Here - EWMA 2013

84
Free Paper Session: Leg ulcers II
The influence of the measuring systems for selection of ready
made compression stocking below knee
Susan Nørregaard 1 , Susan Bermark 1 , Finn Gottrup 1
1 Copenhagen Wound Healing Centre (Copenhagen, Denmark).
Aim: How usable are two standardized measuring methods for selection of three
different brands of ready made compressions stockings below knee.
Material and Methods: 43 Consecutive patients suffering from venous insufficiency and
treated at a specialized Wound Healing Center (CWHC) were included in a prospective
comparative study. Two standardized measuring methods were used to evaluate the
suitability of three different brands (1-3) of ready made compression stockings below
knee. The circumference was measured in three points (B, D and length from heal to
D-point) and 7 points (A, Y, B, B1, C, D, and length) on the leg below knee (Fig. 1). The
results of these measurements were compared to three selected commercial available
brands of ready made compression stockings.
Results: When measured at three points 53,5 % in brand 1, 34,9 % in brand 2 and 0%
in brand 3 of the patients fitted into one of the selected brands of ready made
compression stockings. When measured at 7 points only 4,7 % of the patients fitted into
in brand 1, 7 % in brand 2 and 0 % of the patients fitted into brand 3.
Conclusion: The measuring method used has an obviously effect on how many of the
patients that fit into a ready made compressions stocking below knee.
Free Paper Session: Leg ulcers II
83
PREDICTING THE LIKELIHOOD OF DELAYED HEALING: A VENOUS LEG ULCER
RISK ASSESSMENT TOOL
Christina Parker 1 , Helen Edwards 1 , Kathleen Finlayson 1
1 Queensland University of Technology (Brisbane, Australia).
Aim: To develop and validate a tool for predicting delayed healing in venous leg ulcers.
Methods: Generalized mixed linear regression modelling was undertaken with a
longitudinal database of 316 cases of venous leg ulcers. These results were combined
with evidence in the literature and feedback from an expert advisory group to develop a
risk assessment tool, which was retrospectively, validated using Receiver Operating
Characteristic (ROC) curve analysis.
Results: Regression modelling identified independent predictors of failure to heal after
24 weeks, i.e. age (p=0.03); compression category