Compression for venous leg ulcers

Cullum, Nicky; Nelson, E Andrea; Fletcher, Alison W.; Sheldon, Trevor

doi:10.1002/14651858.cd000265

Cited by 236 publications

(242 citation statements)

References 22 publications

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“…A better healing rate was obtained with the use of high compression bandage (40mmHg) instead of low compression or non-elastic compression bandages (11) . The graduated high compression with a multilayer system capable of sustaining compression (40mmHg) must be used at least once a week (11) as the first choice treatment for non-complicated venous ulcers.…”

Section: Discussionmentioning

confidence: 95%

“…Aiming for venous ulcer healing, the treatment for improving venous return must be delivered by physicians, nurses and other health professionals with the patient's cooperation and the use of compression therapy is essential, since it increases the healing rate of venous ulcers, when compared to the treatment without compression (11) .…”

Section: Discussionmentioning

confidence: 99%

“…The compression therapy must be consistently applied in order improve the care effectiveness and reduce treatment cost (11,24) . Professionals who use the system must be trained (15) , since inadequate application of compression can lead to complications.…”

Section: Discussionmentioning

confidence: 99%

“…Graduated compression can control or reduce venous insufficiency (1) , though it must be used to heal non-complicated venous ulcers (11,25) , that is, patients who present an ankle/arm pressure index ≥0.8 (15) .…”

Section: Discussionmentioning

confidence: 99%

“…One of them, with a sample of 22 studies, evaluated the effectiveness and costeffectiveness of compression bandage and hosiery in ulcer treatment (11) . The other, with a sample of two studies, evaluated the effect of compression bandage in relapse prevention (12) .…”

Section: Study Characterizationmentioning

confidence: 99%

See 4 more Smart Citations

Systematic review of topic treatment for venous ulcers

Borges

Caliri²,

Haas

2007

Rev. Latino-Am. Enfermagem

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characterizationmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of topic treatment for venous ulcers

Borges

Caliri²,

Haas

2007

Rev. Latino-Am. Enfermagem

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Physical Activity and Adherence to Compression Therapy in Patients With Venous Leg Ulcers

Heinen¹,

Vleuten²,

Rooij³

et al. 2007

Arch Dermatol

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Setting: Patients from 12 outpatient dermatology clinics were invited to participate in this study. When they agreed, they were asked to wear an accelerometer for a week and were then interviewed at the outpatient clinic.Patients: A total of 150 patients with leg ulcers caused mainly by venous insufficiency. Main Outcome Measures:The amount of moderately strenuous physical activity, the amount of walking, and adherence to compression therapy.Results: In this study, 39% of the patients interviewed displayed adherence to compression therapy. Selfreported data validated by the use of an accelerometer indicated that the amount of moderately strenuous activity in the study group was low compared with that of the general Dutch population; 35% of the patients did not have a 10-minute walk even once a week.Conclusions: Low levels of physical activity were established in a group of 150 patients with venous leg ulcers. Full adherence to compression therapy was reported in about 40% of the patients. Patients should be educated and encouraged to (1) enhance physical activity through walking and leg exercises and (2) increase adherence to compression therapy.

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Relationship Between Deep Venous Thrombosis and the Postthrombotic Syndrome

Kahn

Ginsberg²

2004

Arch Intern Med

350

239

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The postthrombotic syndrome (PTS) is a frequent complication of deep venous thrombosis (DVT). Clinically, PTS is characterized by chronic, persistent pain, swelling, and other signs in the affected limb. Rarely, ulcers may develop. Because of its prevalence, severity, and chronicity, PTS is burdensome and costly. Preventing DVT with the use of effective thromboprophylaxis in high-risk patients and settings and minimizing the risk of ipsilateral DVT recurrence are likely to reduce the risk of development of PTS. Daily use of compression stockings after DVT might reduce the incidence and severity of PTS, but consistent and convincing data about their effectiveness are not available. Future research should focus on standardizing diagnostic criteria for PTS, identifying patients at high risk for PTS, and rigorously evaluating the role of thrombolysis in preventing PTS and of compression stockings in preventing and treating PTS. In addition, novel therapies should be sought and evaluated.

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Compression for venous leg ulcers

Cited by 236 publications

References 22 publications

Systematic review of topic treatment for venous ulcers

Systematic review of topic treatment for venous ulcers

Physical Activity and Adherence to Compression Therapy in Patients With Venous Leg Ulcers

Relationship Between Deep Venous Thrombosis and the Postthrombotic Syndrome

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