A comparative outcomes analysis evaluating clinical effectiveness in two different human placental membrane products for wound management.

Advances in tissue preservation have led to the commercialization of human placental membranes for the purposes of wound management with each product being characterized by different compositions and properties. The a priori specification of the research question in this investigator-initiated study...

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Publicado en:Wound Repair & Regeneration Vol. 25; no. 1; pp. 145 - 150
Autores principales: Johnson, Eric L., Marshall, James T., Michael, Georgina M.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan/Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2017
      vid: 25
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/wrr.12503
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        atl: A comparative outcomes analysis evaluating clinical effectiveness in two different human placental membrane products for wound management.
      aug:
        au:
          Johnson, Eric L.
          Marshall, James T.
          Michael, Georgina M.
        affil: Bozeman Health Deaconess Hospital, Wound and Hyperbaric Center, Bozeman Montana
      sug:
        subj:
          Placenta
          Biological Dressings Evaluation
          Wound Healing
          Wound Care
          Wounds and Injuries Therapy
          Treatment Outcomes
          Clinical Effectiveness
          Prospective Studies
          Human
          Cryopreservation
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Body Mass Index
          Comorbidity
          Wound Measurement
          Disease Duration
          Descriptive Statistics
          Chi Square Test
          Fisher's Exact Test
          T-Tests
          Outpatient Service
          Outpatients
          P-Value
          Kaplan-Meier Estimator
          Negative Pressure Wound Therapy
          Hyperbaric Oxygenation
          Wounds and Injuries Etiology
          Wounds and Injuries Classification
          Wounds and Injuries Prognosis
          Amnion
          Chorion
          Outcomes Research
          Comparative Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Advances in tissue preservation have led to the commercialization of human placental membranes for the purposes of wound management with each product being characterized by different compositions and properties. The a priori specification of the research question in this investigator-initiated study focused on the clinical outcomes in two nonrandomized, however statistically equal and homogenous patient cohorts receiving either a viable intact cryopreserved human placental membrane (vCPM) or a dehydrated human amnion/chorion membrane (dHACM), for the management of wounds at a single center. A total of 79 patients with 101 wounds were analyzed: 40 patients with 46 wounds received vCPM and 39 patients with 55 wounds received dHACM. The proportion of wounds achieving complete wound closure was 63.0% (29/46) for vCPM and 18.2% (10/55) for dHACM ( p < 0.0001) for all treated wounds combined. This is the first comparative effectiveness study to report on the clinical outcomes associated with the use of different placental wound care products once broadly implemented in the clinical setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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