Article Text

A severity score comprising patient age, ulcer chronicity, and venous refill time predicted venous leg ulcer healing at 24 weeks

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 Q Can a simple scoring system predict wound healing in patients with chronic venous ulceration?


Embedded ImageDesign:

separate cohorts were used to develop and validate the scoring system.

Embedded ImageSetting:

an open access, nurse-led leg ulcer service in Gloucestershire, UK.

Embedded ImagePatients:

patients with open leg ulceration lasting >4 weeks, an ankle–brachial pressure index ⩾0.85, and superficial venous reflux alone or mixed superficial and deep venous reflux on duplex imaging. Exclusion criteria were deep reflux only or occluded deep veins and inability to conduct plethysmography. The derivation cohort included 229 patients (median age 73 y, 58% women) who participated in the Effect of Surgery and Compression on Healing and Recurrence (ESCHAR) study, and the validation cohort included 86 patients (median age 72 y, 57% women) who were selected prospectively from the leg ulcer service over a 13-month period.

Embedded ImageDescription of prediction guide:

of 12 risk factors assessed, …

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