Use of autologous conditioned serum dressings in hard-to-heal wounds: a randomised prospective clinical trial.

Autor:	Gholian S; Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran., Pishgahi A; Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran., Shakouri SK; Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran., Eslamian F; Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran., Yousefi M; Department of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran., Kheiraddin BP; Department of Polymer Engineering, Sahand University of Technology, Tabriz, Iran., Dareshiri S; Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran., Yarani R; Interventional Regenerative Medicine and Imaging Laboratory, Department of Radiology, Stanford University School of Medicine, US.; Translational Type 1 Diabetes Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark., Dolatkhah N; Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Jazyk:	angličtina
Zdroj:	Journal of wound care [J Wound Care] 2022 Jan 02; Vol. 31 (1), pp. 68-77.
DOI:	10.12968/jowc.2022.31.1.68
Abstrakt:	Objective: In this study, we aimed to assess both the efficacy and tolerability of autologous conditioned serum (ACS) as an innovative wound dressing in the local management of hard-to-heal wounds. Method: In this single-blinded randomised controlled trial, patients with hard-to-heal wounds were randomly assigned to receive either ACS treatment or normal saline (NS) dressings. The treatment was applied once a week for three weeks with a final assessment at three weeks from the first ACS application. Results: A total of 30 patients took part in the study. Analysis of wound assessment data demonstrated statistically significant differences for wound surface area and Pressure Ulcer Scale for Healing scores (area score, exudate and tissue) from baseline to the end of the study in patients who received the ACS dressing, but not in patients who received the normal saline dressing. There were statistically significant differences in changes in: the wound surface area at week three (-6.4±2.69cm 2 versus +0.4±2.52cm 2 ); area score at week three (-2.2±1.08 versus +0.2±0.86); exudate at week two (-1.2±0.70 versus +0.0±0.45) and at week 3 (-1.3±0.72 versus -0.1±0.63); tissue at week two (-1.1±0.35 versus +0.0±0.53) and at week three (-1.8±0.65 versus -0.1±0.63); and the PUSH total score at week one (-1.6±0.98 versus +0.4±1.22), week two (-3.2±0.86 versus +0.4±0.98) and week three (-5.3±1.17 versus -0.0±1.33) between the ACS and NS groups, respectively. Conclusion: This trial revealed a significant decrease in wound surface area as well as a considerable improvement in wound healing in the ACS dressing group.
Databáze:	MEDLINE
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