Using bioelectrical impedance analysis to compare the treatment of edema with the Unna's boot and noncompression in individuals with venous ulcers

Cardoso, Luciana Ventura; Godoy, Maria de Fátima Guerreiro; Czorny, Rildo César Nunes; Godoy, José María Pereira de

doi:10.1016/j.jvn.2018.11.003

Cited by 4 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This assessment will be performed by evaluating the total proportion of completely closed wounds relative to that of the start of treatment. Although studies have shown good results with granulation tissue formation and wound healing,11 16 the effectiveness is currently unclear. To our knowledge, this is the first systematic review to evaluate the effectiveness of the Unna boot on wound healing.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the use of Unna boot in the treatment of chronic venous leg ulcers in adults: systematic review protocol

et al. 2019

View full text Add to dashboard Cite

IntroductionChronic venous insufficiency (CVI) is an anomaly of the normal functioning of the venous system caused by valvular incompetence with or without the obstruction of venous flow. This condition can affect either or both of the superficial and the deep venous systems. Venous dysfunction can even result in congenital or acquired disorders, and its complications include venous leg ulcers (VLUs). The objective of this systematic review is to determine the effectiveness of Unna boot in the treatment of wound healing of VLU by assessing the quality of the available evidence.Methods and analysisA literature search in PubMed, CINAHL, Scopus, Web of Science, Cochrane Library, BVS/BIREME, Embase, ProQuest, BDTD, Thesis and Dissertation Catalog, Sao Paulo Research Foundation/Thesis and dissertation, OPEN THESIS, A service of the US National Institute of Health, Center for Reviews and Dissemination-University of New York and SciElo published in the last 10 years, the period from January 1999 to March 2019. The review will include primary studies (original), and Controlled Trials or Observational studies (cross-sectional, case–control or longitudinal studies) with VLU. The exclusion will include leg ulceration due to different causes, such as pressure, arterial, diabetic or mixed-aetiology leg ulcers. Data synthesis will be performed using a narrative summary and quantitative analysis.Ethics and disseminationThis systematic review does not require approval by the ethics committee, as individual patient data will not be collected. Dissemination of findings will be through publications in peer-reviewed journals and/or via conference presentations.PROSPERO registration numberCRD42019127947

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of the use of Unna boot in the treatment of chronic venous leg ulcers in adults: systematic review protocol

et al. 2019

View full text Add to dashboard Cite

show abstract

“…11 Not only does the Unna boot maintain the necessary amount of compression needed to reduce extremity edema, but it also promotes rapid development of granulation tissue and wound healing. 12,13 The application of an Unna boot can be modified to correctly fit the unique shape of the BKA residual limb to create the compression needed to control phlebolymphedema and dehisced wounds. Accordingly, the authors describe herein the following approach to treat dehisced BKA incision sites: a modified Unna boot.…”

mentioning

confidence: 99%

Modified Unna Boot: Treating Dehisced Incisions After Below-Knee Amputations

Melnychuk,

Smith

2024

Adv Skin Wound Care

View full text Add to dashboard Cite

Compression bandages or stockings versus no compression for treating venous leg ulcers

Shi

Dumville

Cullum

et al. 2021

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Leg ulcers are open skin wounds on the lower leg that can last weeks, months or even years. Most leg ulcers are the result of venous diseases. First‐line treatment options often include the use of compression bandages or stockings. Objectives To assess the effects of using compression bandages or stockings, compared with no compression, on the healing of venous leg ulcers in any setting and population. Search methods In June 2020 we searched the Cochrane Wounds Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Ovid MEDLINE (including In‐Process & Other Non‐Indexed Citations), Ovid Embase and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing and unpublished studies, and scanned reference lists of relevant included studies as well as reviews, meta‐analyses and health technology reports to identify additional studies. There were no restrictions by language, date of publication or study setting. Selection criteria We included randomised controlled trials that compared any types of compression bandages or stockings with no compression in participants with venous leg ulcers in any setting. Data collection and analysis At least two review authors independently assessed studies using predetermined inclusion criteria. We carried out data extraction, and risk‐of‐bias assessment using the Cochrane risk‐of‐bias tool. We assessed the certainty of the evidence according to GRADE methodology. Main results We included 14 studies (1391 participants) in the review. Most studies were small (median study sample size: 51 participants). Participants were recruited from acute‐care settings, outpatient settings and community settings, and a large proportion (65.9%; 917/1391) of participants had a confirmed history or clinical evidence of chronic venous disease, a confirmed cause of chronic venous insufficiency, or an ankle pressure/brachial pressure ratio of greater than 0.8 or 0.9. The average age of participants ranged from 58.0 to 76.5 years (median: 70.1 years). The average duration of their leg ulcers ranged from 9.0 weeks to 31.6 months (median: 22.0 months), and a large proportion of participants (64.8%; 901/1391) had ulcers with an area between 5 and 20 cm 2 . Studies had a median follow‐up of 12 weeks. Compression bandages or stockings applied included short‐stretch bandage, four‐layer compression bandage, and Unna's boot (a type of inelastic gauze bandage impregnated with zinc oxide), and comparator groups used included 'usual care', pharmacological treatment, a variety of dressings, and a variety of treatments where some participants received compression (but it was not the norm). Of the 14 included studies, 10 (71.4%) presented findings which we consider to be at high overall risk of bias. Primary outcomes There is moderat...

show abstract

Using bioelectrical impedance analysis to compare the treatment of edema with the Unna's boot and noncompression in individuals with venous ulcers

Cited by 4 publications

References 19 publications

Assessment of the use of Unna boot in the treatment of chronic venous leg ulcers in adults: systematic review protocol

Assessment of the use of Unna boot in the treatment of chronic venous leg ulcers in adults: systematic review protocol

Modified Unna Boot: Treating Dehisced Incisions After Below-Knee Amputations

Compression bandages or stockings versus no compression for treating venous leg ulcers

Contact Info

Product

Resources

About