Number of patients |
12 |
Average age |
64 years (range: 41–83 years) |
Gender |
58% were male and 41% female. |
ABPI values |
Eight ≥0·8 |
|
One was >0·7–<0·8 |
|
One was reported as ‘normal’ |
|
One had angioplasty 6 months prior but no ABPI results |
|
One could not have ABPI due to pain. |
Comorbidities |
Diabetes Type I and II, Hypertension, Chronic Renal Failure, Lung Disease, Cancer, Spinal Cord Injury, Smoker, Lymphoedema, Peripheral Arterial Disease, High BMI, CVI. |
|
All had at least 1 comorbidity, and one had more than 10. |
Status of leg ulcer |
100% non‐healing |
Average size of leg ulcer (SA) |
15 cm2 (range: 0·09–85 cm2) |
Average duration of leg ulcer(s) |
2·6 years (range: 6 weeks to 20 years) |
Use of compression therapy |
91% were wearing compression of some type/strength |
Use of advanced wound products |
100% were using advanced wound care products. As this was to be ‘care as per usual’, we did not factor in changes in products (e.g. as exudate decreased, they could use less absorptive dressings, etc.) |
BMI > 33 kg/m2
|
Six had BMI > 33 kg/m2
|
Mobility less than 200 metres per day |
Seven walked less than 200 metres per day Two patients did not have this completed None out of 10 had ulcers should heal in 24 weeks: Nine out of 10 had a combination of indicators that will heal > 24 weeks + may never heal One out of 10 had indicators that may never heal |
Prognostic indicators of healing: |
May have delayed healing (>24 weeks): |
|
>10 cm2 and/or if the wound is older than 12 months 34, 35
|
|
History of venous ligation or vein stripping 34
|
|
History of hip or knee surgery 34
|
|
ABPI < 0·80 34, 36
|
|
>50% covered in fibrin 33, 36
|
|
Obesity (BMI > 33 kg/m2) 37
|
|
Walking < 200 metres/day 37
|
|
History of surgical debridement of ulcer 37
|
|
Depth > 2 cm 37
|
|
Poor compliance with compression systems 35, 38
|
|
May never heal: |
|
Calf–ankle circumference ratio < 1·3 37
|
|
Fixed ankle joint 37
|
|
Decreased ability to flex and dorsiflex foot 37
|
|