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.
■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。