Featured Research

from universities, journals, and other organizations

Wound care meta-review draws firm conclusions

Date:
July 9, 2012
Source:
Wiley-Blackwell
Summary:
Robust evidence exists for some wound care interventions, but there are still gaps in current knowledge requiring international consensus and further high-level clinical evidence, according to a paper published online by BJS, the British Journal of Surgery.

Robust evidence exists for some wound care interventions, but there are still gaps in current knowledge requiring international consensus and further high-level clinical evidence, according to a paper published online by BJS, the British Journal of Surgery.

Related Articles


Researchers analysed the findings of 44 Cochrane Systematic Reviews (CSRs) published by the Cochrane Wounds and Peripheral Vascular Disease Groups up to June 2011. The reviews covered CSRs on acute wounds and chronic wounds such as venous, pressure, diabetic and arterial ulcers.

This enabled them to identify a number of findings that provide strong clinical evidence for treating specific wound issues.

"Acute and chronic wounds pose a substantial problem in different healthcare settings including emergency departments, nursing homes, home care and family doctor practices" says co-author Dr Dirk Ubbink, from the Academic Medical Centre in Amsterdam, The Netherlands.

"Because wounds have a considerable impact on patient health, death, daily functioning and quality of life, they deserve high-quality local and systemic treatment.

"Ideally wound treatment decisions should be based on the best available evidence, integrated with patients' concerns and priorities and fine-tuned by the local resources and skills. In reality, however, treatment decisions are generally based on the personal opinions, experiences and preferences of healthcare professionals, which can vary widely. This is partly due to the overwhelming amount of literature available, which often shows conflicting results.

"Our meta-review of the CSRs aims to help clinicians make evidence-based decisions by analysing studies of both local and systemic open wound care."

The meta-review covered 13 CSRs on venous ulcers, 12 on acute wounds, seven on pressure ulcers, six on diabetic ulcers, five on arterial ulcers and five on miscellaneous chronic wounds.

Findings were placed into five categories, based on strong evidence of effect/no effect, limited evidence of effect/no effect and no evidence either way.

Strong findings included:

Acute wounds

  • Using antibiotics to prevent infections after dog bites is ineffective unless the bites are on the hands.
  • Systemic treatment with therapeutic touch does not have any additional effect on wound healing compared to placebo or non-treatment after minor surgery.
  • Cleansing pin site wounds using saline, alcohol, hydrogen peroxide or antibacterial soap to prevent infections is no more effective than no cleansing.
  • Topical honey reduces wound healing time when compared to film or gauze-based dressings for burns.
  • Silver sulfadiazine should not be used for burns as trials show this can delay wound healing and increase pain and infection rates.
  • Drinking quality tap water is better for cleansing lacerations and acute soft tissue wounds than sterile saline solutions.

Chronic wounds

  • Systemic treatment of venous ulcers with pentoxyfylline increases complete wound healing and compression therapy, using high compression, multi-component systems or elastic bandages, is most effective.
  • Using hyperbaric oxygen therapy decreases major amputations in diabetic ulcers and local hydrogels should be used after debridement to promote wound healing.
  • Systemic prostanoids should be used to relieve rest pain and improve ulcer healing in patients with critical leg ischaemia and spinal cord stimulation improves limb salvage.
  • Using high-specification foam mattresses and low air loss mattresses can prevent pressure ulcers on the ward and pressure-relieving overlays are recommended on operation tables. Using local therapeutic ultrasound is not recommended for healing pressure ulcers.

"Our meta-review drew 33 conclusions with strong evidence and 18 conclusions with fairly strong evidence from the CSRs we studied" says lead author Dr Fleur Brφlmann. "Evidence was not available or insufficient in the remaining 58."


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Journal Reference:

  1. F. E. Brφlmann, D. T. Ubbink, E. A. Nelson, K. Munte, C. M. A. M. van der Horst, H. Vermeulen. Evidence-based decisions for local and systemic wound care. British Journal of Surgery, 2012; DOI: 10.1002/bjs.8810

Cite This Page:

Wiley-Blackwell. "Wound care meta-review draws firm conclusions." ScienceDaily. ScienceDaily, 9 July 2012. <www.sciencedaily.com/releases/2012/07/120709092556.htm>.
Wiley-Blackwell. (2012, July 9). Wound care meta-review draws firm conclusions. ScienceDaily. Retrieved December 19, 2014 from www.sciencedaily.com/releases/2012/07/120709092556.htm
Wiley-Blackwell. "Wound care meta-review draws firm conclusions." ScienceDaily. www.sciencedaily.com/releases/2012/07/120709092556.htm (accessed December 19, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, December 19, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) — It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) — More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) — In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
Double-Amputee Becomes First To Move Two Prosthetic Arms With His Mind

Double-Amputee Becomes First To Move Two Prosthetic Arms With His Mind

Buzz60 (Dec. 19, 2014) — A double-amputee makes history by becoming the first person to wear and operate two prosthetic arms using only his mind. Jen Markham has the story. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins