Use of durometry in assessment of venous disease.

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Use of durometry in assessment of venous disease. / Choh, CT; Wall, Michael; Brown, Margaret; Edward, Anna; Simms, Malcolm.

In: Phlebology, Vol. 25, No. 2, 01.04.2010, p. 94-9.

Research output: Contribution to journalArticle

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Choh, CT, Wall, M, Brown, M, Edward, A & Simms, M 2010, 'Use of durometry in assessment of venous disease.', Phlebology, vol. 25, no. 2, pp. 94-9. https://doi.org/10.1258/phleb.2009.008088

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Choh, CT ; Wall, Michael ; Brown, Margaret ; Edward, Anna ; Simms, Malcolm. / Use of durometry in assessment of venous disease. In: Phlebology. 2010 ; Vol. 25, No. 2. pp. 94-9.

Bibtex

@article{4af3df9e4e9147bcbe21dab860249e17,
title = "Use of durometry in assessment of venous disease.",
abstract = "OBJECTIVES Ulceration of the lower limbs is a common debilitating complication of chronic venous hypertension. Detection of preulcerative skin changes would allow for identification of high-risk patients; early active treatment may prevent ulcer formation. METHODS Patients with isolated venous disease and volunteers attending outpatient clinics underwent assessment of their clinical, aetiological, anatomical and pathological (CEAP) classification. We employed an industrial durometer, an instrument that measures the hardness of metals and plastic, to assess skin induration. The durometer probe was rested perpendicular on their skin 15 cm above the medial malleolus in non-ulcerated tissue, with the patient and limb in recumbency. The average of four measurements was derived. RESULTS In 107 people, 203 lower limbs (mean age 55.6 years) were assessed. A significant difference in durometry readings was demonstrated between patients with CEAP classes 0, 1 and 2, and those with classes 4, 5 and 6 (P <0.0005). There was statistically significant evidence that age and CEAP classification correlated with durometry (P <0.0001). CONCLUSION Durometry is of potential value in the assessment and monitoring of preulcerative venous disease, and could help to identify high-risk patients. This would assist in the institution of timely and appropriate treatment.",
author = "CT Choh and Michael Wall and Margaret Brown and Anna Edward and Malcolm Simms",
year = "2010",
month = apr,
day = "1",
doi = "10.1258/phleb.2009.008088",
language = "English",
volume = "25",
pages = "94--9",
journal = "Phlebology",
issn = "0268-3555",
publisher = "SAGE Publications",
number = "2",

}

RIS

TY - JOUR

T1 - Use of durometry in assessment of venous disease.

AU - Choh, CT

AU - Wall, Michael

AU - Brown, Margaret

AU - Edward, Anna

AU - Simms, Malcolm

PY - 2010/4/1

Y1 - 2010/4/1

N2 - OBJECTIVES Ulceration of the lower limbs is a common debilitating complication of chronic venous hypertension. Detection of preulcerative skin changes would allow for identification of high-risk patients; early active treatment may prevent ulcer formation. METHODS Patients with isolated venous disease and volunteers attending outpatient clinics underwent assessment of their clinical, aetiological, anatomical and pathological (CEAP) classification. We employed an industrial durometer, an instrument that measures the hardness of metals and plastic, to assess skin induration. The durometer probe was rested perpendicular on their skin 15 cm above the medial malleolus in non-ulcerated tissue, with the patient and limb in recumbency. The average of four measurements was derived. RESULTS In 107 people, 203 lower limbs (mean age 55.6 years) were assessed. A significant difference in durometry readings was demonstrated between patients with CEAP classes 0, 1 and 2, and those with classes 4, 5 and 6 (P <0.0005). There was statistically significant evidence that age and CEAP classification correlated with durometry (P <0.0001). CONCLUSION Durometry is of potential value in the assessment and monitoring of preulcerative venous disease, and could help to identify high-risk patients. This would assist in the institution of timely and appropriate treatment.

AB - OBJECTIVES Ulceration of the lower limbs is a common debilitating complication of chronic venous hypertension. Detection of preulcerative skin changes would allow for identification of high-risk patients; early active treatment may prevent ulcer formation. METHODS Patients with isolated venous disease and volunteers attending outpatient clinics underwent assessment of their clinical, aetiological, anatomical and pathological (CEAP) classification. We employed an industrial durometer, an instrument that measures the hardness of metals and plastic, to assess skin induration. The durometer probe was rested perpendicular on their skin 15 cm above the medial malleolus in non-ulcerated tissue, with the patient and limb in recumbency. The average of four measurements was derived. RESULTS In 107 people, 203 lower limbs (mean age 55.6 years) were assessed. A significant difference in durometry readings was demonstrated between patients with CEAP classes 0, 1 and 2, and those with classes 4, 5 and 6 (P <0.0005). There was statistically significant evidence that age and CEAP classification correlated with durometry (P <0.0001). CONCLUSION Durometry is of potential value in the assessment and monitoring of preulcerative venous disease, and could help to identify high-risk patients. This would assist in the institution of timely and appropriate treatment.

U2 - 10.1258/phleb.2009.008088

DO - 10.1258/phleb.2009.008088

M3 - Article

C2 - 20348456

VL - 25

SP - 94

EP - 99

JO - Phlebology

JF - Phlebology

SN - 0268-3555

IS - 2

ER -