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Intermittent pneumatic compression for treating venous leg ulcers.

Identifieur interne : 001523 ( PubMed/Curation ); précédent : 001522; suivant : 001524

Intermittent pneumatic compression for treating venous leg ulcers.

Auteurs : E Andrea Nelson [Royaume-Uni] ; Alex Hillman ; Kate Thomas

Source :

RBID : pubmed:24820100

Descripteurs français

English descriptors

Abstract

Intermittent pneumatic compression (IPC) is a mechanical method of delivering compression to swollen limbs that can be used to treat venous leg ulcers and limb swelling due to lymphoedema.

DOI: 10.1002/14651858.CD001899.pub4
PubMed: 24820100

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pubmed:24820100

Le document en format XML

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<title xml:lang="en">Intermittent pneumatic compression for treating venous leg ulcers.</title>
<author>
<name sortKey="Nelson, E Andrea" sort="Nelson, E Andrea" uniqKey="Nelson E" first="E Andrea" last="Nelson">E Andrea Nelson</name>
<affiliation wicri:level="4">
<nlm:affiliation>School of Healthcare, University of Leeds, Baines Wing, Leeds, UK, LS2 9UT.</nlm:affiliation>
<orgName type="university">Université de Leeds</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Leeds</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Yorkshire-et-Humber</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hillman, Alex" sort="Hillman, Alex" uniqKey="Hillman A" first="Alex" last="Hillman">Alex Hillman</name>
</author>
<author>
<name sortKey="Thomas, Kate" sort="Thomas, Kate" uniqKey="Thomas K" first="Kate" last="Thomas">Kate Thomas</name>
</author>
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<idno type="wicri:source">PubMed</idno>
<date when="2014">2014</date>
<idno type="RBID">pubmed:24820100</idno>
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<title xml:lang="en">Intermittent pneumatic compression for treating venous leg ulcers.</title>
<author>
<name sortKey="Nelson, E Andrea" sort="Nelson, E Andrea" uniqKey="Nelson E" first="E Andrea" last="Nelson">E Andrea Nelson</name>
<affiliation wicri:level="4">
<nlm:affiliation>School of Healthcare, University of Leeds, Baines Wing, Leeds, UK, LS2 9UT.</nlm:affiliation>
<orgName type="university">Université de Leeds</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Leeds</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Yorkshire-et-Humber</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hillman, Alex" sort="Hillman, Alex" uniqKey="Hillman A" first="Alex" last="Hillman">Alex Hillman</name>
</author>
<author>
<name sortKey="Thomas, Kate" sort="Thomas, Kate" uniqKey="Thomas K" first="Kate" last="Thomas">Kate Thomas</name>
</author>
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<series>
<title level="j">The Cochrane database of systematic reviews</title>
<idno type="eISSN">1469-493X</idno>
<imprint>
<date when="2014" type="published">2014</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Air</term>
<term>Bandages</term>
<term>Humans</term>
<term>Intermittent Pneumatic Compression Devices</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Stockings, Compression</term>
<term>Varicose Ulcer (therapy)</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Air</term>
<term>Bandages</term>
<term>Bas de contention</term>
<term>Cicatrisation de plaie</term>
<term>Dispositifs à compression pneumatique intermittente</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Humains</term>
<term>Ulcère variqueux ()</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Varicose Ulcer</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Air</term>
<term>Bandages</term>
<term>Humans</term>
<term>Intermittent Pneumatic Compression Devices</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Stockings, Compression</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Air</term>
<term>Bandages</term>
<term>Bas de contention</term>
<term>Cicatrisation de plaie</term>
<term>Dispositifs à compression pneumatique intermittente</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Humains</term>
<term>Ulcère variqueux</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Intermittent pneumatic compression (IPC) is a mechanical method of delivering compression to swollen limbs that can be used to treat venous leg ulcers and limb swelling due to lymphoedema.</div>
</front>
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<pubmed>
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<PMID Version="1">24820100</PMID>
<DateCreated>
<Year>2014</Year>
<Month>06</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>06</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1469-493X</ISSN>
<JournalIssue CitedMedium="Internet">
<Issue>5</Issue>
<PubDate>
<Year>2014</Year>
<Month>May</Month>
<Day>12</Day>
</PubDate>
</JournalIssue>
<Title>The Cochrane database of systematic reviews</Title>
