OUTPATIENT TREATMENT OF CHRONIC VENOUS ULCERS IN A SPECIALIZED CLINIC
Identifieur interne : 001A04 ( Istex/Corpus ); précédent : 001A03; suivant : 001A05OUTPATIENT TREATMENT OF CHRONIC VENOUS ULCERS IN A SPECIALIZED CLINIC
Auteurs : Andrea G. Jopp-Mckay ; Michael C. Stagey ; James B. Rohr ; Steven R. Baker ; Pamela J. Thompson ; Susan E. HoskinSource :
- Australasian Journal of Dermatology [ 0004-8380 ] ; 1991-12.
Abstract
Chronic leg ulcers have many different causes and therefore need an accurate diagnosis in order to give the most effective treatment. A specialized clinic was set up in Fremantle Hospital in July 1988 with the aims of performing a thorough clinical and laboratory assessment to establish the cause of ulceration in every patient, and treating patients according to the cause of ulceration. Patients with arterial, neoplastic or dermatological conditions were treated as appropriate for their diagnosis and patients with other chronic ulcers were managed as outpatients where possible. Patients were seen between July 1988 and July 1989. Only 43% had purely venous ulcers, 32.6% had a venous component plus some other abnormality, and 5.2% were purely arterial. Using an outpatient treatment regimen, 67% of all ulcerated limbs and 73.7% of limbs with purely venous ulcers were healed within 6 months. Only 11 patients with venous ulceration (15 limbs) failed on this therapy and required admission during the observation period. The initial ulcer size was shown to influence the time to total healing of the limb. The healing rates achieved compare favourably with studies from other specialized centres and suggest that the majority of patients with chronic leg ulcers can be treated successfully using ambulatory outpatient dressing techniques.
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DOI: 10.1111/j.1440-0960.1991.tb01779.x
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Fremantle</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Australasian Journal of Dermatology</title><title level="j" type="alt">AUSTRALASIAN JOURNAL DERMATOLOGY</title><idno type="ISSN">0004-8380</idno><idno type="eISSN">1440-0960</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="143">143</biblScope><biblScope unit="page" to="149">149</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1991-12">1991-12</date></imprint><idno type="ISSN">0004-8380</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0004-8380</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chronic leg ulcers have many different causes and therefore need an accurate diagnosis in order to give the most effective treatment. A specialized clinic was set up in Fremantle Hospital in July 1988 with the aims of performing a thorough clinical and laboratory assessment to establish the cause of ulceration in every patient, and treating patients according to the cause of ulceration. Patients with arterial, neoplastic or dermatological conditions were treated as appropriate for their diagnosis and patients with other chronic ulcers were managed as outpatients where possible. Patients were seen between July 1988 and July 1989. Only 43% had purely venous ulcers, 32.6% had a venous component plus some other abnormality, and 5.2% were purely arterial. Using an outpatient treatment regimen, 67% of all ulcerated limbs and 73.7% of limbs with purely venous ulcers were healed within 6 months. Only 11 patients with venous ulceration (15 limbs) failed on this therapy and required admission during the observation period. The initial ulcer size was shown to influence the time to total healing of the limb. 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Jopp‐McKay MBBS.</name><affiliations><json:string>Dermatology Registrar and Research Registrar, University Department of Surgery. Fremantle</json:string></affiliations></json:item><json:item><name>Michael C. Stagey FACD.</name><affiliations><json:string>Consultant Dermatologist. Fremantle</json:string><json:string>Address for correspondence: Michael Stacey, University Department of Surgery, Fremantle Hospital. PO Box 480, Fremantle, WA 6160.</json:string></affiliations></json:item><json:item><name>James B. Rohr FRACS.</name><affiliations><json:string>Senior Lecturer, University Department of Surgery. Fremantle</json:string></affiliations></json:item><json:item><name>Steven R. Baker FRACS.</name><affiliations><json:string>Research Registrar, University Department of Surgery. Fremantle</json:string></affiliations></json:item><json:item><name>Pamela J. Thompson RN.