(CR-007) Managament of Chronic venous insufficiency with a new dual compression system ; Results of a real life study in 702 patients
Co-Author(s):
<b>Introduction</b>: <p class="MsoNormal" style="text-autospace: none;"><span lang="FR" style="font-size: 14.0pt; color: black; mso-ansi-language: FR;">Compression therapy is the cornerstone of the management of patients presenting chronic venous insufficiency (CVI) from C3 to C6 stages of the CEAP Classification, as first line option in the </span><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;">acute decongestion phase of oedema and for the treatment of active venous leg ulcer (VLU)<span style="color: black;">. This study aimed to evaluate the efficacy and safety of a dual compression system in in outpatients with CVI problems under real-life conditions.</span></span></p><br/><br/><b>Methods</b>: <p class="MsoNormal" style="text-autospace: none;"><span lang="FR" style="font-size: 14.0pt; color: black; mso-ansi-language: FR;">A prospective, multicentre, observational study with a dual compression system (UrgoK2, Laboratoires Urgo, France) was performed in 103 centres in Germany. Main outcomes included wound healing rate, wound healing progression, assessment of oedema and acceptance of this compression therapy. </span></p><br/><br/><b>Results</b>: <p class="MsoNormal" style="text-autospace: none;"><span lang="FR" style="font-size: 14.0pt; color: black; mso-ansi-language: FR;">702 VLU and/or with CVI oedema </span><span lang="FR" style="font-size: 14.0pt; mso-ansi-language: FR;"><span style="color: black;">were treated with the dual compression system (DCS) 27±17 days. B</span>andages were changed 1–2 times a week in 51.7%, 3–4 times a week in 448 (28.7%), >4 times a week in 306 (19.6%) of visits.<span style="color: black;"> By last visit, 30.9% VLUs healed and </span>percentage of patients with oedema (with or without leg ulcer) decreased from 74.1% to 24.6%. I<span style="color: black;">mprovement of ankle mobility was reported in 44.2%. Patient tolerance and physician acceptance was positive for approx. 95% of the patients, regardless of the treated condition, VLU and/or limb oedema. </span>Bandage slippage reported in < 4 patients</span></p><br/><br/><b>Discussion</b>: <p class="MsoNormal" style="text-autospace: none;"><span lang="FR" style="font-size: 14.0pt; color: black; mso-ansi-language: FR;">Real-life data documented in this large observational study of non-selected patients receiving compression therapy in daily practice confirm the benefits and safety profile of the evaluated compression system previously reported in various clinical trials. This compression system can be considered as a first line intervention untill healing in VLUs and leads to reduce the oedema caused by CVI. </span></p><br/><br/><b>Trademarked Items</b>: UrgoK2 Compression Bandage<br/><br/><b>References</b>: 1. Benigni JP, Lazareth I, Parpex P, Gerard JL, Alves M, Vin F, Meaume S, Senet P, Allaert FA. Efficacy, safety and acceptability of a new two-layer bandage system for venous leg ulcers. J Wound Care. 2007 Oct;16(9):385-90. doi: 10.12968/jowc.2007.16.9.27866. https://pubmed.ncbi.nlm.nih.gov/17987751/ 2. Hanna R, Bohbot S, Connolly N. A comparison of inferface pressures of three compression bandage systems. Br J Nurs. 2008 Nov 13-26;17(20):S16-24. doi: 10.12968/bjon.2008.17.Sup9.31661. https://pubmed.ncbi.nlm.nih.gov/19043323/ 3. Jünger M, Ladwig A, Bohbot S, Haase H. Comparison of interface pressures of three compression bandaging systems used on healthy volunteers. J Wound Care. 2009 Nov;18(11):474, 476-80. doi: 10.12968/jowc.2009.18.11.45000. https://pubmed.ncbi.nlm.nih.gov/19901877/ 4. Lantis JC 2nd, Barrett C, Couch KS, Ehmann S, Greenstein E, Ostler M, Tickner A. A dual compression system: preliminary clinical insights from the US. J Wound Care. 2020 Sep 1;29(Sup9):S29-S37. doi: 10.12968/jowc.2020.29.Sup9.S29. https://pubmed.ncbi.nlm.nih.gov/32924806/ 5. Lazareth I, Moffatt C, Dissemond J, Lesne Padieu AS, Truchetet F, Beissert S, Wicks G, Tilbe H, Sauvadet A, Bohbot S, Meaume S. Efficacy of two compression systems in the management of VLUs: results of a European RCT. J Wound Care. 2012 Nov;21(11):553-4, 556, 558 passim. doi: 10.12968/jowc.2012.21.11.553. https://pubmed.ncbi.nlm.nih.gov/23413494/ 6. Stücker M, Münter KC, Erfurt-Berge C, Lützkendorf S, Eder S, Möller U, Dissemond J. Multicomponent compression system use in patients with chronic venous insufficiency: a real-life prospective study. J Wound Care. 2021 May 2;30(5):400-412. doi: 10.12968/jowc.2021.30.5.400. https://pubmed.ncbi.nlm.nih.gov/33979221/<br/><br/>