Compression for preventing recurrence of venous ulcers

de Moraes Silva, Melissa Andreia; Nelson, Andrea; Bell-Syer, Sally EM; Jesus-Silva, Seleno G de; Miranda Jr, Fausto

doi:10.1002/14651858.cd002303.pub4

Cited by 2 publications

(5 citation statements)

References 59 publications

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“…The re-evaluation/further correction of reflux, weight loss, skin care, physical activity, infection prevention, patient compliance, and hydration are considered as relevant behaviours. Those data are in agreement with the results of a recent Cochrane systematic review evaluating compression bandages or hosiery for preventing the recurrence of venous ulcers [25]. Compression with European class 3 compression stockings can decrease reulceration compared with no compression over 6 months [25].…”

Section: Discussionsupporting

confidence: 88%

“…Those data are in agreement with the results of a recent Cochrane systematic review evaluating compression bandages or hosiery for preventing the recurrence of venous ulcers [25]. Compression with European class 3 compression stockings can decrease reulceration compared with no compression over 6 months [25]. Use of European class 1 compression stockings compared with European class 2 compression stockings cam result in little or no difference in reulceration and noncompliance over 12 months [25].…”

Section: Discussionsupporting

confidence: 87%

“…Compression with European class 3 compression stockings can decrease reulceration compared with no compression over 6 months [25]. Use of European class 1 compression stockings compared with European class 2 compression stockings cam result in little or no difference in reulceration and noncompliance over 12 months [25]. UK class 3 compression hosiery can decrease reulceration compared with UK class 2 compression hosiery; however, higher compression may lead to lower compliance [25].…”

Section: Discussionmentioning

confidence: 99%

“…Use of European class 1 compression stockings compared with European class 2 compression stockings cam result in little or no difference in reulceration and noncompliance over 12 months [25]. UK class 3 compression hosiery can decrease reulceration compared with UK class 2 compression hosiery; however, higher compression may lead to lower compliance [25]. There may be little to no difference between Scholl and Medi UK class 2 compression stockings in terms of reulceration and noncompliance [25].…”

Section: Discussionmentioning

confidence: 99%

“…UK class 3 compression hosiery can decrease reulceration compared with UK class 2 compression hosiery; however, higher compression may lead to lower compliance [25]. There may be little to no difference between Scholl and Medi UK class 2 compression stockings in terms of reulceration and noncompliance [25]. Compression therapy is based on the concept of applying external pressure on the limb to improve venous hemodynamics, to control oedema, to reduce inflammatory mediators, to improve microcirculation, to improve arterial inflow, and to improve lymphatic drainage.…”

Section: Discussionmentioning

confidence: 99%

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Understanding CEAP Classification: Insights from an Italian Survey on Corona Phlebectatica and Recurrent Active Venous Ulcers by Vascular Specialists

Lessiani,

Gazzabin,

Cocco

et al. 2024

Medicina

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Background and Objectives: The clinical relevance of “corona phlebectatica” and the management of risk factors for recurrence of venous ulcers in patients with chronic venous disease may be variable based on vascular specialists in different geographical areas of Italy. The aim of the present survey is to evaluate the management of patients with chronic venous disease by vascular specialists in different areas of the national territory. In particular, this involves ascertaining the clinical/prognostic relevance attributed to the presence of the “corona phlebectatica” as well as to the management of risk factors related to recurrence of venous ulcers. Materials and Methods: The web-based survey aimed at vascular medicine specialists with particular interest in venous disease. A questionnaire was developed, based on 12 questions, in relation to clinical assessment, risk factor management, and therapy in patients with chronic venous disease. Results: Almost all of the specialists involved actively participated in the survey, declaring that they personally manage chronic venous disease overall. There was a strong agreement in the prognostic consideration attributed to the presence of “corona phlebectatica” and to the management of risk factors for venous ulcer recurrence, regardless of the different geographical areas of interest. Conclusions: Accordingly with the results of this self-assessment survey, the skills and experience of the specialists involved appear to be of a good standard, both in the clinical evaluation and in the management of the progression of chronic venous disease. However, the need to reach more cultural insights into the correlations between chronic venous disease and risk factors correlated with disease progression emerges. Moreover, there was the need for a greater and tighter overall clinical control of a patient with chronic venous disease, also in relation to the presence of comorbidities.

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Section: Discussionsupporting

confidence: 88%