Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 512
E-Poster: Leg Ulcer
VENOUS LEG ULCER – COST BENEFIT OF MODERN APPROACH TO HEALING
Ivana Vranjkovic 1 , Dubravko Huljev 2
1 Outpatient clinic for dermatology (ZAGREB, Croatia);
2 GH «Sveti Duh» (ZAGREB, Croatia).
Aim: There are several types of chronic wounds, but most common chronic wounds are
consequence of venous insufficiency on the lower legs and the amounts of total is about
75% of all chronic wounds. Cost of the treatment patient with venous ulcer on available
data from different country’s they range from 1% to 3% total fund allocated for health
care.
Methods: Local aplication of suporting dressing polyhexamethylene biguanide
hydrochloride and compression therapy, two weeks after with NPWT in period of 9 days,
the next 4 days were applied collagen dressing in order to further wound bed
conditioning. When the local status of wound was satisfying the patients were underwent
to surgery and ulcer were covered with thin skin graft with immediatley aplication NPWT
in postoperative period for 5 days. Postoperative course was regular and graft was
accepted in more than 95%. in next 3 weeks they healed.
Results: Total material cost of treatment, from initial examination to healed ulcers, the
total was € 6,225.87 for three patients. The overall cost of unsuccessful treatment of
these patients certainly cost well in excess of the total amount of 33,000 €.
Conclusion: In this example of a complex, multidisciplinary approach to patients with
chronic venous leg ulcer, based on the latest knowledge about treatment options in such
patients, it has been proved that is possible to significantly reduce the time of treatment
of such patients, significantly reduce the cost of treatment, and consequently, reduce the
number of patients with chronic venous ulcers.
E-POSTER: LEG ULCER
EP 513
E-Poster: Leg Ulcer
CLINICAL AND COST-EFFICACY OF COMPRESSION WITH A HIGH STATISTIC
STIFFNESS INDEX FOR VENOUS LEG ULCER PATIENTS – EVIDENCE FROM AN
RCT
Anneke Andriessen 1 , Thomas Eberlein 2 , Martin Abel 3
1 Andriessen Consultants and UMC St Radboud (Malden, Netherlands);
2 College of Medicine and Medical Sciences, Arabian Gulf University (Manama, Bahrain);
3 Head of Medical & Regulatory Affairs, Lohmann & Rauscher (Rengsdorf, Germany).
Introduction: Compression with rigid bandages (stiffness index >10) is mainstay for
lower limb oedema and venous ulcers treatment.
Methods: A randomized controlled trial compared *four-layer compression (4LB) with
**short-stretch compression (SSB) and usual care (moist wound healing dressing without
compression) in elderly (>60 years) venous leg ulcer patients in a community setting.
The 24 week study evaluated healing time, ulcer area and pain reduction, quality of life
aspects and cost efficacy comparing week 0 (start) versus week 24 (end). Interface
pressure*** (at B1) was measured on bandage application in supine and standing
position (for Static Stiffness Index (SSI) calculation). Measurements were repeated
before bandage removal. ITT analysis involved descriptive statistics, survival analysis
and RANOVA.
Results: N=321 patients received randomized treatment. At 24 weeks healing time was
significant (p