Wounds : a compendium of clinical research and practice最新文献

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VGG19 demonstrates the highest accuracy rate in a nine-class wound classification task among various deep learning networks: a pilot study. 在各种深度学习网络中,VGG19 在九类伤口分类任务中表现出最高的准确率:一项试验研究。
IF 1.7 4区 医学
Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01 DOI: 10.25270/wnds/23066
Jun Won Lee, Hi-Jin You, Ji-Hwan Cha, Tae-Yul Lee, Deok-Woo Kim
{"title":"VGG19 demonstrates the highest accuracy rate in a nine-class wound classification task among various deep learning networks: a pilot study.","authors":"Jun Won Lee, Hi-Jin You, Ji-Hwan Cha, Tae-Yul Lee, Deok-Woo Kim","doi":"10.25270/wnds/23066","DOIUrl":"https://doi.org/10.25270/wnds/23066","url":null,"abstract":"BACKGROUND\u0000Current literature suggests relatively low accuracy of multi-class wound classification tasks using deep learning networks. Solutions are needed to address the increasing diagnostic burden of wounds on wound care professionals and to aid non-wound care professionals in wound management.\u0000\u0000\u0000OBJECTIVE\u0000To develop a reliable, accurate 9-class classification system to aid wound care professionals and perhaps eventually, patients and non-wound care professionals, in managing wounds.\u0000\u0000\u0000METHODS\u0000A total of 8173 training data images and 904 test data images were classified into 9 categories: operation wound, laceration, abrasion, skin defect, infected wound, necrosis, diabetic foot ulcer, chronic ulcer, and wound dehiscence. Six deep learning networks, based on VGG16, VGG19, EfficientNet-B0, EfficientNet-B5, RepVGG-A0, and RepVGG-B0, were established, trained, and tested on the same images. For each network the accuracy rate, defined as the sum of true positive and true negative values divided by the total number, was analyzed.\u0000\u0000\u0000RESULTS\u0000The overall accuracy varied from 74.0% to 82.4%. Of all the networks, VGG19 achieved the highest accuracy, at 82.4%. This result is comparable to those reported in previous studies.\u0000\u0000\u0000CONCLUSION\u0000These findings indicate the potential for VGG19 to be the basis for a more comprehensive and detailed AI-based wound diagnostic system. Eventually, such systems also may aid patients and non-wound care professionals in diagnosing and treating wounds.","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cisgender cellular tissue-based products improve wound healing. 基于顺性细胞组织的产品可改善伤口愈合。
IF 1.7 4区 医学
Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01 DOI: 10.25270/wnds/23151
Christina Del Pin, Amit Rao, Meaghan Coles, Manuel Beltran del Rio, Alisha Oropallo
{"title":"Cisgender cellular tissue-based products improve wound healing.","authors":"Christina Del Pin, Amit Rao, Meaghan Coles, Manuel Beltran del Rio, Alisha Oropallo","doi":"10.25270/wnds/23151","DOIUrl":"https://doi.org/10.25270/wnds/23151","url":null,"abstract":"Neither the CTP sex effect of female CTP derived from cryopreserved human placental membranes, nor male CTP bioengineered from living human keratinocytes and foreskin fibroblasts has been described. Healing in wounds was examined to establish the CTP sex' s role in both males and females. Cisgender CTP wounds had better closure. Overall, male PC, PC-End, and CC rates over time were better than female rates. Outcomes were affected by access, etiology, and follow-up.","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
VGG19 demonstrates the highest accuracy rate in a nine-class wound classification task among various deep learning networks: a pilot study. 在各种深度学习网络中,VGG19 在九类伤口分类任务中表现出最高的准确率:一项试验研究。
IF 1.7 4区 医学
Jun Won Lee, Hi-Jin You, Ji-Hwan Cha, Tae-Yul Lee, Deok-Woo Kim
