{"title":"Healthcare Professionals' Experiences of the Causes of Recurrent Pressure Injuries—A Phenomenographic Study","authors":"Mari Nööjd, Moustafa Elmasry, Ingrid Steinvall","doi":"10.1111/iwj.71064","DOIUrl":"10.1111/iwj.71064","url":null,"abstract":"<p>There are few previous studies regarding recurrent pressure injuries, most of which investigate surgical outcomes. From the perspective of the healthcare system, recurrent pressure ulcers may indicate shortcomings in quality, as preventive measures have failed not just once, but on several occasions. We aimed to examine how healthcare professionals working with wound care in specialised inpatient care perceived the causes of recurrent pressure injuries in patients with spinal cord injuries. A phenomenographic study using in-depth interviews was conducted. We identified four categories of the experienced causes of recurrent pressure injuries based on the respondents' subjective accounts: recurrent wounds are due to physical and mental vulnerability in the patient; recurrent wounds are due to a lack of compliance in patients and professionals; recurrent wounds are the result of fruitless endeavours to prevent them; recurrent wounds are due to neglect in healthcare. The causes were described as originating from different structural levels within society. However, preventive measures were primarily perceived as having been assigned at the patient and healthcare staff levels. The elderly were described as particularly vulnerable, whilst care and community interventions declined with increasing age. The participants emphasised that the changes in clinical practice that need to be prioritised primarily concern fundamental principles, in particular person-centred and inclusive care. Furthermore, a clearer division of responsibilities was highlighted as crucial, as patients in need of multimodal interventions have been found to fall between the cracks in a diagnosis-based healthcare system.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adjunctive Cold Atmospheric Plasma Therapy for Tracheostomy Wound Healing in Critically Ill Patients: A Pilot Randomised Controlled Trial","authors":"Lalita Jaingim, Kanlayanee Sittiwat, Kotchawan Nongyam, Konlawij Trongtrakul","doi":"10.1111/iwj.71051","DOIUrl":"10.1111/iwj.71051","url":null,"abstract":"<p>Cold atmospheric plasma (CAP) therapy has emerged as a promising therapy for wound healing. This study aimed to evaluate the feasibility, safety and efficacy of adjunctive CAP therapy for early tracheostomy wound healing compared with standard wound care (SWC) alone. This single-centre, parallel-group pilot randomised controlled trial (1:1 allocation) enrolled critically ill patients undergoing tracheostomy. Patients received 1-min CAP applications on postoperative days 1, 3 and 5 plus SWC or SWC alone. The primary endpoint was the percentage reduction in tracheostomy wound area through postoperative day 7, assessed by a blinded outcome assessor. Due to the nature of the intervention, blinding of participants and treating clinicians was not feasible; however, the outcome assessor was blinded to group allocation. Wound healing trajectories were analysed using linear mixed-effects models adjusted for baseline wound area. Forty-two patients were included (CAP, <i>n</i> = 21; SWC, <i>n</i> = 21), with comparable baseline characteristics. By postoperative day 7, wound area reduction was greater in the CAP group than in the SWC group (30.3% vs. 23.6%, <i>p</i> = 0.15). Estimated wound area decreased by 0.08 versus 0.06 cm<sup>2</sup>/day (95% CI 0.06–0.10 and 0.04–0.08, respectively; <i>p</i> = 0.17). No treatment-related adverse events were observed. Adjunctive CAP therapy was feasible, safe and demonstrated a non-significant trend towards improved early tracheostomy wound healing. These findings support further evaluation in larger, adequately powered trials.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empathy as Therapeutic Infrastructure in Wound Care: A Conceptual Synthesis","authors":"Sebastian Probst, Peta Tehan","doi":"10.1111/iwj.71063","DOIUrl":"10.1111/iwj.71063","url":null,"abstract":"<p>To develop a conceptual understanding of empathy in chronic wound care through synthesis of patient, healthcare professional, and informal carer perspectives. An integrative qualitative synthesis was conducted using empirical and review literature representing multiple stakeholder perspectives in chronic wound care. A reflexive thematic synthesis approach was applied to identify patterns across datasets and develop higher-order conceptual constructs through iterative comparison and abstraction. Rigour was supported through triangulation and reflexive team discussions. Empathy emerged as a multidimensional construct operating across relational, clinical, and organisational levels. Five interconnected themes were identified: relational connection, engagement and adherence, distributed care networks, structural constraints, and emotional labour. These themes informed the concept of empathy as therapeutic infrastructure, conceptualising empathy as a set of interconnected processes underpinning care delivery and care experiences across settings. Empathy in wound care extends beyond interpersonal interaction to function as a foundational component of care systems. Conceptualising empathy as therapeutic infrastructure highlights the importance of embedding empathy within clinical practise, professional education, and organisational structures. This framework provides a foundation for future research and the development of interventions to strengthen person-centred wound care.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serge Ynesta, Marion Mourgues, Chloé Geri, Martin Inizan, Denis Barritault, Frédéric Sedel, Jean-Charles Kerihuel, Luc Téot
