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Tytuł pozycji:

Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study.

Tytuł:
Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study.
Autorzy:
Maduba CC; Division of Plastic Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Nnadozie UU; Division of Plastic Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Modekwe VI; Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Nwankwo EU; Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Źródło:
The Pan African medical journal [Pan Afr Med J] 2020 Jun 18; Vol. 36, pp. 105. Date of Electronic Publication: 2020 Jun 18 (Print Publication: 2020).
Typ publikacji:
Comparative Study; Journal Article
Język:
English
Imprint Name(s):
Original Publication: Kampala, Uganda : African Field Epidemiology Network
MeSH Terms:
Bandages*
Negative-Pressure Wound Therapy*
Patient Satisfaction*
Leg Ulcer/*therapy
Skin Transplantation/*methods
Anti-Infective Agents, Local/administration & dosage ; Female ; Humans ; Leg Ulcer/pathology ; Length of Stay ; Male ; Povidone-Iodine/administration & dosage ; Prospective Studies ; Wound Healing
References:
J Burn Care Res. 2015 Mar-Apr;36(2):324-8. (PMID: 25162948)
Indian J Plast Surg. 2017 Jan-Apr;50(1):43-49. (PMID: 28615809)
GMS Krankenhhyg Interdiszip. 2011;6(1):Doc07. (PMID: 22242088)
Int Wound J. 2017 Feb;14(1):149-157. (PMID: 26940940)
Burns. 2017 Mar;43(2):379-387. (PMID: 28341261)
Wounds. 2013 Nov;25(11):324-7. (PMID: 25867632)
Burns. 2011 Sep;37(6):925-9. (PMID: 21723044)
Ann Afr Med. 2010 Jan-Mar;9(1):1-4. (PMID: 20418641)
Int Wound J. 2016 Jul;13 Suppl 2:5-15. (PMID: 27460943)
J Coll Physicians Surg Pak. 2010 Oct;20(10):675-9. (PMID: 20943111)
Arch Plast Surg. 2017 Nov;44(6):539-544. (PMID: 29121708)
J West Afr Coll Surg. 2011 Jan;1(1):89-100. (PMID: 25452944)
Contributed Indexing:
Keywords: Conventional gauze dressing; length of stay; negative pressure dressing; patient satisfaction
Substance Nomenclature:
0 (Anti-Infective Agents, Local)
85H0HZU99M (Povidone-Iodine)
Entry Date(s):
Date Created: 20200822 Date Completed: 20201231 Latest Revision: 20220416
Update Code:
20240105
PubMed Central ID:
PMC7406449
DOI:
10.11604/pamj.2020.36.105.19961
PMID:
32821316
Czasopismo naukowe
Introduction: chronic leg ulcers cause a prolonged hospital stay with devastating effects on the patients. Several modifiable factors are taken care of to reduce the duration of stay. A further measure to hasten wound bed preparation pre-grafting and to hasten graft healing post-grafting is with negative pressure dressing.
Methods: sixty-two patients were placed in two groups of 31 cases each. The wound beds were prepared with negative pressure apparatus locally adapted with suction machine for group A and with conventional gauze dressing using 5% povidone iodine soaks for group B. Grafted wound was also dressed similarly for the respective groups. Grafts were inspected on the 5 th post-operative day and were determined with planimeter grid. Grafts were monitored until completely healed and patients were discharged. Satisfaction and length of stay were determined at discharge.
Results: the mean hospital stay pre-grafting and post-grafting were 12.2 (±8.64) days and 13.6 (±2.03) days respectively for the negative pressure dressing and 28.8 (±30.9) days and 21.8 (±21.97) days respectively for the traditional dressing group. These differences with p values of 0.038 for the pre-grafting stay and 0.006 for the post-grafting stay were statistically significant. The patients managed with negative pressure dressing also recorded greater satisfaction with the process and the outcome.
Conclusion: negative pressure dressing contributes significantly to reducing the length of hospital stay in chronic leg ulcers both in wound bed preparation and in graft healing resulting to better patient satisfaction than in patients treated with conventional gauze dressing and 5% povidone iodine soaks.
Competing Interests: The authors declare no competing interests.
(© Charles Chidiebele Maduba et al.)

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