Compression for venous leg ulcers

O'Meara, Susan, Cullum, Nicky, Nelson, E. Andrea and Dumville, Jo C. (2012) Compression for venous leg ulcers. Cochrane Database of Systematic Review, 11: . doi:10.1002/14651858.CD000265.pub3

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Author O'Meara, Susan
Cullum, Nicky
Nelson, E. Andrea
Dumville, Jo C.
Title Compression for venous leg ulcers
Journal name Cochrane Database of Systematic Review   Check publisher's open access policy
ISSN 1469-493X
Publication date 2012-11-14
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD000265.pub3
Open Access Status File (Publisher version)
Issue 11
Total pages 192
Place of publication Oxford, United Kingdom
Publisher John Wiley & Sons
Language eng
Abstract Venous leg ulcers can occur when blood returning from veins in the legs to the heart is slow or obstructed. These ulcers can take a long time to heal (weeks or months) and can cause distress to patients, as well as being very costly to the health service. Compression bandages help blood to return to the heart from the legs, and there are a variety of types of bandage systems available; some are just a single bandage, while others require the application of several different types of bandages to the leg. Compression stockings are sometimes used as an alternative to compression bandages. This review examined the effectiveness of compression bandages versus no compression, and compared different types of compression bandages and stockings. We looked at how well these different treatments work in terms of ulcer healing. We found that applying compression was better than not using compression, and that multi-component bandages worked better than single-component systems. Multi-component systems (bandages or stockings) appear to perform better when one part is an elastic (stretchy) bandage. A very detailed analysis showed that a system called the 'four-layer bandage' or '4LB' (i.e. four different bandages applied to the leg, including an elastic one) heals ulcers faster than the 'short-stretch bandage' or 'SSB' (a type of bandage with very minimal stretch).
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article number CD000265.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 22 May 2014, 21:31:33 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work