NDLI: ECAMulticapa: Effectiveness of double-layered compression therapy for healing venous ulcers in primary care: a Study Protocol

Content Provider	Springer Nature : BioMed Central
Author	Folguera-Álvarez, Carmen Garrido-Elustondo, Sofia Verdú-Soriano, José García-García-Alcalá, Diana Sánchez-Hernández, Mónica Torres-de Castro, Oscar German Barceló-Fidalgo, Maria Luisa Martínez-González, Olga Ardiaca-Burgués, Lidia Solano-Villarrubia, Carmen Lebracón-Cortés, Pilar Raquel Molins-Santos, Carmen Fresno-Flores, Mar Cánovas-Lago, Maria Carmen Benito-Herranz, Luisa Fernanda García-Sánchez, Maria Teresa Castillo-Pla, Olga Morcillo-San Juan, María Sol Ayuso-de la Torre, Maria Begoña Burgos-Quintana, Pilar López-Torres-Escudero, Ana Ballesteros-García, Gema García-Cabeza, Piedad de Francisco-Casado, Maria Ángeles Rico-Blázquez, Milagros
Abstract	Background Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated. Method/design Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat. Discussion The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions. Trial registration This study has been recorded in the Clinical Trials.gov site with the code NCT02364921 . 17 February 2015.
Related Links	https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-016-0179-x.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726955
DOI	10.1186/s12912-016-0179-x
Journal	BMC Nursing
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2016-10-12
Access Restriction	Open
Subject Keyword	Nursing Nursing Management Nursing Research Venous ulcer Compression bandage Wound healing Primary health care Quality of life
Content Type	Text
Resource Type	Article
Subject	Nursing
Journal Impact Factor	3.1/2023
5-Year Journal Impact Factor	3.5/2023

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