Related Experiment Video
Updated: Dec 8, 2025
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
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.
Purpose:
The purpose of this study was to explore average time to heal for patients with venous leg ulcers (VLUs) receiving standard of care that included compression and advanced wound dressings.
Design:
Secondary analysis of an existing electronic database.
Subject And Settings:
A convenience sample consisting of 1323 patients with VLUs from various community care sectors (homecare and clinics) across Canada.
Methods:
The Wound Studies database used in the analysis consisted of data from 6 studies conducted prospectively between 1999 and 2009 in which the treatment and delivery of care for all lower leg ulcers (venous, arterial, and mixed) in Canada was examined. From these studies, only patients with VLUs, with an ankle-brachial pressure index of greater than 0.8, and surface area measurements of the ulcers at baseline, 3 months, and 6 months were included. Descriptive statistics were used to determine the proportion of patients who achieved closure at 3 and 6 months and explore the weekly and monthly healing rates for those who did and did not achieve closure. Logistic regression analysis was performed to identify predictive factors for healing.
Results:
A total of 777 patients (mean age 69 years) met inclusion criteria. The proportion of patients who achieved closure at 3 and 6 months was 42.2% and 48.6%, respectively. Of the participants who achieved wound closure, monthly mean healing rate, measured by percentage of reduction in surface area, was 33.4% (0.56 cm, SD 1.4 [median 0.15 cm]) through month 3, and 31.0% (0.70 cm, SD 1.6 [median 0.08 cm]) through month 6. The overall monthly surface area reduction was 30%.
Conclusion:
Study findings suggest a monthly surface area reduction of 30% provides a baseline healing rate for VLUs managed with compression therapy and advanced dressings. Findings also suggest standard of care is not sufficient for healing in over 50% of the population, as the proportion of those who achieved closure at 3 and 6 months was 42.2% and 48.6%, respectively.
More Related Videos
08:39Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
04:09Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
Related Concept Videos
01:30Venous Thrombosis IV: Nursing Management
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
01:29Venous Thrombosis III: Interprofessional Care
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:26Peripheral Artery Disease IV: Nursing Management