Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly

2016 ◽  
Vol 31 (10) ◽  
pp. 723-728 ◽  
Author(s):  
Kotaro Suehiro ◽  
Noriyasu Morikage ◽  
Osamu Yamashita ◽  
Takasuke Harada ◽  
Koshiro Ueda ◽  
...  

Objectives To investigate the adherence to and efficacy of different compression methods in elderly patients. Methods A retrospective review of compression therapy in 120 elderly patients (≥65 years) with chronic venous insufficiency was performed to study the initially preferred compression method, adherence to each method, and its efficacy. Results Initially, an oversize strong stocking (24%), an appropriate size moderate stocking (19%), and bandages (37%) were equally preferred. Adherence at 1 month was 69%, 96%, and 91%, respectively, and they reduced ankle circumferences in C3 patients by 1.8 ± 1.9 cm, 0.3 ± 1.7 cm, and 2.9 ± 1.7 cm, respectively. The improvement rates of C4 symptoms were 79%, 60%, and 91%, respectively. Only three patients (2%) preferred an appropriate size strong stocking. Conclusions In elderly patients, an appropriate size strong stocking was not preferred. The best adherence was achieved by using a moderate stocking, while the best efficacy was achieved by using bandages.

Author(s):  
A. Yu. Semenov ◽  
A. M. Malakhov

Symptoms of chronic venous insufficiency have been known since antiquity. The prevalence of chronic venous insufficiency in Western Europe and the USA has been reported within the range from from 1 to 40% in women and from 1 to 17% in men [1]. As reported by the European authors, the average prevalence of chronic venous insufficiency with class C2-C6 (according to the CEAP classification) among the European population reaches 30% [2]. Edema syndrome remains one of the leading manifestations of chronic venous disease. Compression therapy is one of the main ways to combat edema. The arsenal of devices for the treatment of edematous syndrome is steadily expanding with the development of medical science. Today, in addition to inelastic compression wrap and elastic compression garments, brand-new compression products, circaid adjustable inelastic compression wraps are available.


Author(s):  
Yared Herouy ◽  
Birgit Kahle ◽  
Marco Idzko ◽  
Ingo Eberth ◽  
Johannes Norgauer ◽  
...  

Author(s):  
S. S. Dunaevskaya

The article provides an overview of modern literature on the problem of etiology, pathogenesis and principles of complex therapy of chronic venous insufficiency. Data on possible surgical correction methods of this pathology are given. Also, modern tactics assign a significant role to pharmacotherapy, and an overview of the phleboprotectants used is given. Efficiency of compression therapy application is evaluated. A critical review of literature of modern compression agents was carried out, advantages and disadvantages of elastic binting, compression knitting and application of variable compression are described. In comparison with elastic bandages, compression knitting has a number of advantages, such as: patients independently and correctly use compression laundry, the created therapeutic pressure does not depend on the correct application of compression, is more convenient and aesthetic when wearing, is air-permeable and can be used at any time of the year. Evaluation of efficiency of application of compression knitwear in therapy of chronic venous insufficiency is given. The effect of the compression article is due to a decrease in capillary permeability, a decrease in blood viscosity, which leads to a decrease in edema, lymphoprotective action and an increase in vascular wall tone. Modern means of compression have proved to be effective due to the polyvalent mechanism of action on all factors of disease pathogenesis, high bioavailability and minimal side effects. Early application of compression knitwear allows to buy or reduce clinical manifestations of venous insufficiency and its complications, as well as to influence indicators of patients quality of life. Detailed study of literary data will help to correctly select the method and type of compression therapy in case of chronic venous insufficiency.


2009 ◽  
Vol 49 (4) ◽  
pp. 1013-1020 ◽  
Author(s):  
Stephanie K. Beidler ◽  
Christelle D. Douillet ◽  
Daniel F. Berndt ◽  
Blair A. Keagy ◽  
Preston B. Rich ◽  
...  

Gerontology ◽  
1994 ◽  
Vol 40 (1) ◽  
pp. 45-52 ◽  
Author(s):  
W.J. MacLennan ◽  
J. Wilson ◽  
V. Rattenhuber ◽  
W.J. Dikland ◽  
J. Vanderdonckt ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document