Retrospective review on the effectiveness of compression therapy in venous leg ulcer healing at a wound care centre in Hong Kong

WCET Journal ◽  
2019 ◽  
Vol 39 (4) ◽  
pp. 24
Author(s):  
Michelle Lee ◽  
Ka Wai Wong ◽  
Ka Kay Chan
Keyword(s):  
Hong Kong ◽  
Ulcer Healing ◽  
Retrospective Review ◽  
Wound Care ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Care Centre ◽  
Venous Leg Ulcer

Adjustable compression wrap devices are cheaper and more effective than inelastic bandages for venous leg ulcer healing. A Multicentric Italian Randomized Clinical Experience

2019 ◽  
Vol 35 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Giovanni Mosti ◽  
Stefano Mancini ◽  
Sergio Bruni ◽  
Simone Serantoni ◽  
Luca Gazzabin ◽  
...  
Keyword(s):  
Ulcer Healing ◽  
Ulcer Patient ◽  
Cost Effective ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Healthcare Personnel ◽  
Venous Leg Ulcer ◽  
Compression Pressure ◽  
Correct Application ◽  
Patient’S Perception

Introduction Compression therapy by inelastic bandages is highly effective in achieving venous leg ulcer healing. Inelastic bandages may be expensive as they need to be changed and discarded at every dressing change. In addition, correct application is difficult in the clinical practice, even by expert healthcare personnel. The aim of our work was to assess whether adjustable compression wraps are more cost effective and more effective than inelastic bandage to achieve venous leg ulcer healing. Methods Sixty-six venous leg ulcer patients were randomized to be treated by adjustable compression wrap (CircAid® JuxtaCure®) ( n = 33) and inelastic bandage (Coban 2 Layer®) ( n = 33). Study duration was 12 weeks. During weekly visits, the ulcers were cleansed and dressed with the same products, and the only variable was the compression device. Ulcer size, ulcer pain, patient’s perception of compression systems, and compression pressure were assessed during the visits, and the material cost was evaluated at the 12th week. Results Adjustable compression wraps were significantly cheaper than bandages (p < 0.0001) and were also more effective (not significantly) in achieving ulcer healing. To heal one ulcer patient, €228 had to be spent when applying an adjustable compression wrap and €381 if inelastic bandages were used. About 26/33 (78.8%) patients in the adjustable compression wrap group were healed after 12 weeks versus 23/33 (69.7%) in the inelastic bandage group (n.s.). Ulcer pain was reduced by both compression devices. Patient perception of compression pressure was similar with both compression devices. Compression pressure was similar at application but better maintained by adjustable compression wrap over time. Conclusions Adjustable compression wraps are significantly cheaper and more effective (not significantly) in achieving venous leg ulcer healing. Self-applicable, adjustable compression wraps are therefore a powerful, cost-effective alternative to inelastic bandages in treating venous leg ulcer.

Dutch Venous Ulcer guideline update

2014 ◽  
Vol 29 (1_suppl) ◽  
pp. 153-156 ◽  
Author(s):  
M Birgitte Maessen-Visch ◽  
Kees-Peter de Roos
Keyword(s):  
Wound Care ◽  
Cochrane Review ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Clinical Severity ◽  
Venous Disease ◽  
Venous Leg Ulcer ◽  
Time Model ◽  
Compression Bandages ◽  
Venous Clinical Severity Score

The revised guideline of 2013 is an update of the 2005 guideline “venous leg ulcer”. In this special project four separate guidelines (venous leg ulcer, varicose veins, compression therapy and deep venous disorders) were revised and developed simultaneously. A meeting was held including representatives of any organisation involved in venous disease management including patient organizations and health insurance companies. Eighteen clinical questions where defined, and a new strategy was used to accelerate the process. This resulted in two new and two revised guidelines within one year. The guideline committee advises use of the C of the CEAP classification as well as the Venous Clinical Severity Score (VCSS) and a Quality of life (QoL) score in the assessment of clinical signs. These can provide insight into the burden of disease and the effects of treatment as experienced by the patient. A duplex ultrasound should be performed in every patient to establish the underlying aetiology and to evaluate the need for treatment (which is discussed in a separate guideline). The use of the TIME model for describing venous ulcers is recommended. There is no evidence for antiseptic or antibiotic wound care products except for a Cochrane review in which some evidence is presented for cadexomer iodine. Signs of infection are the main reason for the use of oral antibiotics. When the ulcer fails to heal the use of oral aspirin and pentoxifylline can be considered as an adjunct. For the individual patient, the following aspects should be considered: the appearance of the ulcer (amount of exudate) according to the TIME model, the influence of wound care products on moisturising the wound, frequency of changing compression bandages, pain and allergies. The cost of the dressings should also be considered. Education and training of patients t improves compliance with compression therapy but does not influence wound healing rates.

Description of venous leg ulcer healing mechanism

Leczenie Ran ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 49-58
Author(s):  
Wojciech Twardokęs ◽  
Agata Kołodziej ◽  
Andrzej Ślęzak
Keyword(s):  
Ulcer Healing ◽  
Leg Ulcer ◽  
Venous Leg Ulcer

scholarly journals Prognostic factors related to delayed healing of venous leg ulcer treated with compression therapy

2015 ◽  
Vol 33 (4) ◽  
pp. 206-209 ◽  
Author(s):  
Vesna Karanikolic ◽  
Aleksandar Karanikolic ◽  
Dejan Petrovic ◽  
Milenko Stanojevic
Keyword(s):  
Prognostic Factors ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Delayed Healing

Effectiveness of two bundles in venous leg ulcer healing: A randomized controlled trial

2019 ◽  
Vol 37 (4) ◽  
pp. 232-245 ◽  
Author(s):  
Cynthia Assis de Barros Nunes ◽  
Paulla Guimarães Melo ◽  
Suelen Gomes Malaquias ◽  
Kelle Vanessa Álvares Amaral ◽  
Gabriela Rodrigues Alves ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Ulcer Healing ◽  
Controlled Trial ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Randomized Controlled
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