The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic.
Identifieur interne : 004274 ( PubMed/Curation ); précédent : 004273; suivant : 004275The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic.
Auteurs : D J Adam [Royaume-Uni] ; J. Naik ; T. Hartshorne ; M. Bello ; N J M. LondonSource :
- European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [ 1078-5884 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Loi du khi-deux, Maladie chronique, Mâle, Résultat thérapeutique, Soins ambulatoires, Sujet âgé, Sujet âgé de 80 ans ou plus, Ulcère de la jambe (), Ulcère de la jambe (imagerie diagnostique), Ulcère de la jambe (étiologie), Échographie-doppler duplex, Études prospectives.
- MESH :
- imagerie diagnostique : Ulcère de la jambe.
- étiologie : Ulcère de la jambe.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Loi du khi-deux, Maladie chronique, Mâle, Résultat thérapeutique, Soins ambulatoires, Sujet âgé, Sujet âgé de 80 ans ou plus, Ulcère de la jambe, Échographie-doppler duplex, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Leg Ulcer.
- etiology : Leg Ulcer.
- therapy : Leg Ulcer.
- Adult, Aged, Aged, 80 and over, Ambulatory Care, Chi-Square Distribution, Chronic Disease, Female, Humans, Male, Middle Aged, Prospective Studies, Treatment Outcome, Ultrasonography, Doppler, Duplex.
Abstract
accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. This prospective study describes the findings of a standardised assessment protocol and the initial management of a consecutive series of patients with chronic leg ulceration presenting to a single-visit leg ulcer assessment clinic.
DOI: 10.1053/ejvs.2002.1906
PubMed: 12713787
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Bello</name></author><author><name sortKey="London, N J M" sort="London, N J M" uniqKey="London N" first="N J M" last="London">N J M. London</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2003">2003</date><idno type="RBID">pubmed:12713787</idno><idno type="pmid">12713787</idno><idno type="doi">10.1053/ejvs.2002.1906</idno><idno type="wicri:Area/PubMed/Corpus">004274</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004274</idno><idno type="wicri:Area/PubMed/Curation">004274</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004274</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic.</title><author><name sortKey="Adam, D J" sort="Adam, D J" uniqKey="Adam D" first="D J" last="Adam">D J Adam</name><affiliation wicri:level="1"><nlm:affiliation>University Department of Surgery, Robert Kilpatrick Building, Leicester Royal Infirmary, Leicester LE2 7LX, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University Department of Surgery, Robert Kilpatrick Building, Leicester Royal Infirmary, Leicester LE2 7LX</wicri:regionArea></affiliation></author><author><name sortKey="Naik, J" sort="Naik, J" uniqKey="Naik J" first="J" last="Naik">J. Naik</name></author><author><name sortKey="Hartshorne, T" sort="Hartshorne, T" uniqKey="Hartshorne T" first="T" last="Hartshorne">T. Hartshorne</name></author><author><name sortKey="Bello, M" sort="Bello, M" uniqKey="Bello M" first="M" last="Bello">M. Bello</name></author><author><name sortKey="London, N J M" sort="London, N J M" uniqKey="London N" first="N J M" last="London">N J M. London</name></author></analytic><series><title level="j">European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</title><idno type="ISSN">1078-5884</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory Care</term><term>Chi-Square Distribution</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Leg Ulcer (diagnostic imaging)</term><term>Leg Ulcer (etiology)</term><term>Leg Ulcer (therapy)</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Treatment Outcome</term><term>Ultrasonography, Doppler, Duplex</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Maladie chronique</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Soins ambulatoires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Ulcère de la jambe ()</term><term>Ulcère de la jambe (imagerie diagnostique)</term><term>Ulcère de la jambe (étiologie)</term><term>Échographie-doppler duplex</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Leg Ulcer</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Leg Ulcer</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Ulcère de la jambe</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Leg Ulcer</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Ulcère de la jambe</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory Care</term><term>Chi-Square Distribution</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Treatment Outcome</term><term>Ultrasonography, Doppler, Duplex</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Maladie chronique</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Soins ambulatoires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Ulcère de la jambe</term><term>Échographie-doppler duplex</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. This prospective study describes the findings of a standardised assessment protocol and the initial management of a consecutive series of patients with chronic leg ulceration presenting to a single-visit leg ulcer assessment clinic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12713787</PMID><DateCreated><Year>2003</Year><Month>04</Month><Day>25</Day></DateCreated><DateCompleted><Year>2003</Year><Month>06</Month><Day>10</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1078-5884</ISSN><JournalIssue CitedMedium="Print"><Volume>25</Volume><Issue>5</Issue><PubDate><Year>2003</Year><Month>May</Month></PubDate></JournalIssue><Title>European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</Title><ISOAbbreviation>Eur J Vasc Endovasc Surg</ISOAbbreviation></Journal><ArticleTitle>The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic.</ArticleTitle><Pagination><MedlinePgn>462-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. This prospective study describes the findings of a standardised assessment protocol and the initial management of a consecutive series of patients with chronic leg ulceration presenting to a single-visit leg ulcer assessment clinic.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">between January 1993 and January 1999, a total of 555 patients (220 men and 335 women of median age 73, range 28-95 years) with 689 chronic leg ulcers were assessed. Full clinical assessment, ankle:brachial pressure index and lower limb venous duplex scan were performed according to a standardised protocol and diagnostic and management data were recorded prospectively on a computerised database.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">venous disease alone was responsible for 496 of 689 (72%) ulcers. Isolated superficial venous reflux (SVR) was identified in 52% of limbs and two-thirds of these had superficial venous surgery. Combined SVR and segmental deep venous reflux (DVR) was present in 13%, and full-length DVR was present in 33% of limbs. Nineteen (4%) limbs had deep venous stenosis or obstruction. Overall, superficial venous surgery was performed in 43% and compression bandages or hosiery alone were applied in 52% of limbs. Mixed arterio-venous ulceration was present in 100 (14.5%) limbs of which 56 had arterial revascularisation, 38 had superficial venous surgery and 23 had compression alone. Fifteen limbs with pure arterial ulceration had angioplasty (n=13) or simple dressings alone (n=2). Ulceration due to lymphoedema (n=17), mixed lymphoedema and venous reflux (n=11) and other causes (n=50) were managed by compression, dressings or skin grafting.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">a standardised protocol of clinical and duplex assessment can lead to a diagnosis in 97% of chronic leg ulcers. Duplex is essential to confirm or exclude potentially correctable venous disease and allow tailored surgical intervention for those patients who many benefit.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adam</LastName><ForeName>D J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>University Department of Surgery, Robert Kilpatrick Building, Leicester Royal Infirmary, Leicester LE2 7LX, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naik</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Hartshorne</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Bello</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>London</LastName><ForeName>N J M</ForeName><Initials>NJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Vasc Endovasc Surg</MedlineTA><NlmUniqueID>9512728</NlmUniqueID><ISSNLinking>1078-5884</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007871" MajorTopicYN="N">Leg Ulcer</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018616" MajorTopicYN="N">Ultrasonography, Doppler, Duplex</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2003</Year><Month>4</Month><Day>26</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2003</Year><Month>6</Month><Day>11</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2003</Year><Month>4</Month><Day>26</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12713787</ArticleId><ArticleId IdType="doi">10.1053/ejvs.2002.1906</ArticleId><ArticleId IdType="pii">S107858840300087X</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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