Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 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 ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


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 …

View Full Text


  • * See glossary.

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

  • Source of funding: Smith & Nephew Ltd.

Linked Articles

  • Glossary
    BMJ Publishing Group Ltd