eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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1/2023
vol. 40
 
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abstract:
Original paper

The effectiveness of two different sub-bandage pressure values on healing and quality of life outcomes for patients with venous leg ulcers

Vesna Karanikolic
1, 2
,
Aleksandra Ignjatovic
1
,
Mirjana Marinkovic
1
,
Lidija Djordjevic
1

  1. Faculty of Medicine, University of Niš, Niš, Serbia
  2. Clinic for Dermatology, Nis, Serbia
Adv Dermatol Allergol 2023; XL (1): 47-53
Online publish date: 2023/02/27
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Introduction:
Venous ulcers account for over 80% of chronic wounds in the lower extremities. Venous ulcers lead to a significant decrease in the patients’ quality of life. Aim: To compare the effectiveness of two different sub-bandage pressure values on healing and quality of life outcomes.

Aim:
To compare the effectiveness of two different sub-bandage pressure values on healing and quality of life outcomes.

Material and methods:
The study included 116 outpatients with venous leg ulcers (VLUs), one group with a moderate compression pressure of 35–40 mm Hg and the second with a high pressure > 45 mm Hg. The Kaplan-Meier curve and log rank test were used to estimate healing by type of compression. Quality of life measures included: Quality of Life Index (QL), Numeric Pain Rating Scale (NPRS) and Geriatric Depression Scale (GDS). Patients were followed for 24 weeks.

Results:
Kaplan-Maier analysis showed that a high pressure leads to a higher proportion of healed VLUs, compared to the moderate pressure (p = 0.011). QL, GDS and NPRS at the beginning were equalized between the groups. In patients with a high compression, there was a statistically significant increase in QL (p = 0.005), decrease in GDS (p = 0.040) and NPRS (p = 0.002) during 24 weeks. In patients with moderate compressions there was a statistically significant increase in QL (p = 0.013).

Conclusions:
Patients who received high pressure, healed faster. When a high pressure was applied, there was a statistically significant increase in QL, decrease in GDS and NPRS compared to the group of patients to whom the moderate pressure was applied.

keywords:

venous leg ulcers, quality of life, sub-bandage pressure

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