</name><affiliations><json:string>Vascular Laboratory Nurse. Fremantle</json:string></affiliations></json:item><json:item><name>Susan E. Hoskin RN.</name><affiliations><json:string>Vascular Laboratory Nurse, Fremantle Hospital, Perth, Western Australia. Fremantle</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Chronic leg ulcers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>leg ulcer aetiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>compression bandaging</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>complete leg ulcer healing</value></json:item></subject><articleId><json:string>AJD143</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Chronic leg ulcers have many different causes and therefore need an accurate diagnosis in order to give the most effective treatment. A specialized clinic was set up in Fremantle Hospital in July 1988 with the aims of performing a thorough clinical and laboratory assessment to establish the cause of ulceration in every patient, and treating patients according to the cause of ulceration. Patients with arterial, neoplastic or dermatological conditions were treated as appropriate for their diagnosis and patients with other chronic ulcers were managed as outpatients where possible. Patients were seen between July 1988 and July 1989. Only 43% had purely venous ulcers, 32.6% had a venous component plus some other abnormality, and 5.2% were purely arterial. Using an outpatient treatment regimen, 67% of all ulcerated limbs and 73.7% of limbs with purely venous ulcers were healed within 6 months. Only 11 patients with venous ulceration (15 limbs) failed on this therapy and required admission during the observation period. The initial ulcer size was shown to influence the time to total healing of the limb. 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Fremantle</affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Michael C.</forename><surname>Stagey</surname><roleName type="degree">FACD.</roleName></persName><affiliation>Consultant Dermatologist. Fremantle</affiliation><affiliation>Address for correspondence: Michael Stacey, University Department of Surgery, Fremantle Hospital. PO Box 480, Fremantle, WA 6160.</affiliation></author><author xml:id="author-0002"><persName><forename type="first">James B.</forename><surname>Rohr</surname><roleName type="degree">FRACS.</roleName></persName><affiliation>Senior Lecturer, University Department of Surgery. Fremantle</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Steven R.</forename><surname>Baker</surname><roleName type="degree">FRACS.</roleName></persName><affiliation>Research Registrar, University Department of Surgery. Fremantle</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Pamela J.</forename><surname>Thompson</surname><roleName type="degree">RN.</roleName></persName><affiliation>Vascular Laboratory Nurse. Fremantle</affiliation></author><author xml:id="author-0005"><persName><forename type="first">Susan E.</forename><surname>Hoskin</surname><roleName type="degree">RN.</roleName></persName><affiliation>Vascular Laboratory Nurse, Fremantle Hospital, Perth, Western Australia. 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Fremantle</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Chronic leg ulcers</keyword><keyword xml:id="k2">leg ulcer aetiology</keyword><keyword xml:id="k3">compression bandaging</keyword><keyword xml:id="k4">complete leg ulcer healing</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">SUMMARY</title><p>Chronic leg ulcers have many different causes and therefore need an accurate diagnosis in order to give the most effective treatment. A specialized clinic was set up in Fremantle Hospital in July 1988 with the aims of performing a thorough clinical and laboratory assessment to establish the cause of ulceration in every patient, and treating patients according to the cause of ulceration. Patients with arterial, neoplastic or dermatological conditions were treated as appropriate for their diagnosis and patients with other chronic ulcers were managed as outpatients where possible.</p><p>Patients were seen between July 1988 and July 1989. Only 43% had purely venous ulcers, 32.6% had a venous component plus some other abnormality, and 5.2% were purely arterial. Using an outpatient treatment regimen, 67% of all ulcerated limbs and 73.7% of limbs with purely venous ulcers were healed within 6 months. Only 11 patients with venous ulceration (15 limbs) failed on this therapy and required admission during the observation period. The initial ulcer size was shown to influence the time to total healing of the limb.