PMID: 11905454Mar 22, 2002Paper

Guidelines in practice: the effect on healing of venous ulcers

Advances in Skin & Wound Care
M McGuckinG Cherry

Abstract

To determine the effect of guidelines on vascular assessment, compression usage, dressing selection, and healing rates of patients with a venous ulcer. Prospective descriptive intervention evaluation. Oxfordshire Community National Health Service (NHS) Trust, United Kingdom. 40 consecutive prospective patients seen by Oxfordshire district nurses, either at home or at a wound clinic coordinated by district nurses located in a surgery office. The Guideline for Diagnosis and Treatment of Venous Leg Ulcers (University of Pennsylvania) and the Oxfordshire Leg Ulcer Guideline. Time to healing, compliance with vascular assessment, compression usage, and nursing costs. 91% of patients had a vascular assessment; all patients were treated with compression. Mean time to healing was 8 weeks and was not related to dressing selection or type of compression (short- versus long-stretch bandage). Nursing costs were slightly higher for wounds that healed after 12 weeks and were treated with a long-stretch bandage (Pound Sterling 170.00 [$250.00] vs Pound Sterling 272.00 [$395.00]). Use of compression was influenced by guidelines that emphasize a vascular assessment. Choice of dressing or type of compression was not a significant factor in healin...Continue Reading

References

Jan 1, 1994·American Journal of Surgery·C S Burton
Feb 1, 1996·Journal of Wound Care·K R Vowden, P Vowden

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Citations

May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Richard H Fortinsky, Elizabeth A Madigan
May 19, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Pedro LloretJuan Cabrera
Aug 17, 2005·Journal of Vascular Surgery·Glauco MilioSalvatore Novo
Dec 16, 2016·The Cochrane Database of Systematic Reviews·Maggie J WestbyNicky Cullum

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