{"title":"VGG19 demonstrates the highest accuracy rate in a nine-class wound classification task among various deep learning networks: a pilot study.","authors":"Jun Won Lee, Hi-Jin You, Ji-Hwan Cha, Tae-Yul Lee, Deok-Woo Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Current literature suggests relatively low accuracy of multi-class wound classification tasks using deep learning networks. Solutions are needed to address the increasing diagnostic burden of wounds on wound care professionals and to aid non-wound care professionals in wound management.</p><p><strong>Objective: </strong>To develop a reliable, accurate 9-class classification system to aid wound care professionals and perhaps eventually, patients and non-wound care professionals, in managing wounds.</p><p><strong>Methods: </strong>A total of 8173 training data images and 904 test data images were classified into 9 categories: operation wound, laceration, abrasion, skin defect, infected wound, necrosis, diabetic foot ulcer, chronic ulcer, and wound dehiscence. Six deep learning networks, based on VGG16, VGG19, EfficientNet-B0, EfficientNet-B5, RepVGG-A0, and RepVGG-B0, were established, trained, and tested on the same images. For each network the accuracy rate, defined as the sum of true positive and true negative values divided by the total number, was analyzed.</p><p><strong>Results: </strong>The overall accuracy varied from 74.0% to 82.4%. Of all the networks, VGG19 achieved the highest accuracy, at 82.4%. This result is comparable to those reported in previous studies.</p><p><strong>Conclusion: </strong>These findings indicate the potential for VGG19 to be the basis for a more comprehensive and detailed AI-based wound diagnostic system. Eventually, such systems also may aid patients and non-wound care professionals in diagnosing and treating wounds.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of necrotizing fasciitis of the breast following lumpectomy and oncoplastic closure. 一例肿块切除术和肿瘤整形缝合术后的乳腺坏死性筋膜炎病例。
IF 1.7 4区 医学
Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01 DOI: 10.25270/wnds/23129
L. Berger, Daisy L. Spoer, Samuel S. Huffman, Eleanor Drew, I. Greenwalt, Kenneth L. Fan
{"title":"A case of necrotizing fasciitis of the breast following lumpectomy and oncoplastic closure.","authors":"L. Berger, Daisy L. Spoer, Samuel S. Huffman, Eleanor Drew, I. Greenwalt, Kenneth L. Fan","doi":"10.25270/wnds/23129","DOIUrl":"https://doi.org/10.25270/wnds/23129","url":null,"abstract":"BACKGROUND\u0000NF is a life-threatening soft tissue infection that most commonly occurs in the lower extremity. While presenting symptoms such as erythema, severe pain, sepsis, and wound crepitation are well documented, diagnosis of NF of the breast often is obscured by a low clinical index of suspicion due to its relative rarity as well as by the breast parenchyma that physically separates the underlying fascia and overlying skin. Several risk factors have previously been identified, such as underlying infection, diabetes, advanced age, and immunosuppression. However, the gross morbidity and high mortality associated with NF warrant continued surveillance of contributing factors across any anatomic location. Fifteen cases in the literature document the development of NF following breast surgery.\u0000\u0000\u0000CASE REPORT\u0000The authors of this case report aim to expand on the current literature through the presentation of a unique case of NF of the breast following right breast lumpectomy and oncoplastic closure with left reduction mammaplasty in an immunocompromised patient found to have concurrent perforated sigmoid diverticulitis.\u0000\u0000\u0000CONCLUSION\u0000This case exemplifies how frequent postoperative surveillance, a low threshold for intervention, and efficient coordination of care are vital to minimizing the morbidity and mortality risks associated with NF of the breast.","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differences in burn wound size estimation between points of referral and the burn unit: experience at a major burn center in southwestern Nigeria. 转诊点和烧伤科之间烧伤创面大小估计的差异:尼日利亚西南部一家大型烧伤中心的经验。
IF 1.7 4区 医学
Samuel Adesina Ademola, Ayodele Olukayode Iyun, Izegaegbe Ohiosimuan Obadan, Chinsunum Peace Isamah, Olayinka Adebanji Olawoye, Afieharo Igbibia Michael, Rotimi Opeyemi Aderibigbe, Odunayo Moronfoluwa Oluwatosin
{"title":"Differences in burn wound size estimation between points of referral and the burn unit: experience at a major burn center in southwestern Nigeria.","authors":"Samuel Adesina Ademola, Ayodele Olukayode Iyun, Izegaegbe Ohiosimuan Obadan, Chinsunum Peace Isamah, Olayinka Adebanji Olawoye, Afieharo Igbibia Michael, Rotimi Opeyemi Aderibigbe, Odunayo Moronfoluwa Oluwatosin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Accurate burn wound size estimation is important for resuscitation and subsequent management. It is also important for the development of referral guidelines in Nigeria.