Document Detail


Randomised controlled trial comparing European standard class 1 to class 2 compression stockings for ulcer recurrence and patient compliance.
MedLine Citation:
PMID:  23078587     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of this study was to determine rate of venous ulcer recurrence and level of compliance in patients wearing European class 1 or class 2 compression stockings. One hundred patients with healed venous leg ulcers were recruited. Patients 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 source of venous incompetence. Rate of ulcer recurrence after 12 months was 16·1%. Difference in recurrence rate between classes was not statistically different (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). Venous ulcer recurrence rates were lowest in patients who were compliant with hosiery regardless of level of compression. 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
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-19
Journal Detail:
Title:  International wound journal     Volume:  -     ISSN:  1742-481X     ISO Abbreviation:  Int Wound J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230907     Medline TA:  Int Wound J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. International Wound Journal © 2012 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
Affiliation:
M Clarke-Moloney, PhD, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland N Keane, PHN, Department of Public Health Nursing, HSE West Ennis, Co Clare, Ireland V O'Connor, RGN, St. John's Hospital Limerick, Limerick, Ireland MA Ryan, RGN, Department of Public Health Nursing, HSE West Ennis, Co Clare, Ireland H Meagher, MSc, RGN, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland PA Grace, MCh FRCS, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland E Kavanagh, MD, FRCS, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland SR Walsh, MSc, MCh, FRCS, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland PE Burke, MD, FRCS, Vascular Research Unit, Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland, St. John's Hospital Limerick, Limerick, Ireland.
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