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Evid Based Nurs 10:55 doi:10.1136/ebn.10.2.55
  • Treatment

Moderate and high elastic compression hosiery did not differ statistically for recurrence of venous ulceration at 5 years


 
 Q What is the relative effectiveness of high compression (class 3) and moderate compression (class 2) hosiery for prevention of venous ulcer recurrence?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed (although concealment was potentially compromised in the allocation of 2 patients).

GraphicBlinding:

blinded {data analysts}.*

GraphicFollow up period:

5 years.

GraphicSetting:

leg ulcer clinics at 2 hospitals in Scotland, UK.

GraphicPatients:

300 patients (mean age 64 y, 58% women) with newly healed venous leg ulcers defined by clinical, Doppler, or duplex criteria. Exclusion criteria were diabetes, an ankle-brachial pressure index <0.8, or seropositive rheumatoid arthritis.

GraphicIntervention:

151 patients were allocated to moderate compression (18–24 mm Hg at the ankle) with class 2 graduated knee or thigh length compression hosiery (Jobst, BSN Medical, Hull or Medi, Medi, Hereford, UK), and 149 patients were allocated …

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