Abstract
BackgroundChronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload.Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated.Method/designRandomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable.The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up.The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations.The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder.Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat.DiscussionThe study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions.Trial registrationThis study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.
Highlights
Chronic venous insufficiency, in its final stage can cause venous ulcers
We propose this study to compare the effectiveness of 2-layer compression bandages versus crepe bandages in the healing of venous ulcers and determine how they affect the quality of life of individuals with this problem
Aim The aim of this study is to assess whether multilayer compression bandages with 2 layers are more effective than crepe bandages in the healing of chronic venous ulcers in patients treated in primary care nursing consultations, measured by the incidence rate of ulcers with complete healing at 12 weeks of follow-up in each group
Summary
Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Prevalence and repercussion of the problem Venous ulcers are lesions skin loss that rest on the skin affected by stasis dermatitis, secondary to severe chronic venous insufficiency [3]. They are mainly located in the internal lateral area of the distal third of the leg. To diagnose this condition, is necessary a physical examination to confirm the presence of tibial pulses and/or a pressure gradient in the feet >60 mmHg and/or an ankle brachial index >0.8 to rule out an arterial origin [4]
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