Abstract：
UNASSIGNED: Managing the gap between the dressing and the wound bed can facilitate the healing of exuding wounds. A silicone foam dressing (Biatain Silicone; Coloplast A/S, Denmark) was developed for application to exuding wounds. A sub-analysis of the real-world, prospective, observational VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted to investigate the use and performance of the silicone foam dressing in a community nursing setting in France.
UNASSIGNED: The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application.
UNASSIGNED: Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3-151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed.
UNASSIGNED: Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.
UNASSIGNED: The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application.
UNASSIGNED: Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3-151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed.
UNASSIGNED: Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.
摘要：
■管理敷料和伤口床之间的间隙可以促进渗出伤口的愈合。硅胶泡沫敷料(Biatain硅胶；ColoplastA/S，丹麦）是为应用于渗出伤口而开发的。对现实世界的分析，prospective,进行了观察性VIPES（ObservatoireenVilledesPlaiesExSudatives）研究，以调查有机硅泡沫敷料在法国社区护理环境中的使用和性能。
■子分析包括来自VIPES研究的患者，这些患者接受了有机硅泡沫敷料作为急性或难以愈合（慢性）伤口的主要敷料。通过智能手机应用程序报告流行病学和伤口愈合结果。
■总的来说，亚分析中包括64例患者。在基线,大多数伤口(n=33/40；82.5%)治疗失败(即停滞不前，无法愈合或渗出物管理不良)。在最后一次后续访问中，基线后的中位数为22.5天（范围：3-151天），48.4％的伤口已愈合，25.0％的伤口正在愈合。从基线到最后一次随访，渗出物水平（p<0.0001）和渗出物聚集（p<0.0001）显着降低，并观察到伤口边缘（p≤0.0001）和伤口周围皮肤（p<0.01）的显着改善。在最后一次随访中，共有62.3％的患者出现了上皮再生伤口。大多数护士（88.3％）和患者（85.0％）报告伤口有所改善，大多数敷料去除量(93.5%)，护士报告说，敷料紧贴伤口床。
■总的来说，数据表明，在社区实践中使用有机硅泡沫敷料支持伤口愈合，说明渗出物和缺口管理的重要性。
■子分析包括来自VIPES研究的患者，这些患者接受了有机硅泡沫敷料作为急性或难以愈合（慢性）伤口的主要敷料。通过智能手机应用程序报告流行病学和伤口愈合结果。
■总的来说，亚分析中包括64例患者。在基线,大多数伤口(n=33/40；82.5%)治疗失败(即停滞不前，无法愈合或渗出物管理不良)。在最后一次后续访问中，基线后的中位数为22.5天（范围：3-151天），48.4％的伤口已愈合，25.0％的伤口正在愈合。从基线到最后一次随访，渗出物水平（p<0.0001）和渗出物聚集（p<0.0001）显着降低，并观察到伤口边缘（p≤0.0001）和伤口周围皮肤（p<0.01）的显着改善。在最后一次随访中，共有62.3％的患者出现了上皮再生伤口。大多数护士（88.3％）和患者（85.0％）报告伤口有所改善，大多数敷料去除量(93.5%)，护士报告说，敷料紧贴伤口床。
■总的来说，数据表明，在社区实践中使用有机硅泡沫敷料支持伤口愈合，说明渗出物和缺口管理的重要性。
