ofof LowerLower LimbLimb LesionsLesions andand PodoiatricPodoiatric PathologiesPathologies in ain a HomelessHomeless PopulationPopulation Teobaldi Ilaria¹, Oliveri Elena¹, Davini Giulia¹, Materazzi Elisa¹, Banchellini Elisa¹, Rossi Maurilio², Ruggeri Veronica² ¹ AISLeC (Pisa), ² AISLeC (Firenze), Italy ISTAT REPORT 2011ISTAT REPORT 2011 • 47.648 Homeless People (HP) surveyed in 158 cities • People who used soup kitchen, homeless hostel and other services in November- December 2011 • (no gypsies, under age, small towns) • Cat. ETHOS 1 and 2 , European Observatory on Homelessness (ETHOS: European Typology on Homelessness and Housing Exclusion ) [LE PERSONE SENZA DIMORA. ISTAT, fio.PSD, Caritas Italiana, Ministero del Lavoro e delle Politiche Sociali, 09/10/2012] • 90% men • 57.9% < 45 years old • 2/3 middle school certificate (10% no titols, almost illiterate) • 28.3 % had a job (25.3% women) • 60% foreigners (almost 10% graduated, 43.1% high school certificate) • 2.5 years as Homeless • 58.5% north Italy • 31% has physical limitations/disability (insufficiencies, pathologies, mental illness) and drugs addiction • 16.2% declears to “feel bad” or “very bad” AIMSAIMS To quantify prevalence of: - Lower limb lesions - Skin dystrophy - Nail dystrophy - Deambulation disorders - Foot morphology - Life style - Ethnicity METHODSMETHODS We surveyed HP attending the Day Centre and/or Public Hostel of 5 cities in Tuscany (IT) from 1st Nov to 10th Dec 2012. EE PP 77 22 66
- 2. RESULTS :RESULTS : 9191 completedcompleted formsforms - Sex: 78 m / 13 f - Average age: 47ys (min 18 – max 74) - Origins: 25 Italians, 66 foreigners ETHNICITY AFRICA 30% UE 35% EXTRA UE 4% ITALY 27% ASIA 3% South America 1% 1-3 ys 21% < 6 months 26% < 1 month 18% > 3 ys 21% 6 months- 1y 14% ETHNICITYYEARS AS HOMELESS LESIONS: 5 HPLESIONS: 5 HP Etiology Venous 1 Diabetic foot 1 Traumatic 2 Not Known 1 Time < 1 month 2 < 6 months 2 > 3 ys 1(venous) N. Lesions Single lesion 3 > 4 2 Yrs with diabetes (8 HP) < 5 1 5-10 4 10-20 2 >20 1Pain Low 2 Very high 1 (trauma)
- 3. DE AMB UL ATION ataxic 1% difficult 32% symmetric 64% needs devices 3% Symmetric:58 hp Difficult: 33 hp high 11% low 10% middle 14% absent 65% not suitable 17% suitable 81% no 2% DEAMBULATION SHOES PAIN daily 78% occas ional 22% other 48% hostel 32% station 13% car 7% SLEEPING PLACE DIET HYGIENE LIFE STYLE DIFFICULT DEAMBULATION Low:9 HP Middle: 13 HP High: 10 HP
- 4. yes 2%no 98% no 74% yes 10% Bilat. 16% no 91% yes 9% no 60% yes 40% no 81% yes 4% Bilat. 15% SKIN DYSTROPHIESSKIN DYSTROPHIES yes 45% no 55% yes 12% no 88% CALCANEAL FISSURES INTERDIGITAL MACERATION CUTANEOUS MYCOSIS DRYNESS NAIL DYSTROPHIESNAIL DYSTROPHIES no 7% without devices 2% rudimen tal devices 7% proper devices 84% HEMATOMA DYSTROPHY NAIL TREATMENT INGROWN TOENAIL MYCOSIS
- 5. MT 29% DIG. 38%CALC 12% NO 21% HYPERKERATOSISHYPERKERATOSIS HALLUX VALGUS 22% DIG.DEF ORMITY 16% NO 8% HF PRONAT ION 35% HF SUPINAT ION 19% MORPHOLOGICAL ALTERATIONSMORPHOLOGICAL ALTERATIONS DISCUSSIONDISCUSSION • The majority of the population wore proper shoes, • 1/3 of the population had pain and problems during the deambulation, probabily due to chronic diseases. • ¾ of the population had a personal and proper device for trimming nails but, • HP with an ingrown nail were just the holders of a proper device!!! • Poor but not awful hygienic conditions can justify skin and nail dystrophies/mycosis. • The high prevalence of forefoot hyperkeratosis correlate easily with forefoot deformities. • In future we would like to implement the prevalence form studying parameters like: muscle trophism, joint movement, mycological exam, ABPI etc. and… • Repeat the trial in a larger population doing an RCT. THANKS TO:THANKS TO: …all the Outreach Team that helped us in this project!