Document Detail

Prognostic factors for venous ulcer healing in a non-selected population of ambulatory patients.
MedLine Citation:
PMID:  15656465     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify wound prognostic indicators in a non-selected patient population with leg ulcers. METHOD: This was a prospective observational survey involving 151 physicians. Ambulatory patients with venous leg ulcers were treated with a non-adherent foam dressing and usual leg ulcer management. At follow-up after three to six weeks, ulcer healing parameters and local treatment tolerability were recorded and concordance with compression therapy was validated. RESULTS: A > or = 40% reduction in the largest wound length was selected as an indicator of a favourable healing outcome. A total of 330 patients were included and seen at follow-up. The mean largest wound length was 4.9 +/- 3.6 cm. A > or = 40% decrease in this parameter was noted in 178 patients. Dressing acceptability and tolerability were excellent. Compression therapy, while heterogeneous among physicians, was used regularly and applied correctly (by patients and practitioners) in 81.2% of patients. Predictors for not reaching the main outcome were the presence of an arterial lower limb disease, an ulcer duration of more than three months and an initial ulcer length of 10 cm or more. Linear regression showed that old age and a high body mass index were independent predictors of a poor outcome. CONCLUSION: Clinical indicators such as simple ulcer length measurement and ulcer duration may help physicians to detect patients with a prognosis of poor healing.
S Meaume; D Couilliet; F Vin
Related Documents :
8847035 - Octreotide for arrest of peptic ulcer hemorrhage--a prospective, randomized controlled ...
20566765 - Clinical efficacy of combination of rifampin and streptomycin for treatment of mycobact...
1057935 - The effect of carbenoxolone sodium on the plasma 11 hydroxycorticoid levels in chronic ...
11054215 - Free tissue transfer provides durable treatment for large nonhealing venous ulcers.
21283055 - Intravitreal ranibizumab for macular edema secondary to central retinal vein occlusion.
22407085 - Prognostic nutritional index predicts outcomes of gastrectomy in the elderly.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of wound care     Volume:  14     ISSN:  0969-0700     ISO Abbreviation:  J Wound Care     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-19     Completed Date:  2005-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417080     Medline TA:  J Wound Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  N    
Department of Geriatrics, Hôpital Charles Foix, Ivry sur Seine, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Age Factors
Aged, 80 and over
Body Mass Index
Linear Models
Logistic Models
Nursing Assessment
Pain / etiology
Predictive Value of Tests
Prospective Studies
Risk Factors
Severity of Illness Index
Skin Care / instrumentation,  methods,  nursing
Time Factors
Treatment Outcome
Varicose Ulcer / diagnosis*,  etiology*,  nursing
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Choice of dressing has a major impact on blistering and healing outcomes in orthopaedic patients.
Next Document:  The prevalence of pressure ulcers in hospitalised patients in a university hospital in India.