Improving the Diagnosis of Chronic Leg Ulcers: a One-Stop Vascular Assessment Clinic in a Community Service

1998 ◽  
Vol 13 (4) ◽  
pp. 148 ◽  
Author(s):  
A. S. K. Ghauri ◽  
I. C. Currie ◽  
A. J. Grabs ◽  
M. R. Whyman ◽  
J. R. Farndon ◽  
...  
Keyword(s):  
Community Service ◽  
Leg Ulcers ◽  
Assessment Clinic ◽  
Vascular Assessment ◽  
One Stop ◽  
Chronic Leg Ulcers

Improving the Diagnosis of Chronic Leg Ulcers: A One-Stop Vascular Assessment Clinic in a Community Service

1998 ◽  
Vol 13 (4) ◽  
pp. 148-152 ◽  
Author(s):  
A. S. K. Ghauri ◽  
I. C. Currie ◽  
A. J. Grabs ◽  
M. R. Whyman ◽  
J. R. Farndon ◽  
...  
Keyword(s):  
Community Service ◽  
Duplex Ultrasound ◽  
Arterial Disease ◽  
Venous Disease ◽  
Leg Ulcers ◽  
Assessment Clinic ◽  
Before And After ◽  
One Stop ◽  
Specialist Nurses ◽  
Chronic Leg Ulcers

Objective: To evaluate the influence of a specialized vascular-led community leg ulcer service on assessment and diagnosis of leg ulcers. Design: Before-and-after study with prospective and retrospective data collection. Setting: East Gloucestershire, England, UK. Subjects: Patients treated for chronic leg ulcers before and within a specialized service incorporating a one-stop assessment including ankle–brachial pressure index (ABPI) and colour venous duplex. Main outcome measures: The means of assessment and the identified aetiology of leg ulcers in community patients. Results: Before clinics, only 40 (26%) limbs had a diagnosis recorded. After clinics, 83 (21%) limbs had arterial disease, including 64 (16%) with mixed arterial/venous disease. Venous duplex identified 279 (70%) limbs with venous disease of which 121 (43%) had superficial venous disease alone. Conclusion: A one-stop assessment clinic with ABPI and colour venous duplex ultrasound within a specialized community service improves diagnosis of leg ulcers. This is essential before appropriate and safe management by specialist nurses in the community.

scholarly journals The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic

2003 ◽  
Vol 25 (5) ◽  
pp. 462-468 ◽  
Author(s):  
D.J. Adam ◽  
J. Naik ◽  
T. Hartshorne ◽  
M. Bello ◽  
N.J.M. London
Keyword(s):  
Leg Ulcers ◽  
Assessment Clinic ◽  
Single Visit ◽  
Diagnosis And Management ◽  
Chronic Leg Ulcers

Causes and the way of treatment of patients with chronic leg ulcers

Phlebologie ◽  
2009 ◽  
Vol 38 (05) ◽  
pp. 211-218 ◽  
Author(s):  
C. Wax ◽  
A. Körber ◽  
J. Dissemond ◽  
J. Klode
Keyword(s):  
Treatment Period ◽  
General Practitioners ◽  
Peripheral Arterial Occlusive Disease ◽  
Mean Value ◽  
Arterial Occlusive Disease ◽  
Leg Ulcer ◽  
Leg Ulcers ◽  
Patient Will ◽  
Peripheral Arterial ◽  
Chronic Leg Ulcers

SummaryChronic leg ulcer may have various causes, which are currently not centrally recorded in Germany. It is also unclear who treats patients with chronic leg ulcers in Germany and how the basic implementation of diagnosis and treatment of these patients looks like. Patients, methods: Therefore, we started a survey of 1000 general practitioners and practising specialists in dermatology, surgery and phlebology in five different regions of Germany. We carried out the genesis of a total of 6275 patients from 62 different practising therapists, 33 specialists in dermatology, surgery or phlebology and 29 general practitioners. Results: In 66.1% of all patients we found a venous leg ulcer, in 9.1% a leg ulcer from peripheral arterial occlusive disease, and in 8.5% a mixture of both. Thus there suffered a total of 83.8% of patients on chronic venous insufficiency or peripheral arterial occlusive disease as a major factor in the genesis of the chronic leg ulcer. However, even the rarely diagnosed entities such as exogenous factors, vasculitis, pyoderma gangrenosum or infectious diseases are occur in summation in 16.2% of all patients and should therefore be known and excluded. In addition, the treatment periods and referral routes of patients with chronic leg ulcer should be identified. The analysis showed that the vast majority (86.8%) of patients with chronic ulcers who were investigated by us is treated by specialists. The treatment duration of general practitioners is 6.3 weeks (mean value) before the patient will be referred to a specialist. This treatment period is significantly shorter compared to the treatment period of the specialists, who treat their patients 14.1 weeks (mean value) before the patient will be referred to another specialist or to a clinic. Conclusion: Our results show the current aspects of aetiology and the way of treatment of patients with chronic leg ulcers in Germany.

Ulcer osteoma and periosteal reactions to chronic leg ulcers.

1997 ◽  
Vol 168 (1) ◽  
pp. 155-157 ◽  
Author(s):  
D Karasick ◽  
M E Schweitzer ◽  
D M Deely
Keyword(s):  
Leg Ulcers ◽  
Chronic Leg Ulcers

scholarly journals PSS58 A SCORING SYSTEM FOR QUALITY OF CARE EVALUATION. A COMMUNITY-BASED STUDY OF CHRONIC LEG ULCERS IN NORTH GERMANY

2008 ◽  
Vol 11 (6) ◽  
pp. A627
Author(s):  
M Augustin ◽  
L Grams ◽  
K Herberger ◽  
N Franzke ◽  
S Debus ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Scoring System ◽  
Leg Ulcers ◽  
Community Based ◽  
North Germany ◽  
Care Evaluation ◽  
Chronic Leg Ulcers

scholarly journals Haematological indices of sickle cell patients with chronic leg ulcers on compression therapy

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Oluwatoyin A. Babalola ◽  
Ayodele Ogunkeyede ◽  
Abayomi B. Odetunde ◽  
Foluke Fasola ◽  
Anthony A. Oni ◽  
...  
Keyword(s):  
Sickle Cell ◽  
Compression Therapy ◽  
Leg Ulcers ◽  
Haematological Indices ◽  
Chronic Leg Ulcers
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