The use of a multimodal wound matrix to treat a variety of hard-to-heal wounds: a case series surveillance.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2024-09-01 DOI:10.12968/jowc.2024.0135

David Swain, Windy Cole, Christopher Barrett, Gregory Black, Carmen Hudson, Michael Lacqua, Jacob Reinkraut, Omar Jalil, Robert McLafferty

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引用次数: 0

Abstract

Objective: This case series examines the use of a multimodal wound matrix (MWM) trialled in a selection of clinical practice settings and on a variety of hard-to-heal wounds. The objective was to evaluate the effects of MWM and its performance in managing such wounds, regardless of clinical setting and ulcer type.

Method: Treatment of the MWM was conducted by independent wound care practitioners on wounds that were of >4 weeks duration. Treatment was once a week. Assessment was taken after four weeks and at week 12 of the study to assess percentage area reduction (PAR) compared to baseline measurements taken at the first treatment visit. Complete (100%) re-epithelialisation was also recorded.

Results: A total of 63 wounds were treated with MWM, and ulcer types were grouped as: diabetic foot ulcers (n=21); venous leg ulcers (n=18); pressure injuries (n=10); and others (n=14). Of the wounds, 78% had 100% re-epithelialisation, with an average PAR of 57% at four weeks and 86% at 12 weeks. The average time to resolution for those wounds that closed was 7.9 weeks.

Conclusion: Results from this series of independent case studies support the application of MWM to potentially benefit healing in hard-to-heal wounds of different aetiologies of any duration and in a variety of clinical settings.

查看原文本刊更多论文

使用多模式伤口基质治疗各种难以愈合的伤口：病例系列监测。

目的：本系列病例研究了多模式伤口矩阵（MWM）在特定临床实践环境和各种难愈合伤口中的试用情况。目的是评估多模式伤口矩阵在处理此类伤口时的效果和性能，无论临床环境和溃疡类型如何：方法：由独立的伤口护理从业人员对持续时间超过 4 周的伤口进行 MWM 治疗。治疗每周一次。研究在四周后和第 12 周进行评估，与首次治疗时的基线测量值相比，评估面积缩小的百分比（PAR）。此外，还记录了完全（100%）再上皮化的情况：共有 63 处伤口接受了 MWM 治疗，溃疡类型分为：糖尿病足溃疡（21 例）、腿部静脉溃疡（18 例）、压力性损伤（10 例）和其他（14 例）。在这些伤口中，78%的伤口可100%再上皮化，4周时平均PAR为57%，12周时平均PAR为86%。伤口愈合的平均时间为 7.9 周：这一系列独立病例研究的结果表明，在不同的临床环境中，对不同病因造成的难以愈合的伤口，应用 MWM 有可能有利于其愈合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

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.