Randomised controlled trial evaluating the efficacy of wrap therapy for wound healing acceleration in patients with NPUAP stage II and III pressure ulcer

Seiji Bito, Akihiro Mizuhara, Sandai Oonishi, Kensuke Takeuchi, Masatsune Suzuki, Kazuhiro Akiyama, Kazuyo Kobayashi, Kayoko Matsunaga

研究成果: Article査読

10 被引用数 (Scopus)

抄録

Objectives: To evaluate if 'wrap therapy' using food wraps, which is widely used in Japanese clinical sites, is not inferior when compared to guideline adhesion treatments. Design: Multicentre, prospective, randomised, open, blinded endpoint clinical trial. Setting: 15 hospitals in Japan. Patients: 66 older patients with new National Pressure Ulcer Advisory Panel stage II or III pressure ulcers. Interventions: Of these 66 patients, 31 were divided into the conventional treatment guidelines group and 35 into the wrap therapy group. Main outcome measures: The primary end point was the period until the pressure ulcers were cured. The secondary end point was a comparison of the speed of change in the Pressure Ulcer Scale for Healing score. Results: 64 of the 66 patients were analysed. The estimated mean period until healing was 57.5 days (95% CI 45.2 to 69.8) in the control group as opposed to 59.8 days (95% CI 49.7 to 69.9) in the wrap therapy group. By the extent of pressure ulcer infiltration, the mean period until healing was 16.0 days (95% CI 8.1 to 23.9) in the control group as opposed to 18.8 days (95% CI 10.3 to 27.2) in the wrap therapy group with National Pressure Ulcer Advisory Panel stage II ulcers, and 71.8 days (95% CI 61.4 to 82.3) as opposed to 63.2 days (95% CI 53.0 to 73.4), respectively, with stage III ulcers. There is no statistical significance in difference in Pressure Ulcer Scale for Healing scores. Conclusions: It might be possible to consider wrap therapy as an alternative choice in primary care settings as a simple and inexpensive dressing care.

本文言語English
論文番号e000371
ジャーナルBMJ Open
2
1
DOI
出版ステータスPublished - 2012

All Science Journal Classification (ASJC) codes

  • 医学(全般)

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