| 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 |
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 |
Affiliation:
|
Department of Geriatrics, Hôpital Charles Foix, Ivry sur Seine, France. sylvie.meaume@cfx.ap-hop-paris.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
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.