ECAMulticapa : Effectiveness of double-layered compression therapy for healing venous ulcers in primary care: a Study Protocol
BACKGROUND: Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated.
METHOD/DESIGN: Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat.
DISCUSSION: The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions.
TRIAL REGISTRATION: This study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
|---|---|
| Enthalten in: |
BMC nursing - 15(2016) vom: 18., Seite 58 |
| Sprache: |
Englisch |
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| Themen: |
Compression bandage |
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| Anmerkungen: |
Date Revised 11.11.2023 published: Electronic-eCollection ClinicalTrials.gov: NCT02364921 Citation Status PubMed-not-MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM26540603X |
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| 100 | 1 | |a Folguera-Álvarez, Carmen |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a ECAMulticapa |b Effectiveness of double-layered compression therapy for healing venous ulcers in primary care: a Study Protocol |
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| 500 | |a Date Revised 11.11.2023 | ||
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| 520 | |a BACKGROUND: Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated | ||
| 520 | |a METHOD/DESIGN: Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat | ||
| 520 | |a DISCUSSION: The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions | ||
| 520 | |a TRIAL REGISTRATION: This study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Compression bandage | |
| 650 | 4 | |a Nursing | |
| 650 | 4 | |a Primary health care | |
| 650 | 4 | |a Quality of life | |
| 650 | 4 | |a Venous ulcer | |
| 650 | 4 | |a Wound healing | |
| 700 | 1 | |a Garrido-Elustondo, Sofia |e verfasserin |4 aut | |
| 700 | 1 | |a Verdú-Soriano, José |e verfasserin |4 aut | |
| 700 | 1 | |a García-García-Alcalá, Diana |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez-Hernández, Mónica |e verfasserin |4 aut | |
| 700 | 1 | |a Torres-de Castro, Oscar German |e verfasserin |4 aut | |
| 700 | 1 | |a Barceló-Fidalgo, Maria Luisa |e verfasserin |4 aut | |
| 700 | 1 | |a Martínez-González, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Ardiaca-Burgués, Lidia |e verfasserin |4 aut | |
| 700 | 1 | |a Solano-Villarrubia, Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a Lebracón-Cortés, Pilar Raquel |e verfasserin |4 aut | |
| 700 | 1 | |a Molins-Santos, Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a Fresno-Flores, Mar |e verfasserin |4 aut | |
| 700 | 1 | |a Cánovas-Lago, Maria Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a Benito-Herranz, Luisa Fernanda |e verfasserin |4 aut | |
| 700 | 1 | |a García-Sánchez, Maria Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Castillo-Pla, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Morcillo-San Juan, María Sol |e verfasserin |4 aut | |
| 700 | 1 | |a Ayuso-de la Torre, Maria Begoña |e verfasserin |4 aut | |
| 700 | 1 | |a Burgos-Quintana, Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a López-Torres-Escudero, Ana |e verfasserin |4 aut | |
| 700 | 1 | |a Ballesteros-García, Gema |e verfasserin |4 aut | |
| 700 | 1 | |a García-Cabeza, Piedad |e verfasserin |4 aut | |
| 700 | 1 | |a de Francisco-Casado, Maria Ángeles |e verfasserin |4 aut | |
| 700 | 1 | |a Rico-Blázquez, Milagros |e verfasserin |4 aut | |
| 700 | 0 | |a ECAMulticapa Group |e verfasserin |4 aut | |
| 700 | 1 | |a Ballesteros, Raquel Perez |e investigator |4 oth | |
| 700 | 1 | |a Medinabeitia, Mercedes Ruiz |e investigator |4 oth | |
| 700 | 1 | |a Sebastian, Angeles Sanchez |e investigator |4 oth | |
| 700 | 1 | |a Castaño, Carmina Martinez |e investigator |4 oth | |
| 700 | 1 | |a Ciudad, Maria Angeles Gallardo |e investigator |4 oth | |
| 700 | 1 | |a Moreno, Dolores Garcia |e investigator |4 oth | |
| 700 | 1 | |a Osorio, Antonio Rodriguez |e investigator |4 oth | |
| 700 | 1 | |a Fernandez, Laura Gomez |e investigator |4 oth | |
| 700 | 1 | |a López, Nuria Garcia |e investigator |4 oth | |
| 700 | 1 | |a Mora, Ines Casado |e investigator |4 oth | |
| 700 | 1 | |a Cerezo, Inmaculada Navas |e investigator |4 oth | |
| 700 | 1 | |a Medina, Carmen Venturini |e investigator |4 oth | |
| 700 | 1 | |a Del Águilla, Concepción Cruz |e investigator |4 oth | |
| 700 | 1 | |a Jimenez, Isabel Jimenez |e investigator |4 oth | |
| 700 | 1 | |a Moyano, Inmaculada Fernandez |e investigator |4 oth | |
| 700 | 1 | |a Martinez-Treceño, Silvia Martinez |e investigator |4 oth | |
| 700 | 1 | |a Alonso, Carmen Huber |e investigator |4 oth | |
| 700 | 1 | |a Martin, Silvia Chavernas |e investigator |4 oth | |
| 700 | 1 | |a Lora, Eva Maria Luque |e investigator |4 oth | |
| 700 | 1 | |a Paredes, Magdalena Garcia |e investigator |4 oth | |
| 700 | 1 | |a Brioso, Concepción Antelo |e investigator |4 oth | |
| 700 | 1 | |a Velez, Felix Martinez |e investigator |4 oth | |
| 700 | 1 | |a Matorrales, Flora Espejo |e investigator |4 oth | |
| 700 | 1 | |a Mercad, Oscar Jimenez |e investigator |4 oth | |
| 700 | 1 | |a Espinosa, Cristina Casinello |e investigator |4 oth | |
| 700 | 1 | |a Rubio, Angeles Gallego |e investigator |4 oth | |
| 700 | 1 | |a Lobo, David Villamañan |e investigator |4 oth | |
| 700 | 1 | |a Suarez, Aurora Collado |e investigator |4 oth | |
| 700 | 1 | |a Fuentes, Carmen Sanchez |e investigator |4 oth | |
| 700 | 1 | |a Lopez, Isabel Garcia |e investigator |4 oth | |
| 700 | 1 | |a Diaz, Aida Virginia Gomez |e investigator |4 oth | |
| 700 | 1 | |a Vega, Maria Paz Barco |e investigator |4 oth | |
| 700 | 1 | |a Velázquez, Concepción Vela |e investigator |4 oth | |
| 700 | 1 | |a Vizoso, Luisa Mencia |e investigator |4 oth | |
| 700 | 1 | |a Cerón, Elizabeth Rodriguez |e investigator |4 oth | |
| 700 | 1 | |a Pérez, Natividad Chasco |e investigator |4 oth | |
| 700 | 1 | |a Rodriguez, Esperanza Sánchez |e investigator |4 oth | |
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