M., R., A., E., O., O., N., E. (2011). THE IMPACT OF MODIFYING OCCUPATIONAL RISK FACTORS ON THE OUTCOME OF TREATMENT OF CHRONIC VENOUS ULCER.. test, 35(2), 277-287. doi: 10.21608/ejom.2011.746
Refaat M.; Ewis A.; Osman v O.; El-Sanadiki N.. "THE IMPACT OF MODIFYING OCCUPATIONAL RISK FACTORS ON THE OUTCOME OF TREATMENT OF CHRONIC VENOUS ULCER.". test, 35, 2, 2011, 277-287. doi: 10.21608/ejom.2011.746
M., R., A., E., O., O., N., E. (2011). 'THE IMPACT OF MODIFYING OCCUPATIONAL RISK FACTORS ON THE OUTCOME OF TREATMENT OF CHRONIC VENOUS ULCER.', test, 35(2), pp. 277-287. doi: 10.21608/ejom.2011.746
M., R., A., E., O., O., N., E. THE IMPACT OF MODIFYING OCCUPATIONAL RISK FACTORS ON THE OUTCOME OF TREATMENT OF CHRONIC VENOUS ULCER.. test, 2011; 35(2): 277-287. doi: 10.21608/ejom.2011.746

THE IMPACT OF MODIFYING OCCUPATIONAL RISK FACTORS ON THE OUTCOME OF TREATMENT OF CHRONIC VENOUS ULCER.

Egyptian Journal of Occupational Medicine
Article 8, Volume 35, Issue 2, July 2011, Pages 277-287    PDF (176 K)
Document Type: Study paper
DOI: 10.21608/ejom.2011.746
Authors
Refaat M.1; Ewis A.2; Osman v O.3; El-Sanadiki N.3
1Departments of Occupational Medicine , Faculty of Medicine, Minia University, Minia, Egypt.
2Departments of Occupational Medicine , Faculty of Medicine, Minia University, Minia, Egypt.
3Vascular Surgery,Faculty of Medicine, Minia University, Minia, Egypt.
Abstract
Venous hypertension and chronic venous disease (CVD) occur frequently in the working population. Several epidemiological studies have shown statistically significant association between CVD and duration of standing and sitting at work.This study evaluates the impact of modifying and correcting different occupational risk factors on the outcome of treatment of chronic venous ulcer. Patients were divided into 2 groups: group A (17 patients) were subjected to combined
conservative treatment followed by surgical treatment and group B (15 patients) were treated only by surgical treatment. The conservative treatment consisted of educational sessions on occupational risk factors and compression therapy.
The results showed similar figures of demographics, risk factors, clinical characteristics and current occupation in the studied groups. In group A, all patients healed; (2/17)showed short term healing and (15/17) showed long term healing. While in group B(3/15) patients showed no healing, (5/15) showed short term healing and (7/15) showed long term healing. The differences being statistically significant (X2 =7.1, P=0.02) This indicates that for treatment of indolent chronic venous ulceration modifying occupational risk factors and adverse lifestyle behaviors will have a significant impact
on the results of treatment. 
Keywords
chronic venous ulcer; occupational risk factors; conservative treatment; surgical treatment
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