Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-1-12
pubmed:abstractText
Redon drains are still used to suction wounds for vacuum sealing. Vacuum-assisted closure (V.A.C.((R)); Kinetic Concepts Inc, San Antonio, TX) is a computer-controlled therapy system for delivering topical negative pressure therapy. The efficiency of V.A.C. in the treatment of pressure ulcers was prospectively studied in a randomised controlled trial in which patients with pressure ulcers were randomly assigned to negative pressure wound therapy (NPWT) using either V.A.C. or Redon bottles. The target parameters were absolute and relative proportion of wound area consists of granulation tissue, fibrin and necrosis. Other outcome measures were the number of dressing changes and time invested using each system. The study was terminated after a post hoc analysis after inclusion of ten patients because of the significantly better results when using V.A.C., and the substantially larger care effort needed in the Redon group compared with the V.A.C. group. An increase in surface granulation tissue of 54% was observed in the V.A.C. group, and a reduction in the Redon group (P = 0.001). The Redon group showed an increase in fibrin tissue at the wound base of 21.8%, whereas in the V.A.C group, a 27% reduction was observed (P = 0.035). Necrosis was reduced in the V.A.C. group, but this difference did not reach significance. Redon bottles are not a good alternative for V.A.C. therapy for delivering NPWT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1742-481X
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
641-7
pubmed:meshHeading
pubmed-meshheading:19134065-Aged, pubmed-meshheading:19134065-Aged, 80 and over, pubmed-meshheading:19134065-Austria, pubmed-meshheading:19134065-Debridement, pubmed-meshheading:19134065-Drainage, pubmed-meshheading:19134065-Equipment Design, pubmed-meshheading:19134065-Equipment Failure, pubmed-meshheading:19134065-Fibrin, pubmed-meshheading:19134065-Granulation Tissue, pubmed-meshheading:19134065-Humans, pubmed-meshheading:19134065-Necrosis, pubmed-meshheading:19134065-Negative-Pressure Wound Therapy, pubmed-meshheading:19134065-Nursing Evaluation Research, pubmed-meshheading:19134065-Pressure Ulcer, pubmed-meshheading:19134065-Severity of Illness Index, pubmed-meshheading:19134065-Therapy, Computer-Assisted, pubmed-meshheading:19134065-Time and Motion Studies, pubmed-meshheading:19134065-Treatment Outcome, pubmed-meshheading:19134065-Workload, pubmed-meshheading:19134065-Wound Healing
pubmed:year
2008
pubmed:articleTitle
Definition of efficiency in vacuum therapy--a randomised controlled trial comparing with V.A.C. Therapy.
pubmed:affiliation
Department of General Surgery, Medical University Vienna, Vienna, Austria. thomas.wild@meduniwien.ac.at
pubmed:publicationType
Journal Article, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't