A prospective randomized controlled clinical investigation comparing two post-operative wound dressings used after elective hip and knee replacement; Mepilex® Border Post-Op versus Aquacel® surgical
| Autor: | Charlotta Olivecrona, Philippe Van Overschelde, Hilde Beele, Steven Smet |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Knee replacement Dressing change law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Clinical investigation medicine Humans Surgical Wound Infection Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine Post operative Arthroplasty Replacement Knee Patient comfort Advanced and Specialized Nursing Wound Healing 030222 orthopedics integumentary system business.industry Bandages Arthroplasty Surgery Carboxymethylcellulose Sodium business Surgical site infection |
| Zdroj: | International Journal of Orthopaedic and Trauma Nursing. 38:100772 |
| ISSN: | 1878-1241 |
| DOI: | 10.1016/j.ijotn.2020.100772 |
| Popis: | Post-operative wound complications, including blistering and surgical site infections, can increase recovery times, costs associated with hospital stay and morbidity.To compare two post-operative wound dressings (Mepilex Border Post-Op and Aquacel Surgical), in patients undergoing elective hip or knee arthroplasty.International, open-label, prospective, superiority, multicentre, randomised, parallel-group, controlled trial. Primary outcome was dressing failure, a composite endpoint assessing four factors weighted from highest to lowest in relation to the risk of surgical site infection.Mepilex Border Post-Op was comparable or superior to Aquacel® Surgical in all parameters investigated. Dressing failure rates, skin redness, itching under the dressing, pain during dressing removal and number of patients requiring a dressing change were low in both groups. Mepilex® Border Post-Op outperformed Aquacel Surgical for ease of application (p0.0001) and removal (p0.0001), ability to handle blood (p0.0001), prevention of dressing residuals (p=0.0167), patient satisfaction of wearing the dressing during rehabilitation training (p=0.0037) and patients' overall experience with the dressing (P=0.0025).Both dressings performed well in terms of minimizing post-operative wound complications. However, in relation to clinician satisfaction, minimization of pain and facilitation of patient comfort, Mepilex® Border Post-Op outperformed Aquacel Surgical. |
| Databáze: | OpenAIRE |
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