Negative pressure wound therapy in the community: the debate

Ousey, Karen; Milne, Jeanette

doi:10.12968/bjcn.2009.14.sup6.45537

Cited by 9 publications

(3 citation statements)

References 24 publications

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“…Furthermore, the time needed to adapt the hospital’s internal procedures and reactivate or establish outpatient cooperation was probably too short to ensure the transition of all eligible participants with NPWT to outpatient care from the beginning. However, the existing opinion that patients can be discharged earlier to outpatient care with NPWT is supported by the results of the present analysis [ 22 , 23 ].…”

Section: Discussionsupporting

confidence: 72%

Ambulatory negative pressure wound therapy of subcutaneous abdominal wounds after surgery: results of the SAWHI randomized clinical trial

Seidel

Diedrich²,

Herrle³

et al. 2022

BMC Surg

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Background The SAWHI study showed that negative pressure wound therapy (NPWT) reduced treatment time by 7.8 days and had a 20.2% higher wound closure rate, but required a 2.1-day longer hospital stay than conventional wound treatment (CWT). The majority of study participants began treatment in the hospital and were discharged within 42 days. Methods As an add-on to a multicenter randomized clinical trial, selected aspects of hospital discharge, outpatient treatment continuation, and subsequent wound closure outcomes are compared between the treatment arms in patients with subcutaneous abdominal wound healing impairment after surgery without fascia dehiscence in the per protocol population. Results Within 42 days, wound closure rates were higher for outpatients in the NPWT arm than for outpatients in the CWT arm (27 of 55 [49.1%]) for both outpatient continuation of NPWT (8 of 26 [30.8%]) and outpatient CWT after NPWT was finished (27 of 121 [22.3%]). Time to wound closure was shorter for outpatients in the NPWT arm (outpatient transfer with: NPWT Mean ± standard error 28.8 ± 8.0 days; CWT 28.9 ± 9.5 days) than in the conventional treatment arm (30.4 ± 8.0 days). Nevertheless, within 30 study sites with patient enrollment, outpatient NPWT was performed in only 20 study sites for 65 of 157 study participants in the treatment arm. Conclusions Outpatient NPWT of postsurgical abdominal wounds with healing impairment is feasible and successful and should be encouraged whenever possible. Study site specific avoidance of outpatient NPWT emerges as an additional reason for the prolonged hospitalization time. Trial Registration ClinicalTrials.gov Identifier NCT01528033. Date of registration: February 7, 2012, retrospectively registered

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Section: Discussionsupporting

confidence: 72%

Ambulatory negative pressure wound therapy of subcutaneous abdominal wounds after surgery: results of the SAWHI randomized clinical trial

Seidel

Diedrich²,

Herrle³

et al. 2022

BMC Surg

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“…However, due to a lack of consensus on the issue of what constitutes health education for patients with NPWT at home, the implementation of health education for patients with NPWT at home varies greatly among wound staff [ 8 , 29 ]. It is crucial to develop patient-centered and systematic components of health education for patients with home-based NPWT to improve the safety of home treatment and patient experience [ 30 ]. This study finally developed the framework and components of health education for patients with home-based NPWT after two rounds of the Delphi study by a group of experts that was related to wound healing care but varied greatly in light of their sociological characteristics and professional backgrounds.…”

Section: Discussionmentioning

confidence: 99%

Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study

Huang

Mao

et al. 2021

Burns &Amp; Trauma

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Background The study aimed to develop consensus on the components of health education of home-based negative pressure wound therapy (NPWT) for patients with chronic wounds. Methods A Delphi method was used to achieve consensus on the components of health education and 75% agreement and coefficient of variation (CV) <0.25 were used as cutoff. Sixteen experts were recruited purposefully to finish this study. Results Two rounds of consultation were implemented. Consensus was achieved on 36 of the 42 statements. The final agreed list of statements represented three domains: health education before carrying out home-based NPWT, health education for the treatment day of NPWT at hospital and health education for NPWT at home. Conclusions This study was the first attempt to develop consensus on the comprehensive components of health education of home-based NPWT for patients with chronic wounds. According to the established framework and components of health education, wound professionals can safely and effectively implement health education of home-based NPWT for patients with chronic wounds and improve their self-care ability and treatment experience at home.

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“…8,9 With the improvement of apparatus and technique, there are more and more wound professionals trying the treatment to heal recalcitrant wounds. 10 Although NPWT is an effective treatment, it is not a completely safe treatment, and sometimes, there are adverse effects including pain, bleeding, and retention of the dressing, infection, skin maceration. or allergy.…”

Section: Introductionmentioning

confidence: 99%

Perspectives on the Process of Negative Pressure Wound Therapy at Home in Patients With Chronic Wound: A Qualitative Descriptive Study

Huang

Mao

et al. 2020

The International Journal of Lower Extremity Wounds

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The purpose of this study was to explore the experience of negative pressure wound therapy (NPWT) at home among Chinese chronic wound patients. Qualitative descriptive study design was adopted, and qualitative data were collected through semistructured in-depth interviews. A purposive, sampling method was used. Informants were recruited from one single wound healing center of a teaching hospital and were interviewed following one course of NPWT at home. A thematic content analysis was undertaken in the framework of input-process-output theory to guide analysis. Of the 13 participants interviewed, 9 were female and 4 were male with an age ranging from 20 to 69 years. Two major categories with their corresponding codes were identified. The first, positive experience, had 6 codes: high-degree identity and feeling hope (input); easy operation and convenience (process); improvement of symptoms and effective treatment (output). The second category, negative experience, had 11 codes: high expenditure, defects of the NPWT device, health education deficiency, and lack of independence and rationales in making decision of NPWT (input); poor communication with wound professionals, unexpected circumstances, therapeutic side effects, and a change of self-image (process); impact on physical symptoms and daily life, impact on social activities, and impact on psychological well-being (output). Patients considered the NPWT at home as a promising regimen, but they also had a feeling of not being prepared and lack of health education to make medical decision independently. The participants’ perceptions and experiences would provide valuable information to promote the intervention program of health education and advance service process optimization.

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Negative pressure wound therapy in the community: the debate

Cited by 9 publications

References 24 publications

Ambulatory negative pressure wound therapy of subcutaneous abdominal wounds after surgery: results of the SAWHI randomized clinical trial

Ambulatory negative pressure wound therapy of subcutaneous abdominal wounds after surgery: results of the SAWHI randomized clinical trial

Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study

Perspectives on the Process of Negative Pressure Wound Therapy at Home in Patients With Chronic Wound: A Qualitative Descriptive Study

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