Improvement in Clinical Outcomes, Physical Function, and Bodily Pain Following a 12 Week Course of Intermittent Pneumatic Compression Therapy in Patients with Chronic Venous Ulcers: Results of an Observational Longitudinal Retrospective Study

Lullove, Eric J; Alvarez, Oscar M.

doi:10.7759/cureus.175

Cited by 3 publications

(2 citation statements)

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“…[ 13 ] Pain and venous edema were the most common presenting symptoms in this study, which was corroborative of previous studies. [ 11 14 ] Varicosity, skin pigmentation, induration, and inflammation were the commonly observed findings in the study done by Lullove and Alvarez,[ 14 ] whereas inflammation of the affected limb was almost absent in this study. In our study, the presence of active venous ulcer was found in 33.96% cases; amongst them, ulcers with largest dimension of 2–6 cm and nonhealing ulcer persisting for <3 months were found in maximum patients.…”

Section: Discussionsupporting

confidence: 62%

Correlation of venous clinical severity score and venous disability score with dermatology life quality index in chronic venous insufficiency

et al. 2020

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Background: Chronic venous insufficiency (CVI) is an underestimated public health problem involving the lower limbs. It exerts a significant impact on patient's quality of life (QoL). The severity of the disease was measured by venous clinical severity score (VCSS) and venous disability score (VDS). Aims: The aim of the study was to evaluate VCSS, VDS, and dermatology life quality index (DLQI) among the patients of CVI and to evaluate the correlation among DLQI with VCSS, VDS, and leg ulcer. Materials and Methods: In this institution-based cross-sectional study, clinically and sonographically confirmed cases of CVI were included. Clinical severity of the disease and disability were assessed by using VCSS and VDS, respectively. QoL was assessed by a validated DLQI questionnaire. Correlation between DLQI with VCSS and VDS was analyzed. The association between DLQI with different characteristics of the ulcer was also evaluated. Results: Mean VCSS, VDS, and DLQI in the study population were 11 ± 4.96, 1.47 ± 0.67, and 6.94 ± 3.87, respectively. Both VCSS and VDS had a strong positive correlation with DLQI. The number of active ulcers, size of the ulcer, and duration of the ulcer had a strong positive correlation, whereas the age of onset of the disease had a negative correlation and duration of the disease had poor correlation with DLQI. Pain ( P = 0.03) and edema ( P = 0.04) had significant association with VDS. Conclusion: VCSS and VDS are important tools for measuring severity and disability in CVI, respectively. CVI had a strong impact on patients QoL more than it was thought hitherto.

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Section: Discussionsupporting

confidence: 62%

Correlation of venous clinical severity score and venous disability score with dermatology life quality index in chronic venous insufficiency

et al. 2020

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“…Epidemiologic studies have shown that varicose veins are more common in patients with increased body mass index (BMI) (especially >30 kg/m 2 ) [ 3 ], as it was also seen in our study that 51% of patients being overweight and 19% being obese but 30% of patients in our study also had normal BMI indicating the role of multiple predisposing factors in the pathogenesis of CVI. In the study done by Lullove and Alvarez [ 23 ], varicosity, skin pigmentation, induration, and inflammation were the frequently noticed findings but in our study pain, varicose vein, venous edema were the most common findings. In our study, the presence of active venous ulcer was found in 21.05% of cases; amongst them, ulcers with the largest dimension of 2-6 cm (14.04%) and nonhealing ulcers persisting for 3-12 and >12 months were found in maximum patients.…”

Section: Discussioncontrasting

confidence: 51%

Correlation of Venous Clinical Severity Score With Dermatology Life Quality Index Among Patients With Chronic Venous Insufficiency: A Cross-Sectional Study

Poulose¹,

Deo²,

Gogineni³

et al. 2021

Cureus

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IntroductionChronic venous insufficiency (CVI) is characterized by inadequate functioning of venous valves in the lower limb. CVI is associated with a significant reduction in patient's quality of life (QOL). The severity of CVI was determined by CEAP (clinical, etiological, anatomical, pathophysiological) classification and venous clinical severity score (VCSS). The study is aimed to evaluate and correlate Dermatology Life Quality Index (DLQI) with VCSS, CEAP in patients with CVI. MethodsA cross-sectional study of 57 patients with CVI was conducted over a period of 12 months. A sociographic survey, clinical and severity grading using CEAP classification, and VCSS were done for all venous doppler confirmed patients. QOL was evaluated by validated DLQI questionnaires using English and native languages Hindi and Marathi. ResultsA total of 57 patients with a male to female ratio of 6.1:1 and a mean age of 51.68 years were included in the study. CEAP grading in patients showed 49.12% (C4a), 21.05% (C6), 15.7% (C4b), 7.01% (C3), 3.50% (C2 and C5). Mean VCSS and DLQI were 11.47 and 10.12, respectively; 49.12%, 40.35%, 10.53% of patients had a moderate, very large, and small impact on DLQI respectively, positively correlating to VCSS (P < 0.001). ConclusionFrom this study, it was observed that VCSS and CEAP positively correlated with DLQI, and the impact increases in proportion with the seriousness of the disease.

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The Role of Intermittent Pneumatic Compression in the Treatment of Lower Extremity Chronic Wounds

James¹,

Park²,

Chan³

et al. 2021

Surg Technol Int.

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Intermittent pneumatic compression devices (IPC) are often used as noninvasive adjuncts in patients with lymphedema, and more recently with venous stasis disease, to promote flow and reduce the adverse effects of interstitial edema associated with both disorders. We will be focusing on lower extremity wounds associated with venous and/or lymphatic disease, the combination often referred to as “lymphophlebitic” disease, and the treatment effect of IPC on this disease process and its sequelae. The function and purpose of pneumatic compression is closely examined along with a variety of pneumatic compression devices that currently exist in the market. A thorough review of the literature was conducted to evaluate the utility of intermittent pneumatic compression in the treatment of lower extremity venous stasis ulcers. Additionally, the author describes personal experience with the use of pneumatic compression on 10 patients with venous stasis ulcers at a single center. There is significant data supporting the use of IPC in patients with lymphophlebitic disease. Overall, ideal patient selection may be crucial. Previous data has shown that patients with high body mass index (>33 kg/m2) and poor functional status (walking less than 200m a day) are related to poor ulcer healing. Therefore, a study that looks primarily at this group (as our small quality assurance [QA] project did) may show increased benefit in this population. It is clear that IPC is of benefit to some patient cohorts with lymphophlebitic disease. This advanced therapy would help patients who have failure of their calf muscle pump and an inability to improve it through other means. However, it is only part of an algorithm that includes: direct wound bed management, moisture control, possible primary venous disease intervention, physical therapy, weight loss, and improved nutrition.

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Improvement in Clinical Outcomes, Physical Function, and Bodily Pain Following a 12 Week Course of Intermittent Pneumatic Compression Therapy in Patients with Chronic Venous Ulcers: Results of an Observational Longitudinal Retrospective Study

Cited by 3 publications

References 22 publications

Correlation of venous clinical severity score and venous disability score with dermatology life quality index in chronic venous insufficiency

Correlation of venous clinical severity score and venous disability score with dermatology life quality index in chronic venous insufficiency

Correlation of Venous Clinical Severity Score With Dermatology Life Quality Index Among Patients With Chronic Venous Insufficiency: A Cross-Sectional Study

The Role of Intermittent Pneumatic Compression in the Treatment of Lower Extremity Chronic Wounds

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