Evaluation of Longitudinal and Tubular Compression Treatment for Lower Limb Edema.

Autor:	Sibbald RG; R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med Derm), FAAD, MAPWCA, JM, is Professor, Medicine and Public Health, University of Toronto, Toronto, Ontario, Canada; Director, International Interprofessional Wound Care Course and Masters of Science in Community Health (Prevention and Wound Care), Dalla Lana School of Public Health, University of Toronto; Project Lead, ECHO Ontario Skin and Wound Care; Previous President, World Union of Wound Healing Societies; co-Editor-in-Chief, Advances in Skin and Wound Care, Philadelphia, Pennsylvania. At the Toronto Regional Wound Healing Clinic, Mississauga, Canada, James A. Elliott, MMSc, is Project Manager, ECHO Ontario Skin and Wound Care; Patricia Coutts, RN, IIWCC-CAN, is Clinical Trials Coordinator, WoundPedia; and Reneeka Persaud-Jaimangal, MD, MScCH, IIWCC-CAN, is Clinical Coordinator, ECHO Ontario Skin and Wound Care. Acknowledgment: This was an investigator-initiated trial funded by an unrestricted educational grant from Compression Dynamics LLC, Omaha, Nebraska. The authors have disclosed no other financial relationships related to this article. Submitted March 7, 2019; accepted in revised form May 19, 2020., Elliott JA, Coutts P, Persaud-Jaimangal R
Jazyk:	angličtina
Zdroj:	Advances in skin & wound care [Adv Skin Wound Care] 2020 Dec; Vol. 33 (12), pp. 643-649.
DOI:	10.1097/01.ASW.0000720264.41419.38
Abstrakt:	Background: Many patients with lower limb edema do not tolerate traditional higher-pressure compression devices and require alternative devices for edema control. Methods: Two systems were evaluated for control of bilateral or unilateral lower limb edema: an elasticized longitudinal stockinette (ELS; EdemaWear; Compression Dynamics, Omaha, Nebraska) and an elasticized tubular bandage (ETB; Tubigrip; Mölnlycke Health Care, Norcross, Georgia). Twenty-five patients were recruited; patients with bilateral edema (n = 12) wore the ELS on one limb, and the ETB on the other. Patients with unilateral edema (n = 13) were randomized to wear either the ELS or ETB. Edema measurements, leg pain, and patient preference were recorded. Results: There were 14 females (56%) and 11 males (44%); mean age was 66 years (range, 32-88 years); and mean body mass index was 40.4 kg/m (range, 26.1-66.9 kg/m). Patients with bilateral edema wearing ELS had a foot-to-leg circumference between 25.5 and 42.9 cm pre-ELS that remained essentially unchanged at 2 weeks. The five patients with unilateral edema using ELS had a 24.3- to 43.7-cm circumference pre-ELS and 24.2- to 42.6-cm range at 2 weeks. The patients with bilateral edema using ETBs had a foot-to-leg circumference of 25.5 to 43.7 cm before treatment, unchanged 2 weeks later. The eight patients with unilateral edema using ETB had a 25.4- to 45.3-cm circumference pre-ETB and 24.8- to 42.0-cm range post-ETB. Mean pain levels decreased from 1.0 at week 0 to 0.5 at week 2. More patients preferred ELS (17/23, 78.3%) over ETB (5/23, 21.7%). Conclusions: Both systems were easy to apply and provided low compression without increased pain. The ELS was preferred by more patients (78.3%) than ETB (21.7%).
Databáze:	MEDLINE
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