Abstract |
The aim of this study was to determine the rate of venous ulcer recurrence and the level of compliance in patients wearing European class 1 or class 2 compression stockings. A total of 100 patients with healed venous leg ulcers were recruited, and were randomised to either class 1 (n = 50) or class 2 (n = 50) compression stockings. Follow-up was at 1 week, 3, 6, 9 and 12 months to monitor ulcer recurrence and compliance. Patients had a duplex scan to identify the source of venous incompetence. The rate of ulcer recurrence after 12 months was 16·1%, and the difference in recurrence rate between classes was not statistically significant (P = 0·287) although greater numbers in class 1 developed a recurrence. Participants (88·9%) were compliant; non-compliant patients were at a significantly greater risk of recurrence (P≤ 0·0001). Thirteen patients had both superficial and deep incompetence; those randomised to class 1 stockings (n = 4) developed ulcer recurrence. Patients with a history of multiple episodes of ulceration were more likely to develop a recurrence (P = 0·001). The lowest venous ulcer recurrence rates were seen in patients who were compliant with hosiery regardless of the compression level. Patients with both superficial and deep incompetence had a lower rate of recurrence with class 2 compression.
|
Authors | Mary Clarke-Moloney, Niamh Keane, Veronica O'Connor, Mary Anna Ryan, Helen Meagher, Pierce A Grace, Eamon Kavanagh, Stewart R Walsh, Paul E Burke |
Journal | International wound journal
(Int Wound J)
Vol. 11
Issue 4
Pg. 404-8
(Aug 2014)
ISSN: 1742-481X [Electronic] England |
PMID | 23078587
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
|
Copyright | © 2012 The Authors. International Wound Journal © 2012 Medicalhelplines.com Inc and John Wiley & Sons Ltd. |
Topics |
- Aged
- Equipment Design
- Female
- Follow-Up Studies
- Humans
- Leg Ulcer
(therapy)
- Male
- Middle Aged
- Patient Compliance
- Pilot Projects
- Recurrence
- Stockings, Compression
- Time Factors
- Treatment Outcome
- Wound Healing
|