Treatment protocol on stasis edema in poorly mobile nursing home patients.

Abstract

BACKGROUND:

Prolonged immobility in the sitting position in the elderly is known to produce venous stasis with leg edema and possible skin changes.

METHODS:

The authors have tested a treatment protocol in 30 patients to quantify the reduction of volume caused by an adjustable compression Velcro® wrap (Circaid Juxtalite®, medi GmbH, Bayreuth, Germany) after 15 days and to compare its effect on the leg volume for the next 15 days with 15- to 20-mmHg compression stockings (CS).

RESULTS:

The authors noted a volume decrease between T0 and T15 by 10.8% (52 legs) under Circaid Juxtalite®. At T30, they observed a non-significant difference between Circaid Juxtalite® (-1%) and the CS (1.3%).

CONCLUSIONS:

A Velcro® adjustable compression wrap (Circaid Juxtalite®) is efficient in reducing stasis edema in the elderly. Stabilization of the leg volume with the use of 15-20 mmHg CS suggests that a high pressure to maintain results is not required to maintain results.

• Authors: Jean-Patrick Benigni, Jean-François Uhl, Florence Balet, Maxime Chahim
• Journal: International angiology : a journal of the International Union of Angiology (Int Angiol) Vol. 37 Issue 5 Pg. 396-399 (Oct 2018) ISSN: 1827-1839 [Electronic] Italy
• PMID: 30203640 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Topics

• Aged, 80 and over
• Compression Bandages
• Edema (diagnosis, physiopathology, therapy)
• Equipment Design
• Female
• Humans
• Lower Extremity (blood supply)
• Male
• Mobility Limitation
• Nursing Homes
• Paris
• Pilot Projects
• Prospective Studies
• Regional Blood Flow
• Sedentary Behavior
• Sitting Position
• Stockings, Compression
• Time Factors
• Treatment Outcome
• Veins (physiopathology)
• Venous Insufficiency (diagnosis, physiopathology, therapy)