Maggot therapy for chronic ulcer: A retrospective cohort and a meta-analysis

Autor: Suwannee Eamkong, Chumpon Wilasrusmee, Ammarin Thakkinstian, Napaphat Poprom, Sopon Jirasisrithum, Mongkol Marjareonrungrung, John Attia
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Scipedia Open Access
Scipedia SL
Asian Journal of Surgery, Vol 37, Iss 3, Pp 138-147 (2014)
Popis: Background/Objective: Maggot wound therapy (MWT) has been used in various wounds including diabetic foot ulcers, venous leg ulcers, pressure ulcers, and acute surgical wounds. However, the efficacy of MWT therapy has been controversial. We therefore conducted a cohort study and a meta-analysis to assess MWT effects. Methods: A retrospective cohort study was performed in diabetic foot ulcer (DFU) patients who were treated with MWT or conventional wound therapy (CWT) in Thailand. The Kaplan-Meier curve was applied to estimate the healing probability. A meta-analysis was performed to pool our study with four previous cohort studies identified from Medline and Scopus. Results: The estimated incidence of wound healing was 5.7/100 (95% CI: 4.49, 7.32) patients-week, and the median time to healing was 14 weeks. The hazard ratio (HR) of wound healing was 7.87 times significantly higher in the MWT than the CWT (p
Databáze: OpenAIRE