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A systematic review of topical negative pressure therapy for acute and chronic wounds
British journal of surgery, 2008-06, Vol.95 (6), p.685-692
Ubbink, D. T.
Westerbos, S. J.
Nelson, E. A.
Vermeulen, H.
2008
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Ubbink, D. T.
Westerbos, S. J.
Nelson, E. A.
Vermeulen, H.
Titel
A systematic review of topical negative pressure therapy for acute and chronic wounds
Ist Teil von
British journal of surgery, 2008-06, Vol.95 (6), p.685-692
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2008
Quelle
MEDLINE
Beschreibungen/Notizen
Background: Topical negative pressure (TNP) therapy is becoming increasingly popular for all kinds of wounds. Its clinical and cost effectiveness is unclear. Methods: A search of randomized controlled trials (RCTs) on TNP in adult patients with all kinds of wounds in all settings was undertaken in Medline, Embase, Cinahl (to October 2007) and the Cochrane Library (to issue 4, 2007). Information was also sought from manufacturer of the VAC® device. Selection of trials for analysis, quality assessment, data ion and data synthesis were conducted by two authors independently. The primary endpoint was any measure of wound healing. Secondary endpoints were infection, pain, quality of life, oedema, microcirculation, bacterial load, adverse events, duration of hospital stay and cost. Results: The search identified 15 publications on 13 RCTs. These reported on patients with chronic wounds, diabetic wounds, pressure ulcers, skin grafts and acute wounds. In chronic and diabetic wounds, TNP did not allow earlier complete wound healing. It was, however, associated with a 1–10 day reduction in the time needed to prepare the wound for secondary closure surgery. In one trial on acute wounds, 17 (95 per cent confidence interval (c.i.) 0·02 to 0·32) per cent more wounds appeared to heal with TNP; the number needed to treat was six. This was, however, at the cost of an 11 (95 per cent c.i. 0·01 to 0·21) per cent higher complication rate; the number needed to harm was nine. Conclusion: There is little evidence to support the use of TNP in the treatment of wounds. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. No evidence of benefit
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.6238
Titel-ID: cdi_proquest_miscellaneous_69173048
Format
–
Schlagworte
Acute Disease
,
Biological and medical sciences
,
Chronic Disease
,
Data Collection
,
Diabetes Complications - therapy
,
General aspects
,
Humans
,
Medical sciences
,
Negative-Pressure Wound Therapy - methods
,
Pressure Ulcer - therapy
,
Randomized Controlled Trials as Topic
,
Skin Transplantation
,
Treatment Outcome
,
Wound Healing - physiology
,
Wounds and Injuries - therapy
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