Loss of interface pressure in various compression bandage systems over seven days

Dermatology. 2014;229(4):343-52. doi: 10.1159/000365111. Epub 2014 Nov 19.

Abstract

Background: Manufacturers' instructions of multi-component compression bandage systems inform that these products can remain up to 7 days during the therapy of venous leg ulcer. This implies that the pressure needed will be sustained during this time.

Objective: The present research investigated the persistence of pressure of compression systems over 7 days.

Methods: All 6 compression systems available in Germany at the time of the trial were tested on 35 volunteering persons without signs of venous leg disease. Bandaging with short-stretch bandages was included for comparison. Pressure was measured by using PicoPress®.

Results: Initially, all products showed sufficient resting pressure of 40 mm Hg checked with a pressure monitor, except for one system in which the pressure fell by at least 23.8%, the maximum being 47.5% over a period of 7 days.

Conclusion: The currently available compression systems are not fit to keep the required pressure. Optimized products need to be developed.

MeSH terms

  • Adolescent
  • Adult
  • Ankle Brachial Index
  • Compression Bandages / adverse effects
  • Compression Bandages / standards*
  • Female
  • Healthy Volunteers
  • Humans
  • Leg / anatomy & histology
  • Male
  • Manometry
  • Materials Testing
  • Middle Aged
  • Pressure*
  • Quality of Life
  • Time Factors
  • Varicose Ulcer / therapy
  • Young Adult