Moist wound healing compared with standard care of treatment of primary closed vascular surgical wounds: a prospective randomized controlled study.
This study was a randomized-controlled trial comparing the standard type of dry dressing, Mepore, with moist wound healing, using a hydrofiber dressing, Aquacel, in primary closed wounds after vascular surgery. The endpoints were patient comfort, cost-effectiveness, infections, wound complications, and length of hospital stay. One hundred and sixty patients were randomized to receive either Mepore or Aquacel dressing. There was no significant difference in patient comfort between the two groups, but a higher cost in the Aquacel group despite significantly fewer changes of dressings in these patients. No difference in the infection rate (13% vs. 11%, p=0.73), length of hospital stay, or wound complications was noted between the two groups. We conclude that although the Aquacel dressing needed significantly fewer changes than the conventional dressing, this did not influence the patient comfort. Moreover, the traditional dressing scheme was significantly less expensive.
Vogt
Katja C
KC
Department of Vascular Surgery, Rigshospitalet, University Hospital of Copenhagen, Denmark. katja@dadlnet.dk
Uhlyarik
M
M
Schroeder
Torben V
TV
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002266:Carboxymethylcellulose Sodium / Q000191:economics / Q000627:therapeutic use*; D003718:Denmark; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings / Q000191:economics; D011182:Postoperative Care; D011446:Prospective Studies; D014656:Vascular Surgical Procedures; D014945:Wound Healing
D002266:Carboxymethylcellulose Sodium