The influence of different sub-bandage pressure values in the prevention of recurrence of venous ulceration—A ten year follow-up

Abstract

Objective The aim of this study was to establish the efficacy of three different strengths of compression systems in the prevention of venous leg ulcer (VLU) recurrences during a 10-year follow up period. Methods An open, prospective, randomized, single-center study included 477 patients (240 men, 237 women; mean age 59 years). Patients were randomized into three groups: Group A) 149 patients (allocated to wear elastic stocking 18–25 mmHg). Group B) 167 patients (wearing compression device exerting 25–35 mmHg), and Group C) 161 patients (treated with multilayer compression system exerting 35–50 mmHg). Results Overall, 65% (234/360) of patients had recurrent VLU within 10 years. Recurrence occurred in 120 (96%) of 125 in group A, in 89 (66.9%) of 133 patients in group B and in 25 (24.5%) of 102 patients in group C ( p < 0.05) Conclusion Compression systems with the higher compression class provide lower recurrence rate.

Prevention strategies for the recurrence of venous leg ulcers: A scoping review

“… 32 In addition, it is necessary to constantly follow up, encourage and communicate with patients about the use of compression treatment. 19 …”

“…Eleven articles 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 included in this study adopted the following four effective measures: Compression therapy, physical activity, health education and self‐care. Among them, the compression therapy was applied to each study as a conventional intervention method, but only three articles 19 , 20 , 21 investigated the effectiveness of different pressure measures, pressure values, duration and other factors on patients to prevent for relapse. Two papers 22 , 23 addressed the role of physical activity in preventing the recurrence of VLU and described different activities.…”

“…Three studies 19 , 20 , 21 compared the effects of pressures caused by different types of compression stockings on the VLU recurrence (Table 2 ). Two studies 19 , 20 demonstrated that the risk of VLU was very higher in population with low grade of compression stocking than in population wearing high grade compression one.…”

“…Three studies 19 , 20 , 21 compared the effects of pressures caused by different types of compression stockings on the VLU recurrence (Table 2 ). Two studies 19 , 20 demonstrated that the risk of VLU was very higher in population with low grade of compression stocking than in population wearing high grade compression one. It was also reported that the non‐compliance of a considerable number of population during a long‐term follow‐up, was directly related to the strength of compression stocking.…”

Chronic venous insufficiency and venous leg ulcers: Aetiology, on the pathophysiology‐based treatment

“…Milic and coworkers published an open, prospective, randomized, single‐centre study that included 477 patients (240 men, 237 women; mean age 59 years). 36 After the randomization of patients, they were allocated to wear elastic stockings with different pressure: 18–25, 25–35, and 35–50 mmHg. Within the period of 10 years, recurrence of VLU occurred in 96% of individuals allocated to wear stockings with 18–25 mmHg pressure, 66.9% of those wearing stockings with 25–35 mmHg pressure, and 24.5% treated with multilayer compression system exerting 35–50 mmHg).…”