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Healing Rates of Venous Leg Ulcers Managed With Compression Therapy: A Secondary Analysis of Data
Erin M Rajhathy1, Heather D Murray, Veronica A Roberge
1Erin M. Rajhathy, RN, BScN, MClSc, NSWOC, WOCC(C), South East Local Health Integration Network, Kingston, Ontario, Canada. Heather D. Murray, RN, BScN, MClSc, NSWOC, London Health Science Center, London, Ontario, Canada. Veronica A. Roberge, RN, BScN, MClSc, NSWOC, Castlegar, British Columbia, Canada. Kevin Y. Woo, PhD, RN, NSWOC, WOCC(C), FAPWCA, Faculty of Nursing, Queens University, Kingston, Ontario, Canada.
Standard care for venous leg ulcers (VLUs) achieved closure in less than 50% of patients within six months. A 30% monthly surface area reduction indicates a baseline healing rate for VLUs treated with compression and advanced dressings.
Area of Science:
- Wound healing research
- Vascular medicine
- Dermatology
Background:
- Venous leg ulcers (VLUs) represent a significant challenge in wound care.
- Standard treatment typically involves compression therapy and advanced wound dressings.
Purpose of the Study:
- To determine the average time to heal for patients with VLUs receiving standard care.
- To establish a baseline healing rate for VLUs managed with compression and advanced dressings.
Main Methods:
- Secondary analysis of a Canadian electronic database (Wound Studies) from 1999-2009.
- Included 777 patients with VLUs meeting specific criteria (ABI > 0.8, baseline/3-month/6-month measurements).
- Utilized descriptive statistics and logistic regression to analyze healing rates and predictive factors.
Main Results:
- 42.2% of patients achieved VLU closure at 3 months; 48.6% at 6 months.
- Mean monthly healing rate (surface area reduction) was 33.4% by month 3 and 31.0% by month 6.
- Overall monthly surface area reduction averaged 30%.
Conclusions:
- A 30% monthly surface area reduction can serve as a benchmark for VLU healing with standard care.
- Standard care, including compression and advanced dressings, is insufficient for healing in over half of VLU patients within six months.
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