Randomized Controlled Trial Comparing Collagen/Oxidized Regenerated Cellulose/Silver to Standard of Care in the Management of Venous Leg Ulcers
| Autor: | Raphael A Yaakov, Jason R. Hanft, Molly Gibson, Robert J Snyder, Breda Mary Cullen, Thomas E Serena |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Silver Time Factors Standard of care Dermatology Severity of Illness Index Statistics Nonparametric Varicose Ulcer law.invention 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Severity of illness medicine Humans Cellulose Oxidized Prospective Studies 030212 general & internal medicine Prospective cohort study Adverse effect Aged Advanced and Specialized Nursing Wound Healing Chi-Square Distribution business.industry Standard of Care Middle Aged United States Surgery Oxidized regenerated cellulose Treatment Outcome Female Collagen Wound healing business Chi-squared distribution Bandages Hydrocolloid Follow-Up Studies |
| Zdroj: | Advances in Skin & Wound Care. 30:464-468 |
| ISSN: | 1538-8654 1527-7941 |
| Popis: | Objective To assess healing outcomes in venous leg ulcers (VLUs) treated with a combination of collagen, oxidized regenerated cellulose, and silver in conjunction with standard of care (SOC; intervention group) compared with SOC alone (control group). Standard of care included ADAPTIC nonadhering dressing (Acelity, San Antonio, Texas) and compression. Design and setting Randomized controlled trial that followed patients in 3 US facilities for 12 weeks or until complete healing. Patients and intervention Forty-nine patients with VLUs were randomized to either the intervention group (n = 22) or the control group (n = 27). Main outcome measure Wound healing over 12 weeks. Main results Intent-to-treat analysis showed a mean percentage wound area reduction at 12 weeks of 85.6% (SD, 28.6%) for the intervention group and 72.5% (SD, 77.8%) for the control group. There was a higher healing rate in the intervention group compared with patients who received SOC only at both week 4 (23% vs 11%) and week 12 (64% vs 59%). There were no adverse events related to the study therapy. Conclusions Although the results were not significant, there was a trend toward faster healing in the intervention group. The results of this study indicate that collagen/oxidized regenerated cellulose/silver is a suitable and safe adjunctive intervention for use with SOC to manage VLUs. |
| Databáze: | OpenAIRE |
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