International Wound Journal最新文献_第5页

Drop-In Wound Care: Calgary's Wound Care Model Centred Around People Experiencing Homelessness

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-30 DOI: 10.1111/iwj.70179

Wisoo Shin, Mustafa Dahchi, Jennifer Laird, Rinna Lamano, Kelly D. Sair, Eileen Emmott, Laurie Parsons

{"title":"Drop-In Wound Care: Calgary's Wound Care Model Centred Around People Experiencing Homelessness","authors":"Wisoo Shin, Mustafa Dahchi, Jennifer Laird, Rinna Lamano, Kelly D. Sair, Eileen Emmott, Laurie Parsons","doi":"10.1111/iwj.70179","DOIUrl":"https://doi.org/10.1111/iwj.70179","url":null,"abstract":"People experiencing housing insecurities or homelessness face significant barriers to equitable healthcare. A drop-in wound care service was established to mitigate social barriers and improve accessibility. This model facilitates direct access to a multidisciplinary team of trauma-informed medical staff on a walk-in basis. A retrospective chart review was performed on patients seen at the drop-in clinic from January 2021 to December 2021. A total of 119 patients were serviced over 798 visits, with 254 unique wounds managed. 82.8% of patients were living unsheltered, in emergency shelters or in provisional accommodation at the time of assessment. Trauma wounds, lower leg ulcers and frostbites represented the top three complaints. 69.7% of all patients returned to service for at least a second visit, with a median of 4 visits per patient over 42.5 days. Unsheltered patients were most likely to return to service (87.5%) but were most likely to be lost prior to wound closure (68.8%). Timely access to care with consistent follow-up is essential for quality wound care. Our drop-in service presents a working model for providing equitable wound care to socially disadvantaged patient populations. The effectiveness of this model is highlighted by the continual expansion serving 909 and 1029 visits in subsequent years.","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 4","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741155","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}

引用次数: 0

Cutaneous Manifestations of COVID-19: A Descriptive Analysis of a Southeastern USA Purposive Sample

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-30 DOI: 10.1111/iwj.70193

Shannon S. Layton, Shea Polancich, Julie Schexnayder, Ross Vander Noot, Kath Bogie, Patricia Patrician

{"title":"Cutaneous Manifestations of COVID-19: A Descriptive Analysis of a Southeastern USA Purposive Sample","authors":"Shannon S. Layton, Shea Polancich, Julie Schexnayder, Ross Vander Noot, Kath Bogie, Patricia Patrician","doi":"10.1111/iwj.70193","DOIUrl":"https://doi.org/10.1111/iwj.70193","url":null,"abstract":"This study describes characteristics and factors associated with cutaneous manifestations of COVID-19 encountered across acute inpatient, and critical care units in a large Southeastern USA public hospital from March 1, 2020, through November 01, 2021. A retrospective descriptive analysis was conducted on a purposive sample of patients consulted for non-pressure injury related cutaneous wounds while positive for COVID-19. Patients were predominantly male (64.3%, n = 27), White (66.7%, n = 28) and Black (33.3%). No cutaneous wounds while positive for COVID-19 were observed for Hispanic patients. Patient mortality was 71.4% (n = 30). Gender distribution was proportionate by gender (67% were male) and race (65.5% were White) for deceased patients. Body mass index (BMI) ranged from 15.8 to 61.2 with a mean of 31.9 (SD = 10.76) and median BMI 28.7. Identification of cutaneous manifestations of COVID-19 and understanding of the retiform purpura pathophysiology could prove useful in guiding COVID-19 treatment regimens. Investigation into factors preventing complement cascading in those of Hispanic ethnicity may be useful in the prevention of CMC-19 and progression of severity of illness.","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 4","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741156","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}

引用次数: 0

Comparative Efficacy of Autolytic and Collagenase-Based Enzymatic Debridement in Chronic Wound Healing: A Comprehensive Systematic Review

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-30 DOI: 10.1111/iwj.70177

Ali Amadeh, Negin Mohebbi, Zahra Amadeh, Amirreza Jamshidbeigi

{"title":"Comparative Efficacy of Autolytic and Collagenase-Based Enzymatic Debridement in Chronic Wound Healing: A Comprehensive Systematic Review","authors":"Ali Amadeh, Negin Mohebbi, Zahra Amadeh, Amirreza Jamshidbeigi","doi":"10.1111/iwj.70177","DOIUrl":"https://doi.org/10.1111/iwj.70177","url":null,"abstract":"Chronic wounds, including diabetic foot ulcers, pressure ulcers, and burn injuries, present significant challenges for healthcare systems, with debridement being crucial for healing. This review compares the efficacy of autolytic and enzymatic debridement techniques. The objective was to assess clinical outcomes related to both methods, focusing on wound size reduction, granulation tissue formation, epithelialisation, complete healing, and adverse events. A systematic review of randomised controlled trials (RCTs) was performed across multiple databases, identifying five eligible studies involving 236 patients. Results indicated that enzymatic debridement was more effective, showing faster wound size reduction in four out of five studies, with Baloorkar et al. reporting a 65% size reduction compared to 50% for autolytic debridement (p < 0.05). Granulation tissue formation and epithelialisation rates were also significantly higher with enzymatic methods. Complete healing occurred in 65% of cases using enzymatic debridement versus 50% for autolytic methods (p = 0.04). Mild irritation was the most common adverse event noted in the enzymatic group. In conclusion, enzymatic debridement proved to be superior for severe wounds, while autolytic debridement remains beneficial for less severe cases due to its non-invasive nature. Both methods were well tolerated, but further research is needed for definitive clinical guidelines.","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 4","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741158","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}

