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International Angiology 2018 October;37(5):396-9

DOI: 10.23736/S0392-9590.18.04025-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Treatment protocol on stasis edema in poorly mobile nursing home patients

Jean-Patrick BENIGNI 1 , Jean-François UHL 1, Florence BALET 2, Maxime CHAHIM 1

1 French University Group for Medical Compression, Paris Descartes University, Paris, France; 2 Le Grand Pré Nursing Home, Sénas, France



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.


KEY WORDS: Compression bandages - Compression stockings - Edema - Nursing homes

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