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Painful leg ulceration : a proaspective, longitudinal cohort study.

Briggs, Michelle and Bennett, Michael I. and Closs, S. José and Cocks, Kim (2007) Painful leg ulceration : a proaspective, longitudinal cohort study. Wound Repair and Regeneration, 15 (2). pp. 186-191. ISSN 1067-1927

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Abstract

This study aimed to explore the relationship between pain mechanism, pain intensity, and leg ulcer characteristics using a 6-month longitudinal cohort study in a community setting in the north of England. Patients with leg ulceration referred consecutively to district nurses were invited to participate (n=96). The main outcome measures were pain intensity using daily visual analogue scores, leg ulcer characteristics (etiology, size, location, duration), and LANSS (Leeds Assessment of Neuropathic Symptoms and Signs). Results suggested that type, duration, position, and size of the leg ulcer had no effect on average daily pain scores. Using the LANSS questionnaire, 43.5% of respondents reported symptoms suggestive of a neuropathic mechanism to their pain. Patients with neuropathic symptoms had higher average daily pain scores (p<0.001). Fewer people had healed ulcers at 6 months with neuropathic symptoms compared with those with no neuropathic symptoms (30.8 vs. 52.1%). It would seem that the severity of pain can not be predicted by the type, size, position, or duration of ulceration. Patients who scored positively for neuropathic symptoms had higher average daily pain scores and fewer had healed leg ulcers at 6 months compared with those who did not experience neuropathic signs and symptoms.

Item Type: Article
Journal or Publication Title: Wound Repair and Regeneration
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 32243
Deposited By: Mr Richard Ingham
Deposited On: 12 Mar 2010 15:58
Refereed?: Yes
Published?: Published
Last Modified: 26 Jul 2012 17:08
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/32243

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