Venous and lymphovenous lower limb wound outcomes in specialist UK wound and lymphoedema clinics

Br J Nurs. 2023 Aug 17;32(15):S12-S18. doi: 10.12968/bjon.2023.32.15.S12.

Abstract

This article explores the impact of combining tissue viability and lymphoedema techniques on optimising time to healing.

Aim: To investigate the healing rates observed in patients who presented to wound and lymphoedema specialist clinics, located in the south eastern region of England, with venous/lymphovenous ulceration of the lower limb during the COVID-19 pandemic in 2020-2022 (30 months in all).

Methodology: A retrospective analysis of patient outcomes.

Results: 1041 patients were referred to the service, with a healing rate of 88.5% over 78 days.

Discussion: When comparing 2013-2019 healing rates/time to healing vs 2020-2022 there was a decrease of 1.5% in the rate of healing and a mean reduction in time to healing of 40 days.

Conclusion: Despite the pandemic the service was able to maintain previous levels of outcomes and observed a decrease in the mean time to healing.

Keywords: Debridement; Healing outcomes; Healing rates; Lymphoedema; Specialist clinics; Venous leg ulcers.

MeSH terms

  • COVID-19*
  • England / epidemiology
  • Humans
  • Lower Extremity
  • Lymphedema*
  • Pandemics
  • Retrospective Studies
  • Varicose Ulcer*