A Comparative Clinical Study on Five Types of Compression Therapy in Patients with Venous Leg Ulcers
Identifieur interne : 003969 ( Main/Exploration ); précédent : 003968; suivant : 003970A Comparative Clinical Study on Five Types of Compression Therapy in Patients with Venous Leg Ulcers
Auteurs : Pawel Dolibog [Pologne] ; Andrzej Franek [Pologne] ; Jakub Taradaj [Pologne] ; Patrycja Dolibog [Pologne] ; Edward Blaszczak [Pologne] ; Anna Polak [Pologne] ; Ligia Brzezinska-Wcislo [Pologne] ; Antoni Hrycek [Pologne] ; Tomasz Urbanek [Pologne] ; Jacek Ziaja [Pologne] ; Magdalena Kolanko [Pologne]Source :
- International Journal of Medical Sciences [ 1449-1907 ] ; 2013.
Abstract
The aim of this study was to compare five types of compression therapy in venous leg ulcers (intermittent pneumatic vs. stockings vs. multi layer vs. two layer short stretch bandages vs. Unna boots). Primary study endpoints were analysis of changes of the total ulcer surface area, volume and linear dimensions inside observed groups. The secondary end points were comparisons between all groups the number of completely healed wounds (ulcer healing rates), Gilman index and percentage change of ulcer surface area. In total, 147 patients with unilateral venous leg ulcers were included to this study. Participants were randomly allocated to the groups: A, B, C, D and E. After two months the healing rate was the highest in group A (intermittent pneumatic compression) - 57.14%, 16/28 patients, B (ulcer stocking system) - 56.66%, 17/30 patients and C (multi layer short stretch bandage) - 58.62%, 17/29 patients. Significantly much worse rate found in group D (two layer short stretch bandages) - only 16.66%, 5/30 patients and E (Unna boots) - 20%, 6/30 patients. The analysis of changes of the percentage of Gilman index and wound total surface area confirmed that intermittent pneumatic compression, stockings and multi layer bandages are the most efficient. The two layer short - stretch bandages and Unna boots appeared again much less effective.
Url:
DOI: 10.7150/ijms.7548
PubMed: 24396284
PubMed Central: 3880989
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Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>1. Department of Medical Biophysics, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Franek, Andrzej" sort="Franek, Andrzej" uniqKey="Franek A" first="Andrzej" last="Franek">Andrzej Franek</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>1. Department of Medical Biophysics, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>1. Department of Medical Biophysics, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">2. Department of Physiotherapy Basics, Academy of Physical Education in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>2. Department of Physiotherapy Basics, Academy of Physical Education in Katowice</wicri:regionArea><wicri:noRegion>Academy of Physical Education in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Dolibog, Patrycja" sort="Dolibog, Patrycja" uniqKey="Dolibog P" first="Patrycja" last="Dolibog">Patrycja Dolibog</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>1. Department of Medical Biophysics, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Blaszczak, Edward" sort="Blaszczak, Edward" uniqKey="Blaszczak E" first="Edward" last="Blaszczak">Edward Blaszczak</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Department of Medical Biophysics, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>1. Department of Medical Biophysics, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Polak, Anna" sort="Polak, Anna" uniqKey="Polak A" first="Anna" last="Polak">Anna Polak</name><affiliation wicri:level="1"><nlm:aff id="A2">2. Department of Physiotherapy Basics, Academy of Physical Education in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>2. Department of Physiotherapy Basics, Academy of Physical Education in Katowice</wicri:regionArea><wicri:noRegion>Academy of Physical Education in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Brzezinska Wcislo, Ligia" sort="Brzezinska Wcislo, Ligia" uniqKey="Brzezinska Wcislo L" first="Ligia" last="Brzezinska-Wcislo">Ligia Brzezinska-Wcislo</name><affiliation wicri:level="1"><nlm:aff id="A3">3. Department of Dermatology, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>3. Department of Dermatology, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Hrycek, Antoni" sort="Hrycek, Antoni" uniqKey="Hrycek A" first="Antoni" last="Hrycek">Antoni Hrycek</name><affiliation wicri:level="1"><nlm:aff id="A4">4. Depatment of Internal, Autoimmune and Metabolic Medicine, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>4. Depatment of Internal, Autoimmune and Metabolic Medicine, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name><affiliation wicri:level="1"><nlm:aff id="A5">5. Department of General and Vascular Surgery, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>5. Department of General and Vascular Surgery, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Ziaja, Jacek" sort="Ziaja, Jacek" uniqKey="Ziaja J" first="Jacek" last="Ziaja">Jacek Ziaja</name><affiliation wicri:level="1"><nlm:aff id="A6">6. Department of General, Vascular and Transplant Surgery, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>6. Department of General, Vascular and Transplant