Annual Meeting of The Southern Association for Vascular Surgery. Naples, FL, USA, 1999/01/27.
Although newer techniques to promote the healing of leg ulcers associated with chronic venous insufficiency are promising, improved healing rates and cost effectiveness are unproven.
We prospectively followed a series of patients who underwent treatment with outpatient compression for venous stasis ulcers without adjuvant techniques to determine healing rates and costs of treatment.
Two hundred fifty-two patients with clinical or duplex scan evidence of chronic venous insufficiency and active leg ulcers underwent treatment with ambulatory compression techniques.
The patients were prospectively followed with wound measurements at 1-week to 2-week intervals, and the factors that were associated with delayed healing were determined.
Of all the ulcers, 57% were healed at 10 weeks of treatment and 75% were healed at 16 weeks.
Ultimately, 96% of the ulcers healed, and only 1 major amputation was necessitated (0.4%). Initial ulcer size and moderate arterial insufficiency (ankle brachial index, 0.5 to 0.8 ; n=34) were factors that were independently associated with delayed healing (P<. 01).
Patient age, ulcer duration before treatment, and morbid obesity did not significantly affect healing times.
The cost of 10 weeks of outpatient treatment with compression techniques ranged from $1444 to $2711.
The treatment of venous stasis ulcers with compression techniques results in reliable, cost-effective healing in most patients. (...)
Mots-clés Pascal : Insuffisance veineuse, Ulcère, Jambe, Compression instrumentale, Analyse coût efficacité, Economie santé, Traitement, Technique, Efficacité traitement, Homme, Etude longitudinale, Membre inférieur, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Veine pathologie, Peau pathologie
Mots-clés Pascal anglais : Venous incompetence, Ulcer, Leg, Instrumental compression, Cost efficiency analysis, Health economy, Treatment, Technique, Treatment efficiency, Human, Follow up study, Lower limb, Cardiovascular disease, Vascular disease, Venous disease, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0475156
Code Inist : 002B12B03. Création : 22/03/2000.