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4 layer bandaging reduced healing time and saved nursing time and cost in venous leg ulcer

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 Q In patients with venous leg ulcers, does 4 layer bandaging reduce healing time more than usual care?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ IM/Ambulatory care ★★★★★☆☆

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

concealed.*

Embedded ImageBlinding:

unblinded.*

Embedded ImageFollow up period:

12 weeks.

Embedded ImageSetting:

health centres and a regional hospital in Ireland.

Embedded ImagePatients:

200 patients (mean age 71 y, 66% men) who had a venous leg ulcer (clinical evidence of venous disease, ankle:brachial pressure index ⩾0.9, and no other identifiable cause).

Embedded ImageInterventions:

4 layer bandaging (n = 100) or usual care (n = 100). Dressings were done by community nurses. All nurses were trained in application of 4 layer bandaging. The bandages were designed to provide sustained external compression of 40 mm Hg at the ankle and consisted of a sterile …

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Footnotes

  • * See glossary.

  • For correspondence: Mr P E Burke, St. John’s Hospital, Limerick, Ireland. vsherlockmwhb.ie

  • Source of funding: Smith & Nephew Ltd.

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