Surgery, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Kolanko, Magdalena" sort="Kolanko, Magdalena" uniqKey="Kolanko M" first="Magdalena" last="Kolanko">Magdalena Kolanko</name><affiliation wicri:level="1"><nlm:aff id="A3">3. Department of Dermatology, Medical University of Silesia in Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>3. Department of Dermatology, Medical University of Silesia in Katowice</wicri:regionArea><wicri:noRegion>Medical University of Silesia in Katowice</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Medical Sciences</title><idno type="eISSN">1449-1907</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to compare five types of compression therapy in venous leg ulcers (intermittent pneumatic vs. stockings vs. multi layer vs. two layer short stretch bandages vs. Unna boots). Primary study endpoints were analysis of changes of the total ulcer surface area, volume and linear dimensions inside observed groups. The secondary end points were comparisons between all groups the number of completely healed wounds (ulcer healing rates), Gilman index and percentage change of ulcer surface area. In total, 147 patients with unilateral venous leg ulcers were included to this study. Participants were randomly allocated to the groups: A, B, C, D and E. After two months the healing rate was the highest in group A (intermittent pneumatic compression) - 57.14%, 16/28 patients, B (ulcer stocking system) - 56.66%, 17/30 patients and C (multi layer short stretch bandage) - 58.62%, 17/29 patients. Significantly much worse rate found in group D (two layer short stretch bandages) - only 16.66%, 5/30 patients and E (Unna boots) - 20%, 6/30 patients. The analysis of changes of the percentage of Gilman index and wound total surface area confirmed that intermittent pneumatic compression, stockings and multi layer bandages are the most efficient. The two layer short - stretch bandages and Unna boots appeared again much less effective.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Carpentier, Ph" uniqKey="Carpentier P">PH Carpentier</name></author><author><name sortKey="Maricq, Hr" uniqKey="Maricq H">HR Maricq</name></author><author><name sortKey="Biro, C" uniqKey="Biro C">C Biro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jones, Rh" uniqKey="Jones R">RH Jones</name></author><author><name sortKey="Carek, Pj" uniqKey="Carek P">PJ Carek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simon, Da" uniqKey="Simon D">DA Simon</name></author><author><name sortKey="Dix, Fp" uniqKey="Dix F">FP Dix</name></author><author><name sortKey="Mccollum, C" uniqKey="Mccollum C">C McCollum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Gent, Wb" uniqKey="Van Gent W">WB van 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uniqKey="Mani R">R Mani</name></author><author><name sortKey="Thomas, K" uniqKey="Thomas K">K Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Meara, S" uniqKey="O Meara S">S O'Meara</name></author><author><name sortKey="Cullum, N" uniqKey="Cullum N">N Cullum</name></author><author><name sortKey="Nelson, Ea" uniqKey="Nelson E">EA Nelson</name></author><author><name sortKey="Dumville, Jc" uniqKey="Dumville J">JC Dumville</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cullum, N" uniqKey="Cullum N">N Cullum</name></author><author><name sortKey="Nelson, Ea" uniqKey="Nelson E">EA Nelson</name></author><author><name sortKey="Flemming, K" uniqKey="Flemming K">K Flemming</name></author><author><name sortKey="Sheldon, T" uniqKey="Sheldon T">T Sheldon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stebbins, Wg" uniqKey="Stebbins W">WG Stebbins</name></author><author><name sortKey="Hanke, Cw" uniqKey="Hanke C">CW Hanke</name></author><author><name sortKey="Petersen, J" uniqKey="Petersen J">J Petersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schaum, Kd" uniqKey="Schaum K">KD Schaum</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Dolibog, Pawel" sort="Dolibog, Pawel" uniqKey="Dolibog P" first="Pawel" last="Dolibog">Pawel Dolibog</name></noRegion><name sortKey="Blaszczak, Edward" sort="Blaszczak, Edward" uniqKey="Blaszczak E" first="Edward" last="Blaszczak">Edward Blaszczak</name><name sortKey="Brzezinska Wcislo, Ligia" sort="Brzezinska Wcislo, Ligia" uniqKey="Brzezinska Wcislo L" first="Ligia" last="Brzezinska-Wcislo">Ligia Brzezinska-Wcislo</name><name sortKey="Dolibog, Patrycja" sort="Dolibog, Patrycja" uniqKey="Dolibog P" first="Patrycja" last="Dolibog">Patrycja Dolibog</name><name sortKey="Franek, Andrzej" sort="Franek, Andrzej" uniqKey="Franek A" first="Andrzej" last="Franek">Andrzej Franek</name><name sortKey="Hrycek, Antoni" sort="Hrycek, Antoni" uniqKey="Hrycek A" first="Antoni" last="Hrycek">Antoni Hrycek</name><name sortKey="Kolanko, Magdalena" sort="Kolanko, Magdalena" uniqKey="Kolanko M" first="Magdalena" last="Kolanko">Magdalena Kolanko</name><name sortKey="Polak, Anna" sort="Polak, Anna" uniqKey="Polak A" first="Anna" last="Polak">Anna Polak</name><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name><name sortKey="Urbanek, Tomasz" sort="Urbanek, Tomasz" uniqKey="Urbanek T" first="Tomasz" last="Urbanek">Tomasz Urbanek</name><name sortKey="Ziaja, Jacek" sort="Ziaja, Jacek" uniqKey="Ziaja J" first="Jacek" last="Ziaja">Jacek Ziaja</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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