{"title":"A Prospective Cohort Study of Hard-to-Heal Chronic Foot and Leg Wounds Followed for up to 20 Weeks After Initiation of ReGenerating Tissue Agents (RGTA) Technology as an Add-on to Optimal Local Care","authors":"Serge Ynesta, Marion Mourgues, Chloé Geri, Martin Inizan, Denis Barritault, Frédéric Sedel, Jean-Charles Kerihuel, Luc Téot","doi":"10.1111/iwj.71057","DOIUrl":"10.1111/iwj.71057","url":null,"abstract":"<p>ReGenerating Tissue Agents (RGTA, trade name CACIPLIQ20) contain a structural analogue of heparan sulfates (HSs) that promotes tissue regeneration in hard-to-heal chronic wounds resistant to the best standard of care for 6 months or longer. The MATHCOW study aimed to evaluate the real-life performance and safety of RGTA administered in addition to optimal treatment in diabetic foot ulcers (DFUs), venous leg ulcers (VLUs), and leg ulcers with an ischemic component (arterial ulcers). The primary outcome measure was the rate of ulcer closure within the first 20 weeks of treatment. A total of 191 patients were recruited; 173 signed informed consent and constituted the intention-to-treat (ITT) analysis set. The per-protocol (PP) population included 114 patients. The primary endpoint was 50 wound closures at 20 weeks in the ITT analysis (28.9%) and 46 wound closures in the PP analysis (40.4%). Closure rates varied according to ulcer type: 43.7% for VLUs, 46.2% for DFUs, and 14.6% for arterial ulcers. Other endpoints also improved, including clinician global impression, pain, and ulcer area. Adverse events were recorded in 4% of cases. This open-label study confirms the performance and tolerability of RGTA in a population of patients with particularly hard-to-heal chronic ulcers.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sergio M. G. Rocha, Declan Patton, Zena Moore, Hannah Wilson, Pinar Avsar
{"title":"The Relationship Between Subepidermal Moisture Assessment and Pain Measurements in Predicting Pressure Ulcer Development in At-Risk Adults","authors":"Sergio M. G. Rocha, Declan Patton, Zena Moore, Hannah Wilson, Pinar Avsar","doi":"10.1111/iwj.71036","DOIUrl":"10.1111/iwj.71036","url":null,"abstract":"<p>The relationship between subepidermal moisture (SEM) assessment and pain as early indicators of pressure ulcer development remains unclear. This study aimed to investigate the association between SEM, pain, and visual skin assessment (VSA) in adults at risk of pressure ulcer development. A prospective cohort study was undertaken in a medical-surgical ward of an acute hospital in Dublin, Ireland. Adults identified as being at risk of pressure ulcer development or scheduled for surgery requiring a minimum two-night stay were recruited following informed consent. Participants underwent SEM assessment, pain assessment, and VSA at baseline and daily for three consecutive days. Spearman's rank correlation coefficient was used to examine relationships between SEM, pain, and VSA. Thirty-seven participants were included, with a mean age of 63 years (SD 17.88); 59.5% were male. The incidence of pressure ulcer development identified through VSA was 5.4% (<i>n</i> = 2), whereas SEM identified abnormalities in 89.2% (<i>n</i> = 33) of participants. A negligible correlation was observed between pain and SEM measurements, and between pain and VSA. SEM values varied across Fitzpatrick skin types; however, no consistent relationship between skin tone and SEM measurements was observed. These findings indicate that pain may have limited utility as an early indicator of pressure ulcer development. SEM identified tissue abnormalities more frequently than VSA and appeared to perform consistently across skin tones, supporting its potential role in the early detection of pressure-related tissue damage.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Are Support Surfaces Used in Pressure Ulcer Care Within Nursing Home Settings Assessed? A Scoping Review","authors":"Jérémy Enez, Marielle André, Romain Pichon, Dominique Somme, Karim Jamal","doi":"10.1111/iwj.71044","DOIUrl":"https://doi.org/10.1111/iwj.71044","url":null,"abstract":"<p>The aim of this research was to synthesise evaluative research on support surfaces in pressure ulcer care in nursing homes, by examining how studies address effectiveness, efficiency, user satisfaction and context of use. Following the Joanna Briggs Institute methodology and PRISMA-ScR guidelines, six databases were used. Studies assessing support surfaces in nursing homes were included. Data extraction covered studies' characteristics, support surfaces evaluated and methodologies