</p><p><strong>Objective: </strong>To establish whether a significant discrepancy exists in burn size estimation between referral centers and burn units.</p><p><strong>Methods: </strong>A retrospective review of burn patients managed at the burn unit of a premier tertiary hospital in Ibadan, southwestern Nigeria, between January 1, 2016, and October 31, 2019 was conducted. Patients' demographic and other characteristics, inclusive of TBSA estimation from point of referral and the burn unit, were retrieved and analyzed.</p><p><strong>Results: </strong>A total of 96 burn injury records were found for the study period, with a male-to-female ratio of 1.3:1. Thirty-five records (36.5%) included no burn size estimation by the referring physician. There was a statistically significant difference in TBSA estimation between referring physicians and burn unit physicians (P = .015). Burn wounds were more likely to be overestimated than underestimated (P = .016). Overestimation is more likely with minor burns and in pediatric patients. Underestimation was more likely in adults.</p><p><strong>Conclusion: </strong>There is a significant difference in burn size estimation between burn unit physicians and referring physicians. This finding underscores the need for continuous education on burn estimation to aid proper referral and management.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Squamous cell carcinoma in the setting of hidradenitis suppurativa: a retrospective review of the literature. 化脓性扁桃体炎引发的鳞状细胞癌:文献回顾。
IF 1.7 4区 医学
Austin Dixon, Fae Kayarian, Thea Price
{"title":"Squamous cell carcinoma in the setting of hidradenitis suppurativa: a retrospective review of the literature.","authors":"Austin Dixon, Fae Kayarian, Thea Price","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Marjolin ulcer is an SCC arising from chronic inflammatory tissue. Such ulcers pose a high risk for metastasis; the 5-year survival rate of 40% to 69% suggests that improvement is possible with early diagnosis.</p><p><strong>Objective: </strong>To raise awareness and update education in the medical community regarding this manifestation of SCC.</p><p><strong>Methods: </strong>The authors performed a retrospective literature review specifically for SCC arising in the context of HS. A PubMed search yielded 81 articles reporting SCC in the context of HS from 1958 to November 2022, with a total of 123 cases. The authors' additional patient, who was treated in practice, is included as Case 1, bringing the total number of patients to 124.</p><p><strong>Results: </strong>Seventy-three percent of patients were male. The mean age at the time of SCC diagnosis was 53 years ± 10.25 standard deviation. The mean interval between HS diagnosis and SCC development was 24.4 years ± 11.33. Thirty-six percent of patients had metastatic disease. Of the 102 cases that included details on life and death, 58 were noted to have died; of those 58, 60% died within the first year following diagnosis.</p><p><strong>Conclusion: </strong>Given the poor prognosis of Marjolin ulcer, with rapid progression after diagnosis, frequent visual examination and biopsies with a high index of suspicion for HS are recommended to identify SCC prior to metastatic transformation and subsequent unresectable disease. If surgical intervention is performed in the management of HS, tissue should always be sent for pathologic examination.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inflammatory markers in diabetic foot infection: a meta-analysis. 糖尿病足感染的炎症指标:一项荟萃分析。
IF 1.7 4区 医学
Yu-Ting Wang, Le-Xuan Zhang, Yang Li, Jun Zhao, Hong-Lin Chen
{"title":"Inflammatory markers in diabetic foot infection: a meta-analysis.","authors":"Yu-Ting Wang, Le-Xuan Zhang, Yang Li, Jun Zhao, Hong-Lin Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetic foot infection is a serious and painful process for patients with diabetes, and the considerable morbidity associated with the condition warrants attention. Effective inflammatory markers may become important in the detection of diabetic foot infection.</p><p><strong>Objective: </strong>The goal of the research was to systematically assess the function of inflammatory markers in the detection of diabetic foot infection.</p><p><strong>Methods: </strong>Online databases including PubMed, SpringerLink, and Web of Science were searched. The quality of research and data was assessed using the Newcastle-Ottawa Scale. A random-effects model was used to compare changes in inflammatory markers between patients with infected diabetic foot (IDF) and patients with non-infected diabetic foot.