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The effectiveness of a four-layer compression bandage system in comparison with Class 3 compression hosiery on healing and quality of life in patients with venous leg ulcers: a randomised controlled trial
Citation
Finlayson, KJ and Courtney, MD and Gibb, MA and O'Brien, JA and Parker, CN and Edwards, HE, The effectiveness of a four-layer compression bandage system in comparison with Class 3 compression hosiery on healing and quality of life in patients with venous leg ulcers: a randomised controlled trial, International Wound Journal, 11, (1) pp. 21-7. ISSN 1742-4801 (2014) [Refereed Article]
Copyright Statement
Copyright 2012 The Authors
DOI: doi:10.1111/j.1742-481X.2012.01033.x
Abstract
An increasing number of compression systems available for treatment of venous leg ulcers and limited evidence on the relative effectiveness of these systems are available. The purpose of this study was to conduct a randomised controlled trial to compare the effectiveness of a four-layer compression bandage system and Class 3 compression hosiery on healing and quality of life (QL) in patients with venous leg ulcers. Data were collected from 103 participants on demographics, health, ulcer status, treatments, pain, depression and QL for 24 weeks. After 24 weeks, 86% of the four-layer bandage group and 77% of the hosiery group were healed (P = 0·24). Median time to healing for the bandage group was 10 weeks, in comparison with 14 weeks for the hosiery group (P = 0·018). The Cox proportional hazards regression found participants in the four-layer system were 2·1 times (95% CI 1·2-3·5) more likely to heal than those in hosiery, while longer ulcer duration, larger ulcer area and higher depression scores significantly delayed healing. No differences between groups were found in QL or pain measures. Findings indicate that these systems were equally effective in healing patients by 24 weeks; however, a four-layer system may produce a more rapid response.
Item Details
Item Type: | Refereed Article |
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Keywords: | Compression; Quality of life; Varicose ulcer; Wound healing |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Clinical sciences |
Research Field: | Dermatology |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | O'Brien, JA (Dr Jane O'Brien) |
ID Code: | 106868 |
Year Published: | 2014 |
Web of Science® Times Cited: | 39 |
Deposited By: | Health Sciences |
Deposited On: | 2016-02-24 |
Last Modified: | 2017-11-03 |
Downloads: | 0 |
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