CR-032

The use of a novel Dual Compression System (DCS) in managing edema and venous leg ulcer in patients with diabetes: Results of a comparative post-hoc analysis

Debashish Chakravarthy, Ph.D

Introduction: The use of compression in the management of the venous reflux condition is highly recommended but the use of bandages on venous ulcer patients with diabetes is less researched. General concern exists about affecting circulation in diabetic patients via improperly applied compression. The Dual Compression System (DCS) is designed to confidently apply consistent therapeutic pressure (30-50 mm Hg) via visual indicators. A post-hoc analysis of a real-life study on patients with both the venous and diabetic condition is presented. Methods: The clinical data from a large prospective, multicentre, observational study, including diabetic and non-diabetic patients treated with the DCS in outpatient settings or during home visits for a maximum duration of six weeks (4 clinician visits maximum) were analysed. Circulatory status of patients with diabetes was checked in all patients before compression application. Main outcomes included wound healing rate, wound healing progression, assessment of oedema plus ankle mobility, local tolerability and acceptance of the compression therapy. Results: 677 venous ulcer patients and/or with lower limb oedema due to CVI were studied, 185 (27.3%) were also diabetic. At the final visit (mean 28d), wound closure (33.9% diabetic vs 30.2% non diabetic), and oedema resolution (67.3% vs 66.2% p=0.805) were similar. Slippage was same (

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