A single-centre RetrospeCtive sTudy Investigating patient-reported outcomeS of extended dressing wear time for incisional healing following orthopaedic surgery: the ARCTIS study.

IF 1.5 4区 医学 Q3 DERMATOLOGY
Philippe Van Overschelde, Farah Sinnaeve, Cynthia Lapierre, Andries Pauwels, Khurshid Alam, Kylie Sandy-Hodgetts
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引用次数: 0

Abstract

Objective: Orthopaedic surgery is an effective intervention for treating the symptoms of degenerative joint disease or osteoarthritis (OA). Frequent wound dressing changes, unless clinically indicated, can disrupt the healing process and increase the occurrence of incision site contamination. Protection from contamination is critical for surgical incisions and, therefore, undisturbed wound healing (UWH) in surgical wound management is vital. This article describes a retrospective study reporting the clinical performance of a self-adherent, absorbent postoperative dressing, with a focus on dressing wear time.

Method: A single-centre, retrospective electronic medical record review of a convenience sample of adult patients treated with a dressing (Mepilex Border Post Op; Mölnlycke, Sweden) following elective hip or knee replacement was undertaken. Data relating to dressing wear time, rationale for dressing changes and patient-reported outcomes were extracted from a mobile health application moveUP Therapy (moveUP NV, Belgium). Health-related quality of life assessment was conducted using the EQ-5D-5L questionnaire and orthopaedic-specific quality of life (QoL) indicator tools.

Results: Of the 558 records reviewed, 151 respondents (27.1%) reported outcomes relating to dressing wear time and frequency of dressing change. The average wear time of the first dressing was 13.6 days (second dressing: 5.3 days). The proportion of patients who wore the first dressing for 1-7 days, 8-13 days and for ≥14 days was 17.2%, 13.2% and 69.5%, respectively. Data from the completed questionnaires revealed improvement in QoL over time.

Conclusion: The results of this study are a good indicator of the suitability of the postoperative dressing for a 14-day wear time, in line with the principles of UWH.

一项单中心回顾性研究,调查骨科手术后延长敷料穿戴时间促进切口愈合的患者报告结果:ARCTIS 研究。
目的:矫形外科手术是治疗退行性关节疾病或骨关节炎(OA)症状的有效干预措施。除非有临床指征,否则频繁更换伤口敷料会破坏伤口愈合过程,并增加切口部位污染的发生率。防止污染对手术切口至关重要,因此,手术伤口管理中的伤口愈合不受干扰(UWH)至关重要。本文介绍了一项回顾性研究,报告了自粘吸水术后敷料的临床表现,重点关注敷料的穿戴时间:方法:对选择性髋关节或膝关节置换术后使用敷料(Mepilex Border Post Op; Mölnlycke,瑞典)治疗的成年患者进行单中心、回顾性电子病历审查。从移动医疗应用软件moveUP Therapy(moveUP NV,比利时)中提取了与敷料穿戴时间、敷料更换理由和患者报告结果相关的数据。使用EQ-5D-5L问卷和骨科专用生活质量(QoL)指标工具进行了与健康相关的生活质量评估:在审查的 558 份记录中,151 位受访者(27.1%)报告了与敷料穿戴时间和换药频率相关的结果。第一次敷料的平均穿戴时间为 13.6 天(第二次敷料:5.3 天)。首次敷料使用时间为 1-7 天、8-13 天和≥14 天的患者比例分别为 17.2%、13.2% 和 69.5%。填写的调查问卷数据显示,随着时间的推移,患者的 QoL 有所改善:这项研究的结果很好地说明了术后敷料的适用性,即穿戴时间为 14 天,符合 UWH 原则。
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来源期刊
Journal of wound care
Journal of wound care DERMATOLOGY-
CiteScore
2.90
自引率
10.50%
发文量
215
期刊介绍: Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.
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