Effectiveness of double-layered compression therapy against crepe bandage for healing venous ulcers in primary care. Randomized clinical trial
Copyright © 2020 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: To evaluate if the two-layer bandage is more effective than the crepe bandage in the healing of venous ulcers after 12 weeks of follow-up.
DESIGN: Randomized multicentre controlled clinical trial.
LOCATION: 22 Primary Health Centers of Madrid.
PARTICIPANTS: Over 18 years old, with diagnosis of venous ulcers. 93 patients were randomized, 56 in the double layer group and 37 in the crepe group. Withdrawals: 16 in double layer group, 7 in crepe group.
INTERVENTIONS: Control group: usual clinical practice: treatment of the wound and bandage with crepe. Experimental group: same usual clinical practice for wound treatment and bandage with double layer.
MAIN MEASUREMENTS: Primary outcome: complete healing at 12 weeks.
SECONDARY OUTCOMES: severity of ulceration, health-related quality of life, adverse events. Blind evaluation of the response variable.
RESULTS: Complete healing: in crepe group, 25, 67.5% (95% CI 50.2-81.9) and in double layer group, 32, 57.1% (95% CI 43.2-70.3). No evidence of a difference in both groups, RR=1.10 (95% CI 0.864-1.424). The basal severity of the ulcers is associated with the healing time. HR=0.86 (95% CI 0.78-0.94). Our data showed a significant improvement in health-related quality of life, total and in the of cosmesis and emotional dimensions. No evidence of a difference in both groups. We didn't find serious adverse events in any of the groups.
CONCLUSIONS: We didn't find significant differences in the healing between the two bandages evaluated. Both are appropriate for ulcer healing and to improve the health-related quality of life.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
|---|---|
| Enthalten in: |
Atencion primaria - 52(2020), 10 vom: 04. Dez., Seite 712-721 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Efectividad de la terapia compresiva de doble capa frente al vendaje de crepé en la cicatrización de úlceras venosas en atención primaria. Ensayo clínico aleatorizado |
|---|
| Links: |
|---|
| Anmerkungen: |
Date Completed 29.09.2021 Date Revised 11.11.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.aprim.2020.01.010 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM308636740 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM308636740 | ||
| 003 | DE-627 | ||
| 005 | 20231225132143.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||spa c | ||
| 024 | 7 | |a 10.1016/j.aprim.2020.01.010 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1028.xml |
| 035 | |a (DE-627)NLM308636740 | ||
| 035 | |a (NLM)32278578 | ||
| 035 | |a (PII)S0212-6567(20)30043-3 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Folguera-Álvarez, Carmen |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effectiveness of double-layered compression therapy against crepe bandage for healing venous ulcers in primary care. Randomized clinical trial |
| 246 | 3 | 3 | |a Efectividad de la terapia compresiva de doble capa frente al vendaje de crepé en la cicatrización de úlceras venosas en atención primaria. Ensayo clínico aleatorizado |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 29.09.2021 | ||
| 500 | |a Date Revised 11.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: To evaluate if the two-layer bandage is more effective than the crepe bandage in the healing of venous ulcers after 12 weeks of follow-up | ||
| 520 | |a DESIGN: Randomized multicentre controlled clinical trial | ||
| 520 | |a LOCATION: 22 Primary Health Centers of Madrid | ||
| 520 | |a PARTICIPANTS: Over 18 years old, with diagnosis of venous ulcers. 93 patients were randomized, 56 in the double layer group and 37 in the crepe group. Withdrawals: 16 in double layer group, 7 in crepe group | ||
| 520 | |a INTERVENTIONS: Control group: usual clinical practice: treatment of the wound and bandage with crepe. Experimental group: same usual clinical practice for wound treatment and bandage with double layer | ||
| 520 | |a MAIN MEASUREMENTS: Primary outcome: complete healing at 12 weeks | ||
| 520 | |a SECONDARY OUTCOMES: severity of ulceration, health-related quality of life, adverse events. Blind evaluation of the response variable | ||
