Kralj 1996.
Methods | RCT (open design). Setting included both in‐patients and out‐patients in Slovenia. | |
Participants | 40 patients recruited. Inclusion criteria: stasis leg ulcer, age < 86 years, complete mobility, written, informed consent. Exclusion criteria: ABPI < 0.8, systemic connective tissue disease, serological positive rheumatoid arthritis, severe concurrent diseases. Number of male:female patients: Group 1: 6:10; Group 2: 8:10. Mean (range) patient age in years: Group 1: 65 (40‐86); Group 2: 61 (36‐85). Mean (range) baseline ulcer area in cm2: Group 1: 18.6 (1‐57); Group 2: 17.2 (1‐47). Mean (range) duration of ulcers in months: Group 1: 7.9 (1‐24); Group 2: 6.9 (1‐36). | |
Interventions | Group 1: 4LB (Profore): wool, crepe, Litepress, Co‐Plus (n = 20 patients).
Group 2: hydrocolloid dressing (Tegasorb) and single layer inelastic bandage (Porelast) (n = 20 patients). Bandages were changed at least weekly for all patients. |
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Outcomes | Number (%) patients with complete healing during 6‐month trial (NB patients started treatment at different points within this 6‐month period): Group 1: 7/20 (35%); Group 2: 8/20 (40%). Mean (range) days to healing: Group 1: 57.6 ( 7‐106); Group 2: 84.9 (28‐180). Number (%) patients withdrawing from trial (reasons): Group 1: 4/20 (20%) (admitted to hospital with heart condition 1, no transport to clinic 1, unknown reason 2); Group 2: 2/20 (10%) (cerebrovascular apoplexy 1, unknown reason 1). |
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Notes | Maximum length and width of ulcer measured at each bandage change. Ulcer surface area calculated as follows: a33 x b x π/4 (where a = maximum length (cm) and b = maximum width (cm)). If patients had multiple ulcers, the total ulcerated area was studied. Study described as ongoing. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Communication with trialists confirmed that randomisation was by sealed envelope, but not clear if opaque or numbered. Method of sequence generation unclear. |
Allocation concealment (selection bias) | Unclear risk | Communication with trialists confirmed that randomisation was by sealed envelope, but not clear if opaque or numbered. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 40 patients recruited; 4 people withdrew from Group 1 and 2 from Group 2: These people were not included in the analysis. |
Blinded outcome assessment (healing) | Unclear risk | "Wounds were assessed by authors . . . " (personal correspondence). |
Baseline comparability | Unclear risk | Mean ulcer areas and durations similar, but not very informative, since data skewed. |