<ISOAbbreviation>Cochrane Database Syst Rev</ISOAbbreviation>
</Journal>
<ArticleTitle>Intermittent pneumatic compression for treating venous leg ulcers.</ArticleTitle>
<Pagination>
<MedlinePgn>CD001899</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/14651858.CD001899.pub4</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Intermittent pneumatic compression (IPC) is a mechanical method of delivering compression to swollen limbs that can be used to treat venous leg ulcers and limb swelling due to lymphoedema.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine whether IPC increases the healing of venous leg ulcers. To determine the effects of IPC on health related quality of life of venous leg ulcer patients.</AbstractText>
<AbstractText Label="SEARCH METHODS" NlmCategory="METHODS">In April 2014, for this third update, we searched the Cochrane Wounds Group Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE; and EBSCO CINAHL.</AbstractText>
<AbstractText Label="SELECTION CRITERIA" NlmCategory="METHODS">We included randomised controlled trials (RCTs) that compared the effects of IPC with control (sham IPC or no IPC) or made comparisons between IPC treatment regimens, in venous ulcer management.</AbstractText>
<AbstractText Label="DATA COLLECTION AND ANALYSIS" NlmCategory="METHODS">Two review authors reviewed titles and abstracts and agreed on full studies to be retrieved. One review author extracted data and assessed studies for risk of bias and this was checked by a second review author.</AbstractText>
<AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">We identified nine randomised controlled trials (including 489 people in total). Only one trial was at low risk of bias overall having reported adequate randomisation, allocation concealment and blinded outcome assessment. In one trial (80 people) more ulcers healed with IPC than with dressings (62% vs 28%; p=0.002). Five trials compared IPC plus compression with compression alone. Two of these (97 people) found increased ulcer healing with IPC plus compression than with compression alone. The remaining three trials (122 people) found no evidence of a benefit for IPC plus compression compared with compression alone.Two trials (86 people) found no difference between IPC (without additional compression) and compression bandages alone.One trial (104 people) compared different ways of delivering IPC and found that rapid IPC healed more ulcers than slow IPC (86% vs 61%).</AbstractText>
<AbstractText Label="AUTHORS' CONCLUSIONS" NlmCategory="CONCLUSIONS">IPC may increase healing compared with no compression. It is unclear whether it can be used instead of compression bandages. There is some limited evidence that IPC may improve healing when added to compression bandages. Rapid IPC was better than slow IPC in one trial. Further trials are required to determine the reliability of current evidence, which patients may benefit from IPC in addition to compression bandages, and the optimum treatment regimen.</AbstractText>
</Abstract>
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<LastName>Nelson</LastName>
<ForeName>E Andrea</ForeName>
<Initials>EA</Initials>
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<Affiliation>School of Healthcare, University of Leeds, Baines Wing, Leeds, UK, LS2 9UT.</Affiliation>
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<LastName>Thomas</LastName>
<ForeName>Kate</ForeName>
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<Language>eng</Language>
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<PublicationType UI="D017418">Meta-Analysis</PublicationType>
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<Country>England</Country>
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<NlmUniqueID>100909747</NlmUniqueID>
<ISSNLinking>1361-6137</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList>
<CommentsCorrections RefType="UpdateOf">
<RefSource>Cochrane Database Syst Rev. 2011;(2):CD001899</RefSource>
<PMID Version="1">21328252</PMID>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000388" MajorTopicYN="N">Air</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001458" MajorTopicYN="Y">Bandages</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D048228" MajorTopicYN="Y">Intermittent Pneumatic Compression Devices</DescriptorName>
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<DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName>
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<DescriptorName UI="D053828" MajorTopicYN="N">Stockings, Compression</DescriptorName>
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<DescriptorName UI="D014647" MajorTopicYN="N">Varicose Ulcer</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<DescriptorName UI="D014945" MajorTopicYN="Y">Wound Healing</DescriptorName>
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<PublicationStatus>epublish</PublicationStatus>
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