employed. Among the 68 included studies, 40 focused primarily on support surface evaluation, mainly assessing effectiveness or efficiency (<i>n</i> = 31, 78%) rather than context of use (<i>n</i> = 5, 12%) or user satisfaction (<i>n</i> = 4, 10%). Residents' perspectives were captured in 42.5% (<i>n</i> = 17) of studies and quality of life in 25% (<i>n</i> = 10), with one qualitative study identified. Mattresses predominated among the 188 support surfaces evaluated (47%, <i>n</i> = 88). Studies were concentrated among seven research teams (49%, <i>n</i> = 33), and industry funding was the most common source overall (37%, <i>n</i> = 25). Current research prioritises effectiveness and efficiency assessment over holistic usability assessment. The limited incorporation of residents' and professionals' experiences and quality of life outcomes reveals a gap between biomedical approaches and person-centred perspectives. Future research should place residents' and professionals' experiences at the centre of support surface evaluation to generate clinically relevant and ethically grounded evidence.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.71044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maegan Spiteri, Louise Savine, Peter R. Worsley, Spyros Masouros
{"title":"Lateral Pressure Application to the Seated Buttocks Largely Maintains Transcutaneous Gas Tensions at the Ischial Tuberosity in a Healthy Cohort","authors":"Maegan Spiteri, Louise Savine, Peter R. Worsley, Spyros Masouros","doi":"10.1111/iwj.71054","DOIUrl":"https://doi.org/10.1111/iwj.71054","url":null,"abstract":"<p>This study aimed to evaluate the physiological effectiveness of lateral pressure application in maintaining baseline transcutaneous oxygen (TcPO<sub>2</sub>) and carbon dioxide (TcPCO<sub>2</sub>) tensions in the buttocks during sitting, compared with a conventional static foam cushion. Secondary aims were to determine whether body mass index (BMI) influenced the physiological response when lateral pressure was applied and to investigate the relationship between transcutaneous oximetry and underbody interface pressure. A prospective, controlled, repeated-measures laboratory study was conducted with 30 healthy adults. Participants underwent two 20-min sitting conditions: sitting on static foam alone and sitting on static foam with lateral pressure applied by a prototype device. Transcutaneous gas tensions were measured at the right ischial tuberosity using an oximeter and normalised to unloaded standing baselines. Tissue responses were categorised according to the Chai and Bader tissue-response criteria, where changes in gas tensions of < 25% are Category 1, least risk, and changes of > 25% are Category 3, highest risk. Underbody interface pressures were recorded using a pressure-mapping array. Statistical comparisons between conditions were performed using paired parametric or non-parametric tests as appropriate. Mean and peak underbody interface pressures were significantly reduced (<i>p</i> < 0.0001) when lateral pressure was applied. Lateral pressure significantly reduced the mean change in TcPCO<sub>2</sub> compared to static foam alone (11.9% ± 25.6% and 47.8% ± 72.9%, respectively, <i>p</i> < 0.0001) and reduced the change in TcPO<sub>2</sub> to −29.5% ± 23.5% compared to −50.4% ± 34.8% with static foam alone (<i>p</i> < 0.0001). Eleven participants exhibited a Category 3 ischaemic response on static foam, compared with only two when lateral pressure was applied. Twenty-nine of 30 participants moved to a more favourable or unchanged tissue-response category when lateral pressure was applied. No correlation was found between interface pressure and changes in gas tensions. No significant differences were observed between BMI groups. Application of lateral pressure during sitting maintained tissue perfusion at the ischial tuberosity more effectively than static foam alone. These findings support the physiological rationale for applying lateral pressure as a novel strategy for pressure-ulcer prevention in seated patients.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.71054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ut T. Bui, Jane O'Brien, Kathryn Kynoch, Rosie Glynn, Christina Parker
{"title":"Factors Associated With Surgical Site Infections in Adults Following a Replacement of Weight-Bearing Joints: A Systematic Review","authors":"Ut T. Bui, Jane O'Brien, Kathryn Kynoch, Rosie Glynn, Christina Parker","doi":"10.1111/iwj.71047","DOIUrl":"10.1111/iwj.71047","url":null,"abstract":"<p>Surgical site infection may occur within 90-days following joint replacement surgery and, in patients undergoing weight-bearing joint replacement, can complicate recovery and adversely affect quality of life. Although numerous studies have identified factors associated with surgical site infections, synthesised and comprehensive evidence specific to weight-bearing arthroplasty remains limited. This systematic review determined the epidemiological associations between intrinsic and extrinsic factors and the development of surgical site infection in adults undergoing hip, knee and/or ankle arthroplasty, using the JBI methodology for