Brian H. Odom, PhD, PT, CWS, is Associate Professor, Harding University, Searcy, Arkansas. At the University of Central Arkansas, Conway, Arkansas, Charlotte Yates, PhD, PT, PCS, is Professor; and Leah Lowe, PhD, PT, PCS, is an Assistant Professor. Lisa VanHoose, PhD, MPH, PT, is an Associate Professor at the University of Louisiana at Monroe.
Adv Skin Wound Care. 2020 Jan;33(1):36-42. doi: 10.1097/01.ASW.0000582632.60525.3d.
To compare wound products by measuring time to granulation tissue and time to complete wound healing for tracheostomy wounds in the pediatric population.
Investigators identified 134 charts of patients treated January 2013 and June 2017; 93 charts met the inclusion criteria. This study compared the use of a foam dressing (n = 34) to the foam dressing plus a wound filler (n = 59) in patients who developed or were admitted with a wound caused by a tracheostomy device.
Time in days to granulation tissue and to wound closure.
The average time to complete wound closure for participants in this study was 14 days. There was no statistically significant difference in time to granulation tissue or wound closure formation between the wound care products (F2,34 = 1.11, P = .34). Cluster analysis (10 splits) revealed that pressure injury stage was the best predictor, accounting for 41% of the variance in the high treatment response group (those healing in <14 days). Patients who were African American with a stage 2 pressure injury, had a PUSH score of 5 or more, and were using a foam plus a wound filler dressing were 86% more likely to be in the high-response group.
All wounds reviewed healed with current wound care practices without surgical intervention. Best practice for healing tracheostomy wounds in pediatric patients should include the wound filler in the first 14 days based on variable interaction.
通过测量肉芽组织形成时间和伤口愈合时间来比较气管切开伤口的伤口产品。
调查人员确定了 134 例 2013 年 1 月至 2017 年 6 月治疗的患者病历，其中 93 例符合纳入标准。本研究比较了泡沫敷料（n = 34）和泡沫敷料加伤口填充物（n = 59）在因气管切开设备引起或入院时发生伤口的患者中的使用情况。
肉芽组织形成和伤口闭合的时间（以天计）。
本研究参与者的平均伤口闭合时间为 14 天。两种伤口护理产品在肉芽组织形成或伤口闭合形成时间上无统计学差异（F2,34 = 1.11，P =.34）。聚类分析（10 个分支）显示，压力性损伤分期是最佳预测因素，占高治疗反应组（14 天内愈合的患者）的 41%。患有 2 期压力性损伤、PUSH 评分≥5 分且使用泡沫加伤口填充物敷料的非裔美国患者，其处于高反应组的可能性增加 86%。
在没有手术干预的情况下，所有接受评估的伤口均采用目前的伤口护理实践治愈。儿科患者气管切开伤口愈合的最佳实践应包括在前 14 天内使用伤口填充物，这取决于变量的相互作用。
