Comparison of the healing rates and complications of three four-layer bandage regimens

Journal of Wound Care
K VowdenP Vowden

Abstract

This randomised controlled study compares the healing rates, complications and patient and staff acceptability of three four-layer bandage regimens for leg ulcers. A total of 149 patients were recruited into the study, of whom 50 received the original Charing Cross system (CX4L), 50 a modified Charing Cross system (Parema) and 49 a commercially available kit, Robinson Ultra Four (Robinson). No significant difference was found in the healing rates of the three systems. Overall 12 weeks' healing was 65%, while the 20-week healing rates for the individual systems were 87% (CX4L), 84% (Parema) and 83% (Robinson). Analysis of known risk factors for delayed healing showed that no bandaging system had an advantage over the others. Staff familiarity resulted in an initial preference for the CX4L but there was no bandage preference by the end of the study. The data suggest that none of the systems has an advantage over the others and that cost savings can be made by pursuing a competitive pricing policy.

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Citations

Jun 16, 2011·Clinical, Cosmetic and Investigational Dermatology·Paul Bevis, Jonothan Earnshaw
Jan 18, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Laura Bolton
May 3, 2006·International Wound Journal·Kathryn R Vowden, Peter Vowden
Jul 1, 2006·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Peter VowdenHelger Stege
May 6, 2005·The International Journal of Lower Extremity Wounds·Christine Moffatt
Jan 10, 2013·Journal of Wound Care·Peter Vowden
Nov 16, 2012·The Cochrane Database of Systematic Reviews·Susan O'MearaJo C Dumville
Jun 6, 2003·British Journal of Nursing : BJN·K BallardH Baxter
May 6, 2004·British Journal of Nursing : BJN·J SmithR Cooper
Jun 18, 2002·British Journal of Nursing : BJN·K Vowden
Jun 12, 2002·Journal of Wound Care·S PooreG Cherry
Sep 11, 2003·Journal of Wound Care·C Lane, P J Franks
Apr 6, 2002·Journal of Wound Care·S Loftus, C Wheatley
May 19, 2021·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
Jul 27, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiGill Norman

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