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- Title
Ankle Brachial Pressure Index and compression application: Review summary.
- Authors
Team, V.; Gethin, G.; Ivory, J. D.; Crawford, K.; Bouguettaya, A.; Weller, C. D.
- Abstract
Venous leg ulcers (VLUs) are a significant complication amongst persons with chronic venous insufficiency (CVI) that frequently follow a cycle of healing and recurrence. Current clinical practice guidelines (CPGs) recommend applying below knee compression to improve VLU healing. Compression could be applied if the Ankle Brachial Pressure Index (ABPI) rules out significant arterial disease, as sufficient peripheral arterial circulation is necessary to ensure safe compression use. We conducted a content analysis of 13 global CPGs on the accuracy of recommendations related to ABPI and compression application. Eight CPGs indicated that compression is recommended when the ABPI is between 0.8 and 1.2 mmHg. However, this review found there is disagreement between 13 global VLU CPGs, with a lack of clarity on whether or not compression is indicated for patients with ABPIs between 0.6 and 0.8 mmHg. Some CPGs recommend reduced compression for treatment of VLUs, while others do not recommend any type of compression at all. This has implications for when it is safe to apply compression, and the inconsistency in evidence indicates that specialist advice may be required at levels beyond the ABPI "safe" range listed above.
- Subjects
ULCER treatment; LEG ulcers; BLOOD circulation; CONTENT analysis; MEDICAL protocols; MEDICAL referrals; RESEARCH funding; RISK assessment; VENOUS insufficiency; WOUND healing; DISEASE relapse; QUALITATIVE research; QUANTITATIVE research; ANKLE brachial index; COMPRESSION therapy; DISEASE complications
- Publication
Wound Practice & Research, 2019, Vol 27, Issue 2, p108
- ISSN
1837-6304
- Publication type
Article
- DOI
10.33235/wpr.27.2.74-77