{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T10:32:51Z","timestamp":1769164371703,"version":"3.49.0"},"reference-count":12,"publisher":"Mark Allen Group","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2006,10]]},"abstract":"Objective:<\/jats:title> To establish the prevalence of leg ulceration in the Irish Health Service Executive (HSE) mid-western region and to determine the level of assessment and treatment patients have been receiving in the local community. <\/jats:p><\/jats:sec>Method:<\/jats:title> Before the introduction of a Doppler training programme, all public health and community health nurses working in the Irish HSE mid-western area were requested to complete an audit form on each patient being treated for leg ulceration during a predefined one-week period. This form recorded details on patient demographics, ulcer aetiology, assessment and treatment. Out of 97 nurses, 96 responded to this audit, giving a response rate of 98.9%. <\/jats:p><\/jats:sec>Results:<\/jats:title> A total of 429 patients with 449 leg ulcers were identified. Mean age was 75.5 years (standard deviation 10.7). Overall prevalence was 0.12%, which increased to 1.2% in those aged 70 years and over. Women were almost twice as likely as men to be affected (ratio of 1.8:1). The main causes of ulceration were reported as venous incompetence accounting for 63.3% (284\/449) and arterial insufficiency accounting for 8% (36\/449) of all ulcers. Only 59.9% (269\/449) of all ulcerated limbs had ABPI measurements performed. Of those reported as venous in origin, 71.8% (204\/284) had ABPI measurements recorded. Evidence-based care was generally apparent in this group, with 47.5% (97\/204) receiving high compression and 18.1% (37\/204) receiving reduced compression. However, in venous leg ulcers where ABPIs were not recorded (n=80) care appeared haphazard and inappropriate. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> Our study has identified the benefit of ABPI Doppler assessment. This assessment could be done in local health centres by trained nurses who could provide more appropriate and timely care to patients, thereby improving outcomes and relieving pressure on acute hospital clinics. <\/jats:p><\/jats:sec>Declaration of interest:<\/jats:title> None. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2006.15.9.26963","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:59:25Z","timestamp":1400860765000},"page":"407-410","source":"Crossref","is-referenced-by-count":24,"title":["An exploration of current leg ulcer management practices in an Irish community setting"],"prefix":"10.12968","volume":"15","author":[{"given":"M.","family":"Clarke-Moloney","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Keane","sequence":"additional","affiliation":[{"name":"Public Health Nursing, Sandfield Centre, Ennis, Co Clare, Ireland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_1","volume-title":"2002 Census. CSO","author":"Central Statistics Office","year":"2002"},{"key":"p_2","first-page":"3","author":"Cullum N.","year":"2006","journal-title":"The Cochrane Library"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780729"},{"key":"p_13","unstructured":"Leg ulcer prevalence in this study is similar to that reported in various UK and European studies.3-5The challenge of implementing venous compression in a timely fashion remains an issue in this Irish community region. There are only two dedicated community leg ulcer clinics with staff trained in leg ulcer assessment and management, so patients can wait up to two years to be assessed by a vascular specialist before being started on compression."},{"key":"p_14","volume-title":"s previous studies in 2000 and","author":"The","year":"2002"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.290.6471.855-d"},{"key":"p_20","doi-asserted-by":"publisher","DOI":"10.1080\/02813430050202587"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.1007\/BF03166911"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1007\/BF02638600"},{"key":"p_24","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.1995.4.3.134"},{"key":"p_25","volume-title":"Leg Ulcer Guidelines - A Pocket Guide for Practice","author":"Grace P.","year":"2006"},{"key":"p_27","doi-asserted-by":"publisher","DOI":"10.1007\/BF03169124"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2006.15.9.26963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T02:34:13Z","timestamp":1653359653000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2006.15.9.26963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2006,10]]}},"alternative-id":["10.12968\/jowc.2006.15.9.26963"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2006.15.9.26963","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10]]}}}