Ghatak Piya Das, Schlanger Richard, Ganesh Kasturi, Lambert Lynn, Gordillo Gayle M, Martinsek Patsy, Roy Sashwati
Comprehensive Wound Center, Departments of Surgery and Plastic Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Adv Wound Care (New Rochelle). 2015 May 1;4(5):302-311. doi: 10.1089/wound.2014.0615.
To test whether the use of a wireless electroceutical dressing (WED) (Procellera) in conjunction with a 5-day negative pressure wound therapy (NPWT) may reduce the number of dressing changes required per week with this therapy. At the Ohio State University Comprehensive Wound Center, chronic wound patients (=30) undergoing NPWT were randomized into two arms following consent as approved by the institutional review board. The control arm received standard of care NPWT, where the dressing change was performed thrice a week. The test arm received the same care except that the WED was added as an interface layer and dressing change was limited to twice a week. A reduced cost of care was achieved using the WED in conjunction with NPWT. Despite fewer dressing changes in wounds dressed with the WED, closure outcomes were comparable with no overt signs of any wound complication, including infection. The cost of NPWT care during the week was significantly lower (from $2918 to $2346) in the WED-treated group compared with patients in the control arm. This work introduces a novel technology platform involving a WED, which may be used in conjunction with NPWT. If used as such, NPWT is effective in decreasing the frequency of dressing change and lowering the cost of care. This work points toward the benefit of using the WED combined with NPWT. A larger clinical trial investigating the cost-effectiveness of WED in wound care is warranted.
为了测试使用无线电疗敷料(WED,Procellera)结合为期5天的负压伤口治疗(NPWT)是否可以减少该疗法每周所需的换药次数。在俄亥俄州立大学综合伤口中心,经机构审查委员会批准同意后,接受NPWT治疗的慢性伤口患者(n = 30)被随机分为两组。对照组接受标准护理NPWT,每周换药三次。试验组接受相同护理,但添加WED作为界面层,换药次数限制为每周两次。将WED与NPWT结合使用可降低护理成本。尽管使用WED换药的伤口换药次数较少,但愈合结果相当,没有任何伤口并发症(包括感染)的明显迹象。与对照组患者相比,WED治疗组一周内NPWT护理成本显著降低(从2918美元降至2346美元)。这项工作引入了一种涉及WED的新技术平台,该平台可与NPWT结合使用。如果这样使用,NPWT可有效减少换药频率并降低护理成本。这项工作表明了使用WED与NPWT结合的益处。有必要进行一项更大规模的临床试验,以研究WED在伤口护理中的成本效益。