An Evidence-Based Algorithm for Treating Venous Leg Ulcers Utilizing the Cochrane Database of Systematic Reviews

被引：0
作者：
Kimmel, Howard M. [1 ,2 ]
Robin, Angela L. [1 ]
机构：
[1] Louis Stokes Cleveland VA Med Ctr, Cleveland, OH USA
[2] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
来源：
WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE | 2013年 / 25卷 / 09期
关键词：
evidence-based algorithm; venous leg ulcers; chronic venous disease; COST-EFFECTIVENESS; OXYGEN; PREVALENCE; GUIDELINES; ULCERATION; MANAGEMENT; DRESSINGS; THERAPY; DISEASE; ASPIRIN;
D O I：
暂无
中图分类号：
R75 [皮肤病学与性病学];
学科分类号：
100206 ;
摘要：
Background. This literature review serves to develop an evidence-based algorithm for the treatment of venous ulcerations and the development of a guideline to systemically treat venous leg ulcerations (VLUs) that may improve outcomes, restore function of the affected limb, and reduce health care costs. Methods. The Cochrane Database and PubMed search engine were utilized to accumulate literature concerning venous ulcerations and their treatment. The most relevant literature was reviewed to develop an algorithm to guide treatment of VLUs. Results. An algorithm was established outlining the use of compression therapy in VLUs present for < 4 weeks. If a wound is present after 4 weeks of therapy and has not reduced in size by >= 40%, bilayered living skin equivalents may be indicated. Conclusion. An algorithm was established to guide the treatment of venous ulcerations. By utilizing a systematic approach in treating VLUs, clinical outcomes may be improved.
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收藏
页码：242 / 250
页数：9
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