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

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

https://doi.org/10.1136/ebn.10.4.122

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    Kulkarni SR, Gohel MS, Wakely C, et al. The Ulcerated Leg Severity Assessment score for prediction of venous leg ulcer healing. Br J Surg 2007;94:189–93.OpenUrlCrossRefPubMedWeb of Science

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

    METHODS

    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 …

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    Footnotes

    • For correspondence: Dr M R Whyman, Cheltenham General Hospital, Cheltenham, UK. mark.whyman{at}lineone.net

    • Source of funding: not stated.