引用次数: 0

A Pilot Three Arm Randomised Controlled Trial and Qualitative Study of Extracorporeal Shockwave Therapy for Diabetic Foot Ulcer Healing (SOLEFUL): A Study Protocol

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-30 DOI: 10.1111/iwj.70176

L. Hitchman, C. Iglesias, D. Russell, G. Smith, M. Twiddy, I. C. Chetter

{"title":"A Pilot Three Arm Randomised Controlled Trial and Qualitative Study of Extracorporeal Shockwave Therapy for Diabetic Foot Ulcer Healing (SOLEFUL): A Study Protocol","authors":"L. Hitchman, C. Iglesias, D. Russell, G. Smith, M. Twiddy, I. C. Chetter","doi":"10.1111/iwj.70176","DOIUrl":"https://doi.org/10.1111/iwj.70176","url":null,"abstract":"The development of effective interventions for diabetes-related foot ulcers (DFU) healing is vital. This protocol outlines a pilot trial and qualitative study investigating ESWT in DFU healing. A pilot three arm placebo controlled double-blinded randomised controlled trial. Participants with a DFU will be randomised to high dose (500 shocks/cm2), low dose (100 shocks/cm2) or sham ESWT, in addition to standard care. The primary outcome will be deliverability of a definitive trial. Secondary outcomes are ulcer healing, quality-of-life and healthcare resource use at 6 months. The target sample size is 90 participants. The study is registered on clinicaltrials.gov, reference: NCT05380544 and has ethical approval (REC reference: 22/WA/0089). The qualitative interview study will recruit participants who complete, drop-out and decline to participate in the pilot trial, and healthcare professionals who deliver DFU care. Maximum variable sampling will be used to recruit participants. Data will be analysed with an inductive exploratory approach using reflexive thematic analysis. The pilot trial will ensure methods used will address the research question in the definitive trial. The qualitative study will explore how patients and clinicians interact with the trial to understand the pilot trial findings.","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 4","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741157","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}

引用次数: 0

Prevention of Intraoperative Acquired Pressure Injury in Patients With Head and Neck Cancer and Its Effect on Skin Microclimate: A Single-Blind Randomised Controlled Trial

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-30 DOI: 10.1111/iwj.70192

Xueying Xie, Mianmian Chen, Fenfen Wang, Bifang Liao, Xiaohong Yang, Chaoman Zhuang, Jingjing Huang

{"title":"Prevention of Intraoperative Acquired Pressure Injury in Patients With Head and Neck Cancer and Its Effect on Skin Microclimate: A Single-Blind Randomised Controlled Trial","authors":"Xueying Xie, Mianmian Chen, Fenfen Wang, Bifang Liao, Xiaohong Yang, Chaoman Zhuang, Jingjing Huang","doi":"10.1111/iwj.70192","DOIUrl":"https://doi.org/10.1111/iwj.70192","url":null,"abstract":"This study investigated alterations in the skin microclimate of the sacrococcygeal compression area in patients with malignant head and neck tumours before and after surgery. Additionally, it evaluated the effect of preventive dressings on the skin microclimate in this area and their association with intraoperative acquired pressure injuries (IAPIs), aiming to provide a foundation for preventing and reducing these injuries. Thirty patients were randomly assigned into control and two intervention groups. The sacrococcygeal skin of the control group was not protected by preventive dressing. Intervention group A was protected by silicone foam dressing, and intervention group B received a combination of liquid dressing and silicone foam dressing. Sacrococcygeal skin temperature, skin moisture levels and sebum were measured at admission, before and after surgery, and post-operative skin and pain were evaluated. There were no significant differences in skin temperature, moisture levels or sebum between the three groups before and after the intervention. The incidence of IAPI was significantly different (χ2 = 6.240, p = 0.044). No significant difference was observed in post-operative pain incidence. Preventive dressings did not significantly alter the skin microclimate but reduced the risk of IAPIs.","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 4","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741154","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}

引用次数: 0

RETRACTION: Effect of Quality Nursing Care on Wound Pain and Anxiety in Burn Patients: A Meta-Analysis

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-26 DOI: 10.1111/iwj.70450

引用次数: 0

RETRACTION: Effects of Comprehensive Nursing Interventions on Wound Pain in Patients Undergoing Catheter Insertion for Peritoneal Dialysis

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-26 DOI: 10.1111/iwj.70448

引用次数: 0

RETRACTION: Comparative Analysis of Surgical and Non-Surgical Wound Approaches in Diabetic Foot Ulcer Treatment: Meta-Analysis and Systematic Review

IF 2.6 3区医学

International Wound Journal Pub Date : 2025-03-26 DOI: 10.1111/iwj.70434