Venous ulcer: clinical characteristics and risk factors

Abbade, Luciana Patrícia Fernandes; Lastória, Sidnei; Rollo, Hamilton Almeida

doi:10.1111/j.1365-4632.2010.04654.x

Cited by 97 publications

(102 citation statements)

References 27 publications

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“…In this sense, understanding and knowing the disease is necessary to define the behavior and adaptation of people with VU facilitated among young people because they have better educational level [19].…”

Section: Discussionmentioning

confidence: 99%

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Characterization of people with venous ulcer assisted at the primary health care

et al. 2016

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, smoking was absent in both groups and was not associated with age. They are factors that can negatively influence the healing, and in this sense, the elderly of this research are better compared to adults [19,20].…”

Section: Discussionmentioning

confidence: 99%

Characterization of people with venous ulcer assisted at the primary health care

et al. 2016

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“…Moreover, some authors reported delayed healing in cases of history of previous leg ulceration [17,26], but such an association was not found by others [7,15,19]. Additional macroscopic features of VLU that were found to be associated with delayed healing are fibrin covering more than 50% of area of the ulceration [10,13,22] and highly exuding ulcers [17].…”

Section: Healing Of Venous Leg Ulcers -Prognostic Factorsmentioning

confidence: 97%

Prognostic factors for delayed healing of venous leg ulcers

Simka¹

2014

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Risk factors of poor healing of venous leg ulcers can be categorised into three main groups: those related to the ulcer, those related to the patient, and those related to the organisation of wound care. Identification of risk factors that predispose these patients to prolonged wound healing not only offers an opportunity to determine their clinical outcome, but can also be linked to the decision regarding alternative interventions or even reorganisation of the wound care. Factors related to the ulcer comprise large ulcer size and long ulcer duration. Also, some macroscopic features of venous leg ulcers are associated with delayed healing: fibrin covering more than 50% of the area of the wound and highly exuding ulcers. Coexisting non-venous vascular pathologies, such as arterial ischaemia or clinically relevant lymphedema, as well as history of deep vein thrombosis, can contribute to delayed healing. Additionally, pathological functioning of calf muscle pump can be associated with reduced healing. Some bacterium species seem to interfere with healing of venous leg ulcers, especially if the number of such microorganisms in the wound bed is high. Regarding patient characteristics, reduced mobility (patients being chair or bedbound) is a risk factor, while it remains unclear whether the demographic characteristics of the patients or their non-vascular co-morbidities are really associated with impaired healing. In addition, a number of studies have shown that organisation of wound care of venous leg ulcer patients appeared to be important, and healing rates improved and the cost of care declined after the implementation of an evidence-based service.

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“…They most commonly affect the lower limbs and commit about 5% of the adult population in Western countries, with a prevalence of 0.3%. Their occurrence increases with age, being higher than 4% in individuals over 65 years old 1,3 . They may present exudate and odor, with the need to change dressings several times a day, with an impact on the lifestyle.…”

Section: Introductionmentioning

confidence: 96%

“…V enous ulcers are a consequence of chronic venous insufficiency, due to venous hypertension caused by valvular incompetence of the superficial and deep veins, venous obstruction or a combination of these factors 1,2 . They most commonly affect the lower limbs and commit about 5% of the adult population in Western countries, with a prevalence of 0.3%.…”

Section: Introductionmentioning

confidence: 99%

Impact of non-adherent Ibuprofen foam dressing in the lives of patients with venous ulcers

Salomé

Ferreira

2017

Rev. Col. Bras. Cir.

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Objective : to evaluate pain in patients with lower limb venous ulcer who used non-adherent Ibuprofen foam dressing (IFD). Methods : we conducted a prospective study of patients with lower limb venous ulcers treated from April 2013 to August 2014. We used the Numerical Scale and McGill Pain Questionnaire, performing the assessments at the moment of inclusion of the patient in the study and every eight days thereafter, totaling five consultations. We divided the patients into two groups: 40 in the Study Group (SG), who were treated with IFD, and 40 in the Control Group (CG), treated with primary dressing, according to tissue type and exudate. Results : at the first consultation, patients from both groups reported intense pain. On the fifth day, SG patients reported no pain and the majority of CG reported moderate pain. Regarding the McGill Pain Questionnaire, most patients of both groups reported sensations related to sensory, affective, evaluative and miscellaneous descriptors at the beginning of data collection; after the second assessment, there was slight improvement among the patients in the SG. After the third consultation, they no longer reported the mentioned descriptors. CG patients displayed all the sensations of these descriptors until the fifth visit. Conclusion : non-adherent Ibuprofen foam dressing is effective in reducing the pain of patients with venous ulcers.

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Venous ulcer: clinical characteristics and risk factors

Abstract: Longstanding and large ulcers and recurrences are the main problems encountered by venous ulcer patients. Severe lipodermatosclerosis, previous ulcer history, and time since first ulcer episode ≥ 2 years are significant risk factors.

Cited by 97 publications

References 27 publications

Characterization of people with venous ulcer assisted at the primary health care

Characterization of people with venous ulcer assisted at the primary health care

Prognostic factors for delayed healing of venous leg ulcers

Impact of non-adherent Ibuprofen foam dressing in the lives of patients with venous ulcers

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