| 520 | |a RESULTS: Complete healing: in crepe group, 25, 67.5% (95% CI 50.2-81.9) and in double layer group, 32, 57.1% (95% CI 43.2-70.3). No evidence of a difference in both groups, RR=1.10 (95% CI 0.864-1.424). The basal severity of the ulcers is associated with the healing time. HR=0.86 (95% CI 0.78-0.94). Our data showed a significant improvement in health-related quality of life, total and in the of cosmesis and emotional dimensions. No evidence of a difference in both groups. We didn't find serious adverse events in any of the groups | ||
| 520 | |a CONCLUSIONS: We didn't find significant differences in the healing between the two bandages evaluated. Both are appropriate for ulcer healing and to improve the health-related quality of life | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Atención primaria | |
| 650 | 4 | |a Calidad de vida | |
| 650 | 4 | |a Cicatrización de las úlceras | |
| 650 | 4 | |a Compression therapy | |
| 650 | 4 | |a Enfermería | |
| 650 | 4 | |a Nursing | |
| 650 | 4 | |a Primary health care | |
| 650 | 4 | |a Quality of life | |
| 650 | 4 | |a Terapia compresiva | |
| 650 | 4 | |a Venous leg ulcer | |
| 650 | 4 | |a Wound healing | |
| 650 | 4 | |a Úlcera venosa | |
| 700 | 1 | |a Garrido-Elustondo, Sofía |e verfasserin |4 aut | |
| 700 | 1 | |a Rico-Blázquez, Mili Milagros |e verfasserin |4 aut | |
| 700 | 1 | |a Esparza-Garrido, Miren Iranzu |e verfasserin |4 aut | |
| 700 | 1 | |a Verdú-Soriano, José |e verfasserin |4 aut | |
| 700 | 0 | |a Grupo ECAMulticapa |e verfasserin |4 aut | |
| 700 | 0 | |a Grupo ECAMulticapa |e verfasserin |4 aut | |
| 700 | 1 | |a Antelo Brioso, Concepción |e investigator |4 oth | |
| 700 | 1 | |a Ardiaca Burgues, Lidia |e investigator |4 oth | |
| 700 | 1 | |a Barceló Fidalgo, M Luisa |e investigator |4 oth | |
| 700 | 1 | |a Ayuso de la Torre, Begoña |e investigator |4 oth | |
| 700 | 1 | |a Burgos Quintana, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Casado Mora, Inés |e investigator |4 oth | |
| 700 | 1 | |a Castillo Pla, Olga |e investigator |4 oth | |
| 700 | 1 | |a Chasco Perez, Natividad |e investigator |4 oth | |
| 700 | 1 | |a Espejo Matorrales, Flora |e investigator |4 oth | |
| 700 | 1 | |a de Francisco Casado, M Ángeles |e investigator |4 oth | |
| 700 | 1 | |a Gallardo Ciudad, M Ángeles |e investigator |4 oth | |
| 700 | 1 | |a Gallego Rubio, M de Los Ángeles |e investigator |4 oth | |
| 700 | 1 | |a García Cabeza, Piedad |e investigator |4 oth | |
| 700 | 1 | |a García García-Alcalá, Diana |e investigator |4 oth | |
| 700 | 1 | |a García López, Isabel |e investigator |4 oth | |
| 700 | 1 | |a García López, Nuria |e investigator |4 oth | |
| 700 | 1 | |a García Moreno, Dolores |e investigator |4 oth | |
| 700 | 1 | |a García Sánchez, Teresa |e investigator |4 oth | |
| 700 | 1 | |a Huber Alonso, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Jiménez Jiménez, Isabel |e investigator |4 oth | |
| 700 | 1 | |a Lebracón Cortes, Pilar |e investigator |4 oth | |
| 700 | 1 | |a López-Torres Escudero, Ana |e investigator |4 oth | |
| 700 | 1 | |a Luque Lora, Eva |e investigator |4 oth | |
| 700 | 1 | |a Martínez Velez, Felix |e investigator |4 oth | |
| 700 | 1 | |a Martínez-Treceño, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Mencia Vizoso, Luisa |e investigator |4 oth | |
| 700 | 1 | |a Molins Santos, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Pérez Ballesteros, Raquel |e investigator |4 oth | |
| 700 | 1 | |a Morcillo San Juan, Maria Sol |e investigator |4 oth | |
| 700 | 1 | |a Rodriguez Cerón, Elisabeth |e investigator |4 oth | |
| 700 | 1 | |a Ruiz Medinabeitia, Mercedes |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Fuentes, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Hernández, Mónica |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Sebastian, Ángela |e investigator |4 oth | |
| 700 | 1 | |a Solano Villarrubia, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Torres de Castro, Oscar German |e investigator |4 oth | |
| 700 | 1 | |a Vela Velázquez, Concepción |e investigator |4 oth | |
| 700 | 1 | |a Venturini Medina, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Villamañan Lobo, David |e investigator |4 oth | |
| 700 | 1 | |a Zambrana Piñas, Eva |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Atencion primaria |d 1991 |g 52(2020), 10 vom: 04. Dez., Seite 712-721 |w (DE-627)NLM012612324 |x 1578-1275 |7 nnns |
| 773 | 1 | 8 | |g volume:52 |g year:2020 |g number:10 |g day:04 |g month:12 |g pages:712-721 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.aprim.2020.01.010 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 52 |j 2020 |e 10 |b 04 |c 12 |h 712-721 | ||