Volume VI, Number 1 | March 2022

Compliance with Wearing a Novel Dual Compression Wrap (DCS) Design in Patients with Lower Extremity Edema

1Shine J, 2Pilati L
1Grandview Medical Center/Kettering Health Network, Dayton, OH, United States; 2Sycamore Hospital, Miamisburg, OH, United States

INTRODUCTION: The application of multi-layer compression therapy is the gold standard for the management of patients with venous insufficiency and other wounds compromised by lower extremity edema1. For closure of wounds compromised by edema the patient must be compliant with compression therapy. Despite this knowledge, there is a widespread issue with prescribed compression wraps, leading to suboptimal healing outcomes and delays in wound closure2. Non-compliance has been found to be driven largely by lack of patient comfort with many brands of compression wraps3. A novel design has been launched in the United States focusing on both therapeutic goals and patient comfort to boost compliance and ultimately outcomes and cost.

METHODS: 745 total compression wraps were applied to 174 patients with various diagnoses over a 28-day period. Wraps were changed weekly, and patients were followed longitudinally for up to 28 days or until their wounds were closed to calculate degree of compliance over the study period, and reasons for non-compliance were recorded and assessed.

RESULTS: Compliance rates of 94.5% were seen. When eliminating those patients whose wraps were removed at another medical appointment (“true compliance”), compliance rose to 95.7%. Males showed decreased compliance compared to females, however when assessing against “true compliance” this association disappeared. There were no differences found between compliance and age, diagnosis, or laterality.

CONCLUSION: Comparison of our findings with historically reported data from other compression systems shows a significant improvement in compliance with this novel system. Comfort, exudate management, and edema reduction are key factors that lead to patient compliance. Product design seems to impact the consistent edema reduction leading to improved comfort. This product manages exudate and drainage by wicking it from the wound, leading to less peri-wound maceration. Compliance can ultimately drive patient outcomes which can further lead to health care economic benefits.

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The Journal of the American Osteopathic Academy of Orthopedics

Steven J. Heithoff, DO, FAOAO

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Authors in This Edition

J. Michael Anderson BS, OMS IV
Rigel Bacani BA, BS, OMS II
David Beckett OMS I
Bhakti Chavan MBBS, MPH
Jake Checketts DO
Grant Chudik OMS II
Adam Dann
Marc Davidson MD
Clinton J. Devin MD
Jeffrey Dulik DO
Bryan Dunford BS, OMS II
Diego Galindo DO
Gregory Galvin DO
Curtis Goltz DO

Jordan Grilliot DO
Brian Handal
Safet Hatic
Scott Dean Hodges DO
David Houserman DO
Jenna Jarrell MS IV
Michael Jones DO
Anthony Kamson DO
Tyler Metcalf MS IV
Anna Elisa Muzio DO
Cesar Cornejo Ochoa OMS I
Brandi Palmer MS
Joseph Patrick
David Phillips DO

Jonathan Phillips MD
Kornelis Poelstra MD
Jesse Raszewski DO, MS
Katherine Sage DO
Steven Santanello DO, FAOAO
Jared Scott DO
Julieanne Sees
James Seymour DO
Jonathan Schneider DO
John Alex Sielatycki MD
Benjamin Taylor MD, FAAOS
Trevor Torgerson BS, OMS IV
Phong Truong DO
Matt Vassar PhD