| Determining venous incompetence: a report from a specialised leg ulcer clinic. | |
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MedLine Citation:
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PMID: 17124816 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyse the diagnosis, treatment and prognosis in patients attending a specialised leg ulcer clinic at a dermatology department. METHOD: In total, 345 patients were investigated and 332 registered and followed up prospectively. All patients had their arterial and venous circulation assessed with a hand-held Doppler ultrasound. RESULTS: The most frequent diagnosis was venous ulceration (153 patients, 46%) followed by hydrostatic ulceration (70 patients, 21%). Venous incompetence was classified as isolated superficial (n=86) or deep venous incompetence (n=57) in 143 out of the 153 patients. Previous deep vein thrombosis (DVT) was more frequent in patients with deep venous incompetence. Of patients with venous ulcers, 38 (25%) healed within 92 days, 77 (50%) within 155 days and 115 (75%) within 329 days. Healing time was influenced by patient age, ulcer duration and ulcer area, but not by type of venous incompetence or ankle brachial pressure index. After healing, 19% of venous patients (28/144), dominated by those with superficial disease, were subject to venous vascular surgery. CONCLUSION: Classification of venous insufficiency should be mandatory in patients with venous ulcers since it determines suitability for venous surgery. |
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Authors:
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M Bjellerup |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of wound care Volume: 15 ISSN: 0969-0700 ISO Abbreviation: J Wound Care Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-11-27 Completed Date: 2006-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9417080 Medline TA: J Wound Care Country: England |
Other Details:
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Languages: eng Pagination: 429-30, 433-6 Citation Subset: N |
Affiliation:
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Department of Dermatology, Helsingborg Hospital, Helsingborg, Sweden. mats.bjellerup@helsingborgslasarett.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Ambulatory Care Facilities Female Health Services Needs and Demand Humans Male Middle Aged Point-of-Care Systems Population Surveillance Prevalence Prognosis Prospective Studies Severity of Illness Index Stockings, Compression Survival Analysis Sweden / epidemiology Treatment Outcome Ultrasonography, Doppler Venous Insufficiency* / diagnosis, epidemiology, etiology, therapy Wound Healing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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