A randomised study of NPWT closure versus alginate dressings in peri-vascular groin infections: quality of life, pain and cost.
Objective: The aim of this study was to compare the vacuum assisted wound closure (VAC) system (negative pressure wound therapy; NPWT) and alginate wound dressings in terms of quality of life (QoL), pain resource use and cost in patients with deep peri-vascular groin infection after vascular surgery...
| Published in: | Journal of Wound Care Vol. 24; no. 6; pp. 252 - 261 |
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| Main Authors: | , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Mark Allen Holdings Limited
Jun2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109803042&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109803042 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Jun2015 vid: 24 iid: 6 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 109803042 103293538 10.12968/jowc.2015.24.6.252 NLM26075373 109803042 ppf: 252 ppct: 9 formats: fmt: @attributes: type: P tig: atl: A randomised study of NPWT closure versus alginate dressings in peri-vascular groin infections: quality of life, pain and cost. aug: au: Monsen, C. Acosta, S. Mani, K. Wann-Hansson, C. affil: Vascular Center, Malmö-Lund, Skåne University Hospital sug: subj: Negative Pressure Wound Therapy Groin Pain Infection Quality of Life Cost Benefit Analysis Wound Healing Randomized Controlled Trials Human Male Female Middle Age Aged Aged, 80 and Over Descriptive Statistics Data Analysis Software Groin Surgery Brief Pain Inventory Questionnaires Scales Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective: The aim of this study was to compare the vacuum assisted wound closure (VAC) system (negative pressure wound therapy; NPWT) and alginate wound dressings in terms of quality of life (QoL), pain resource use and cost in patients with deep peri-vascular groin infection after vascular surgery. l Method: Patients with deep peri-vascular groin infection (Szilagyi grade III) were included and randomised to NPWT or alginate therapy. EuroQol 5D (EQ-5D) and brief pain inventory (BPI) were used to evaluate QoL and pain, respectively. l Results: Wound healing time until complete skin epithelialisation was shorter in the NPWT (n=9) compared to the alginate group (n=7), median 57 and 104 days, respectively (p=0.026). No difference was recorded in QoL and pain between the groups at study start and the second assessment. QoL analysis within groups between time points, showed that patients in NPWT groups improved in EQ-5D domains, ‘self-care’ (p= 0.034), ‘usual activities' (p=0.046); EQ-5D index value (p=0.046) and EQ-VAS (p=0.028). Patients in the NPWT group reported significantly less pain ‘affecting their relations with other people’ and ‘sleep' between time points. The NPWT group had significantly fewer dressing changes compared to the alginate group (p<0.001). The median frequency of wound dressing changes outside hospital was 20 (IQR 6-29) in the NPWT group (n=9), compared to 48 (IQR 42-77) in the alginate group (n=8; p=0.004). The saved personnel time for wound care in the first week for the NPWT group, compared with the alginate group, was 4.5 hours per week per nurse. The total hospitalised care cost was 83-87% of the total cost in both groups. l Conclusion: NPWT therapy in patients with deep peri-vascular groin infection can be regarded as the dominant strategy due to improved clinical outcome with equal cost and quality of life measures. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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