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Related Experiment Videos

The Limerick Leg-Ulcer Project: early results.

F Castineira1, H Fisher, D Coleman

  • 1Department of Surgery, St. John's Hospital, Limerick.

Irish Journal of Medical Science
|March 31, 1999
PubMed
Summary

Nurse-led clinics effectively treat venous leg ulcers in the community. Outcomes for community-based treatment were comparable to hospital settings, supporting increased community resource allocation.

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Area of Science:

  • Vascular Medicine
  • Community Nursing
  • Wound Care

Background:

  • Nurse-led clinics are increasingly recommended for managing leg ulcers due to their potential effectiveness and cost-efficiency.
  • Limited data exists on the characteristics and treatment outcomes of patients with venous ulcers managed in either hospital or community settings.

Purpose of the Study:

  • To evaluate the profile and treatment outcomes of patients with venous leg ulcers managed in community versus hospital settings.
  • To assess the efficacy of compression bandaging therapy in a nurse-led clinic model.

Main Methods:

  • A prospective study assessed 134 patients with leg ulcers over two years.
  • 122 patients suitable for compression bandaging were analyzed, with 34 treated in a community service and 88 in a hospital clinic.

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  • Patient data included ulcer duration and size prior to treatment.

    • Main Results:

    • The overall healing rate for venous ulcers was 50% at 40 weeks, likely influenced by long duration and large ulcer size at presentation.
    • No statistically significant difference in healing outcomes was observed between hospital-based (50% at 40 weeks) and community-based (35% at 40 weeks) treatment (p > 0.05).

    Conclusions:

    • Most venous leg ulcers can be effectively treated within a community setting.
    • Increased resource allocation to community-based services is recommended to facilitate effective venous leg ulcer management.