Venous Ulcers Clinical Trial
Official title:
Effectiveness of Double-layer Compression Therapy in the Healing of Chronic Venous Ulcers in Primary Health Care. Randomized Clinical Trial
The purpose of this study is to evaluate the effectiveness of a multilayer compression bandage (two layers), compared with the crepe bandage, on healing of venous leg ulcers, in patients attended in nursing Primary Care Health Centres, at 12 weeks follow-up.
This study also compares the effectiveness of the multilayer and the crepe bandage, on
healing of venous leg ulcers measured by the Resvech 2.0 scale and evaluates improvement in
quality of life, measured by the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e) and
analyze the sociodemographic, clinical, and treatment factors associated with complete
healing of venous ulcers.
Design: Multicentre, controlled, parallel group, randomized clinical trial, with blind
evaluation of the response variable.
Setting: Primary Care Health Centres (Madrid). Subjects: Patients with venous leg ulcers,
treated by nurses at the participating centres.
Intervention: Experimental group: multilayer compression bandage (two layers). Control group:
crepe bandage.
Sample size: 216 patients (108 in each group) Variables:Main: Complete healing after 12 weeks
follow-up. Secondary: Degree of healing (Resvech 2.0). Quality of life (CCVUQ-e). Adverse
reactions. Related to the healing process: comorbidities, topical and systematic treatments,
exercise, BMI. Prognostic factors: location, number and duration of ulcer. Sociodemographic
factors Data analysis: By intention to treat. Comparative analysis of the two groups
(chi-squared or t-test). Effectiveness analysis sing Kaplan-Meier, log rank test and cox
regression analysis
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