systematic reviews of aetiology and risk, and was registered with PROSPERO (CRD42023482491). Studies were retrieved from CINAHL, Medline, Embase, Emcare, the Cochrane Library, and reference lists. English-language observational studies reporting associations between one or more risk factors and surgical site infection following weight-bearing joint replacement were eligible for inclusion. All included studies underwent methodological quality appraisal. Fifty-seven studies met the inclusion criteria. The number of risk factors investigated varied across studies, ranging from a single factor to multiple factors, with multiple factors identified as being significantly associated with an increased risk of surgical site infections at the multivariable levels of analysis. This evidence indicates the need for comprehensive strategies to address these risk factors throughout the patient journey in arthroplasty.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 9","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanéva Chingan Martino, Marc Pusel, Djamel Bouamama, Dominique Gibert, Antoine Cheret
{"title":"Hyperbaric Oxygen Therapy for Diabetic Lower-Limb Wounds in the Caribbean: A Retrospective Cohort Study","authors":"Vanéva Chingan Martino, Marc Pusel, Djamel Bouamama, Dominique Gibert, Antoine Cheret","doi":"10.1111/iwj.71040","DOIUrl":"10.1111/iwj.71040","url":null,"abstract":"<p>Hyperbaric oxygen therapy (HBOT) is an established adjunctive treatment for selected diabetic foot ulcers, although evidence regarding its effectiveness remains heterogeneous. We conducted a retrospective, single-center, observational study of adult diabetic patients receiving HBOT (2.5 ATA, 100% oxygen) for a lower-limb wound at the only hyperbaric center in Guadeloupe, a French Caribbean territory, between January 2020 and June 2023. Among 257 patients treated with HBOT, 71 diabetic patients met inclusion criteria (mean age 63.1 ± 12.7 years; 69% male). Peripheral arterial disease and osteitis were highly prevalent, while the proportion of current smokers (7.9%) was notably lower than in previously published HBOT cohorts, a distinctive feature of this population. HBOT was considered a last resort, after failure of prolonged conventional therapy, in 63% of patients, likely contributing to the modest six-month healing rate of 34% (18/53 evaluable patients) and 19% rate of major amputation occurring during or after HBOT. Patients referred through the multidisciplinary Diabetic Foot Care Unit had fewer major amputations despite older age and greater vascular burden, though this comparison may reflect referral-related selection bias. No candidate factor, including glycemic control, referral pathway, or delay to HBOT, reached statistical significance in univariable analysis. This descriptive, single-arm finding cannot establish HBOT efficacy but is consistent with a role for HBOT within coordinated multidisciplinary diabetic foot care, highlighting the importance of earlier referral and optimised patient selection.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 9","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148968787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alana S. Levine, Jenny Du-Soriano, Madeline M. Gleason, Latrisha Petersen, Robin Mathew, Eleanor Small, Robert S. Kirsner
{"title":"Efficacy of an Adhesive Hydrocolloid Bandage on Wound Healing: Findings of a 28-Day, Single-Centre, Randomised, Controlled Study","authors":"Alana S. Levine, Jenny Du-Soriano, Madeline M. Gleason, Latrisha Petersen, Robin Mathew, Eleanor Small, Robert S. Kirsner","doi":"10.1111/iwj.71001","DOIUrl":"10.1111/iwj.71001","url":null,"abstract":"<p>This single-centre, randomised, controlled study assessed the wound healing efficacy of adhesive bandages in eligible healthy adults (<i>N</i> = 36) aged 25–55 with Fitzpatrick skin types II and III using a model of laser-induced wounds. Here, we report data for wounds that were randomised to treatment with either a hydrocolloid bandage for multi-day use (BAND-AID Adhesive Bandage Hydroseal), standard of care (SoC) (BAND-AID Adhesive Bandage Tru-Stay Sheer) or an uncovered control. Primary endpoints included the time to complete healing and a composite wound healing score. Hydrocolloid bandage-treated wounds healed twice as fast as the uncovered control or SoC-treated wounds. Median time (days) to complete healing was significantly faster for the hydrocolloid bandage-treated wounds (6.9) versus SoC (11.9) and uncovered control (11.8). Hydrocolloid bandage-treated wounds had significantly better composite wound healing scores versus SoC and versus uncovered control over 2 weeks. At Day 28, cosmesis was better with hydrocolloid bandage treatment (0.3) versus SoC (0.6) and uncovered control (2.1) (change from baseline in a composite scar score; higher score = worse outcome). Multi-day wound occlusion with a hydrocolloid bandage promoted faster healing and improved cosmesis compared with daily SoC dressings or uncovered control.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"23 9","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148968627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}