Document Detail


Prognostic factors for venous ulcer healing in a non-selected population of ambulatory patients.
MedLine Citation:
PMID:  15656465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S Meaume; D Couilliet; F Vin
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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    
Affiliation:
Department of Geriatrics, Hôpital Charles Foix, Ivry sur Seine, France. sylvie.meaume@cfx.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Bandages
Body Mass Index
Female
Humans
Linear Models
Logistic Models
Male
Nursing Assessment
Pain / etiology
Predictive Value of Tests
Prognosis
Prospective Studies
Questionnaires
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


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