Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly. (December 2016)

• Record Type: Journal Article
• Authors: Suehiro, Kotaro; Morikage, Noriyasu; Yamashita, Osamu; Harada, Takasuke; Ueda, Koshiro; Samura, Makoto; Tanaka, Yuya; Takeuchi, Yuriko; Hamano, Kimikazu
• Is Part Of: Phlebology. Volume 31:Number 10(2016)
• Page Start: 723
• Page End: 728
• Publication Date: 2016-12
• Subjects: Chronic venous insufficiency -- compression stocking -- compression bandage; Veins -- Diseases -- Periodicals; 616.14
• DOI: 10.1177/0268355515608992
• Languages: English
• ISSNs: 0268-3555

Abstract

Objectives: To investigate the adherence to and efficacy of different compression methods in elderly patients. Methods: A retrospective review of compression therapy in 120 elderly patients (≥65 years) with chronic venous insufficiency was performed to study the initially preferred compression method, adherence to each method, and its efficacy. Results: Initially, an oversize strong stocking (24%), an appropriate size moderate stocking (19%), and bandages (37%) were equally preferred. Adherence at 1 month was 69%, 96%, and 91%, respectively, and they reduced ankle circumferences in C3 patients by 1.8 ± 1.9 cm, 0.3 ± 1.7 cm, and 2.9 ± 1.7 cm, respectively. The improvement rates of C4 symptoms were 79%, 60%, and 91%, respectively. Only three patients (2%) preferred an appropriate size strong stocking. Conclusions: In elderly patients, an appropriate size strong stocking was not preferred. The best adherence was achieved by using a moderate stocking, while the best efficacy was achieved by using bandages.