</p><p>The healing rates achieved compare favourably with studies from other specialized centres and suggest that the majority of patients with chronic leg ulcers can be treated successfully using ambulatory outpatient dressing techniques.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>OUTPATIENT TREATMENT OF CHRONIC VENOUS ULCERS IN A SPECIALIZED CLINIC</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>OUTPATIENT TREATMENT OF CHRONIC VENOUS ULCERS IN A SPECIALIZED CLINIC</title></titleInfo><name type="personal"><namePart type="given">Andrea G.</namePart><namePart type="family">Jopp‐McKay</namePart><namePart type="termsOfAddress">MBBS.</namePart><affiliation>Dermatology Registrar and Research Registrar, University Department of Surgery. Fremantle</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael C.</namePart><namePart type="family">Stagey</namePart><namePart type="termsOfAddress">FACD.</namePart><affiliation>Consultant Dermatologist. Fremantle</affiliation><affiliation>Address for correspondence: Michael Stacey, University Department of Surgery, Fremantle Hospital. PO Box 480, Fremantle, WA 6160.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James B.</namePart><namePart type="family">Rohr</namePart><namePart type="termsOfAddress">FRACS.</namePart><affiliation>Senior Lecturer, University Department of Surgery. Fremantle</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Steven R.</namePart><namePart type="family">Baker</namePart><namePart type="termsOfAddress">FRACS.</namePart><affiliation>Research Registrar, University Department of Surgery. Fremantle</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Pamela J.</namePart><namePart type="family">Thompson</namePart><namePart type="termsOfAddress">RN.</namePart><affiliation>Vascular Laboratory Nurse. Fremantle</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Susan E.</namePart><namePart type="family">Hoskin</namePart><namePart type="termsOfAddress">RN.</namePart><affiliation>Vascular Laboratory Nurse, Fremantle Hospital, Perth, Western Australia. Fremantle</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1991-12</dateIssued><copyrightDate encoding="w3cdtf">1991</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">16</extent></physicalDescription><abstract lang="en">Chronic leg ulcers have many different causes and therefore need an accurate diagnosis in order to give the most effective treatment. A specialized clinic was set up in Fremantle Hospital in July 1988 with the aims of performing a thorough clinical and laboratory assessment to establish the cause of ulceration in every patient, and treating patients according to the cause of ulceration. Patients with arterial, neoplastic or dermatological conditions were treated as appropriate for their diagnosis and patients with other chronic ulcers were managed as outpatients where possible. Patients were seen between July 1988 and July 1989. Only 43% had purely venous ulcers, 32.6% had a venous component plus some other abnormality, and 5.2% were purely arterial. Using an outpatient treatment regimen, 67% of all ulcerated limbs and 73.7% of limbs with purely venous ulcers were healed within 6 months. Only 11 patients with venous ulceration (15 limbs) failed on this therapy and required admission during the observation period. The initial ulcer size was shown to influence the time to total healing of the limb. The healing rates achieved compare favourably with studies from other specialized centres and suggest that the majority of patients with chronic leg ulcers can be treated successfully using ambulatory outpatient dressing techniques.</abstract><subject lang="en"><genre>keywords</genre><topic>Chronic leg ulcers</topic><topic>leg ulcer aetiology</topic><topic>compression bandaging</topic><topic>complete leg ulcer healing</topic></subject><relatedItem type="host"><titleInfo><title>Australasian Journal of Dermatology</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0004-8380</identifier><identifier type="eISSN">1440-0960</identifier><identifier type="DOI">10.1111/(ISSN)1440-0960</identifier><identifier type="PublisherID">AJD</identifier><part><date>1991</date><detail type="volume"><caption>vol.</caption><number>32</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>143</start><end>149</end><total>7</total></extent></part></relatedItem><identifier type="istex">38403F842C8E5A650E62D1E13C286C9D03E3994B</identifier><identifier type="DOI">10.1111/j.1440-0960.1991.tb01779.x</identifier><identifier type="ArticleID">AJD143</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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