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International Angiology 2003 December;22(4):383-92


language: English

Efficacy of Class 1 elastic compression stockings in the early stages of chronic venous disease. A comparative study

Benigni J. P., Sadoun S., Allaert F. A., Vin F.

France Society of Phlebology, Paris, France


Aim. The aim of this study was to com­pare the effi­ca­cy of Class 1 (10-15 mmHg at the ankle) com­pres­sion stock­ings with that of ref­er­ence stock­ings of iden­ti­cal appear­ance dur­ing the early stag­es of chron­ic ­venous dis­ease (CVD).
Meth­ods. A pros­pec­tive multi-cen­ter ran­dom­ized dou­ble blind cross­over study was con­duct­ed on 2 ­groups of ­female ­patients pre­sent­ing with CVD with a CEAP clas­sifi­ca­tion of C1-3SEp As1-5. The effi­ca­cy of Class 1 com­pres­sion stock­ings was eval­u­at­ed with ­respect to glo­bal pain­ful dis­com­fort (vis­u­al ana­log scale), each symp­tom of CVD, the daily behav­ior of the ­patient, chang­es in the vol­ume of the legs, and the func­tion­ing of the ­venous pump (D-PPG). The com­pli­ance level of each ­patient was meas­ured by the num­ber of days that she wore the stock­ings for at least 6 hours, and tol­er­ance was meas­ured by the report­ing of ensu­ing unde­sir­able ­events.
­Results. A total of 125 ­patients were includ­ed in the study and were ana­lyzed for ­intent to treat. High­ly sig­nif­i­cant dif­fer­enc­es favor­ing Class 1 com­pres­sion stock­ings were noted with ­respect to both glo­bal pain­ful dis­com­fort and each symp­tom of CVD with the excep­tion of pares­the­sia. The ­relief of symp­toms that result­ed from the use of the Class 1 com­pres­sion stock­ings was twice that which result­ed from the use of the ref­er­ence stock­ings. Dif­fer­enc­es that ­favored the Class 1 com­pres­sion stock­ings were also ­observed with ­respect to 2 qual­ity-of-life fac­tors (mood and daily work activ­ity). Good com­pli­ance in the use of the stock­ings was report­ed for 95% of the ­patients, and tol­er­ance was high­er for the Class 1 com­pres­sion stock­ings group than for the ref­er­ence group.
Con­clu­sion. The reg­u­lar wear­ing of Class 1 grad­u­at­ed elas­tic com­pres­sion stock­ings dur­ing a 15-day peri­od ­results in a sig­nif­i­cant improve­ment in the symp­tom­a­tol­o­gy of early-stage chron­ic ­venous dis­ease, i.e., in the ­relief of glo­bal pain­ful dis­com­fort as well as in qual­ity-of-life cri­te­ria. A high level of ­patient com­pli­ance in the wear­ing of the stock­ings was ­achieved in this study.

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