Læknablaðið - 15.03.2012, Side 21

RANNSÓKN
Heimildir
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ENGLISH SUMMARY
Negative pressure wound therapy in lceland - indication and outcome
Gudmundsdottir l', Steingrimsson S2, Gudbjartsson T23
Introduction: Negative pressure wound therapy (NPWT) is a recent
therapeutic option in wound healing, where a vacuum source is used to
create sub-atmospheric pressure in the wound bed with airtight dress-
ings. The aims were to study the indications for the use of NPWT in a
whole country and evaluate the outcome of treatment.
Material and methods: This was a retrospective study that included
all patients that were treated with NPWT in lceland between January
and December 2008. Information on indication, duration and outcome
of treatment was collected from patient charts. Factors that are known
to affect wound healing, such as diabetes, smoking and age, were also
registered.
Results: During the 12 month study period a total of 65 NPWT-treatments
were given to 56 patients; 35 (63%) males and 21 (37%) females, with an
average age of 62 yrs (range; 8 - 93). The indications for treatment were:
wound infection (40%), promotion of wound healing (42%) and keeping
cavities open (19%). The lower limbs (26%) and chest area (25%) were the
most common sites for treatment. Six patients died during the treatment
period, none of them due to complications related to NPWT, and these
patients were excluded from analysis of wound healing. In the other
59 treatments, 40 wounds (68%) healed successfully, but healing was
incomplete in 19. Treatment related complications were recorded in 19
(32%) cases; wound pain (12%) and skin problems (11%) being the most
common ones.
Conclusion: NPWT has been used considerably in lceland, especially
for infected surgical wounds and chronic wounds. In two thirds of cases
a complete wound healing was achieved, which must be regarded as a
favorable outcome.
Key words: Negative pressure wound therapy (NPWT), wound infectons, indications, outcome, healing rate.
Correspondence; Tómas Guðbjartsson, tomasgud@landspitaii.is
'Department of Vascular surgery, 2Cardiothoracic surgery, Landspitali University Hospital,3Faculty of Medicine, University of lceland.
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