Dermatologist and Geriatrician, Service de Gériatrie-Plaies et Cicatrisation, Sorbonne Université, Hôpital Rothschild, Paris, France.
Senior Medical Specialist, Wound and Skin Care, Coloplast A/S, Humlebaek, Denmark.
J Wound Care. 2024 Aug 2;33(8):542-553. doi: 10.12968/jowc.2024.0122.
Managing the gap between the dressing and the wound bed can facilitate the healing of exuding wounds. A silicone foam dressing (Biatain Silicone; Coloplast A/S, Denmark) was developed for application to exuding wounds. A sub-analysis of the real-world, prospective, observational VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted to investigate the use and performance of the silicone foam dressing in a community nursing setting in France.
The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application.
Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3-151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed.
Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.
管理敷料与伤口床之间的间隙有助于渗出性伤口的愈合。一种硅酮泡沫敷料（丹麦康乐保公司的 Biatain Silicone）被开发用于渗出性伤口。对 VIPES（城市渗出性伤口观察）真实世界、前瞻性、观察性研究的子分析旨在调查在法国社区护理环境中硅酮泡沫敷料的使用和性能。
子分析纳入了 VIPES 研究中接受硅酮泡沫敷料作为急性或难以愈合（慢性）伤口主要敷料的患者。通过智能手机应用程序报告流行病学和伤口愈合结果。
总体而言，子分析纳入了 64 名患者。在基线时，大多数伤口（n=33/40；82.5%）处于治疗失败状态（即停滞、不愈合或渗出物管理不佳）。在最后一次随访时，即基线后中位数 22.5（范围：3-151）天，48.4%的伤口已愈合，25.0%的伤口正在愈合。从基线到最后一次随访，渗出物水平（p<0.0001）和渗出物积聚（p<0.0001）显著降低，伤口边缘（p≤0.0001）和伤口周围皮肤（p<0.01）显著改善。在最后一次随访时，62.3%的患者的伤口有再上皮化。大多数护士（88.3%）和患者（85.0%）报告伤口有所改善，在大多数更换敷料时（93.5%），护士报告敷料与伤口床紧密贴合。
总体而言，数据表明，在社区实践中使用硅酮泡沫敷料支持了伤口的愈合，这说明了渗出物和间隙管理的重要性。