</p><p><strong>Results: </strong>Ten studies with 785 participants were included in the systematic review. The study analyzed 3 inflammatory markers: white blood cell (WBC) count, C-reactive protein (CRP) level, and procalcitonin (PCT) level. The meta-analysis indicated that mean WBC count (standardized mean differences [SMD]: 0.51, 95% CI: 0.23, 0.79; P < .0001), mean CRP level (SMD: 1.05, 95% CI: 0.60, 1.50; P < .0001) and mean PCT level (SMD: 0.80, 95% CI: 0.36, 1.24; P < .0001) were higher in patients with IDF. The differences were statistically significant, but the funnel plots indicated the existence of publication bias.</p><p><strong>Conclusions: </strong>The meta-analysis further confirmed the significant association between inflammatory markers and diabetic foot infection. It also confirmed that WBC count, CRP level, and PCT level can be used as laboratory auxiliary indexes in the detection of diabetic foot infection, providing information for improved diagnosis and prevention.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An open-label, proof-of-concept study assessing the effects of bromelain-based enzymatic debridement on biofilm and microbial loads in patients with venous leg ulcers and diabetic foot ulcers. 一项开放标签、概念验证研究,评估基于菠萝蛋白酶的酶解清创疗法对静脉腿部溃疡和糖尿病足溃疡患者体内生物膜和微生物负荷的影响。
IF 1.7 4区 医学
Robert J Snyder, Adam J Singer, Cyaandi R Dove, Stephen Heisler, Howard Petusevsky, Garth James, Elinor deLancey Pulcini, Aya Ben Yaakov, Lior Rosenberg, Edward Grant, Yaron Shoham
{"title":"An open-label, proof-of-concept study assessing the effects of bromelain-based enzymatic debridement on biofilm and microbial loads in patients with venous leg ulcers and diabetic foot ulcers.","authors":"Robert J Snyder, Adam J Singer, Cyaandi R Dove, Stephen Heisler, Howard Petusevsky, Garth James, Elinor deLancey Pulcini, Aya Ben Yaakov, Lior Rosenberg, Edward Grant, Yaron Shoham","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Most chronic wounds contain biofilm, and debridement remains the centerpiece of treatment. Enzymatic debridement is an effective tool in removing nonviable tissue, however, there is little evidence supporting its effect on planktonic and biofilm bacteria.</p><p><strong>Objective: </strong>This study evaluated the effects of a novel BBD agent on removal of nonviable tissue, biofilm, and microbial loads in patients with chronic ulcers.</p><p><strong>Materials and methods: </strong>Twelve patients with DFU or VLU were treated with up to 8 once-daily applications of BBD and then followed for an additional 2 weeks. Punch biopsy specimens were collected and analyzed for biofilm, and fluorescence imaging was used to measure bacterial load.</p><p><strong>Results: </strong>Ten patients completed treatment, and 7 achieved complete debridement within a median of 2 applications (range, 2-8). By the end of the 2-week follow-up period, the mean ± SD reduction in wound area was 35% ± 38. In all 6 patients who were positive for biofilm at baseline, the biofilm was reduced to single individual or no detected microorganisms by the end of treatment. Red fluorescence for Staphylococcus aureus decreased from a mean of 1.09 cm² ± 0.58 before treatment to 0.39 cm² ± 0.25 after treatment. BBD was safe and well tolerated.</p><p><strong>Conclusion: </strong>Preliminary data suggest that BBD is safe and that it can be used to effectively debride DFU and VLU, reduce biofilm and planktonic bacterial load, and promote reduction in wound size.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeted muscle reinnervation: a brief history of a promising procedure for effective management of amputation pain. 靶向肌肉神经再支配:有效治疗截肢疼痛的有望手术简史。
IF 1.7 4区 医学
Brittany N Corder, Michael S Lebhar, Peter Arnold, Laura S Humphries
{"title":"Targeted muscle reinnervation: a brief history of a promising procedure for effective management of amputation pain.","authors":"Brittany N Corder, Michael S Lebhar, Peter Arnold, Laura S Humphries","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Each year, 27.5% of the 150 000 people in the United States who require lower extremity amputation experience significant postoperative complications, including pain, infection, and need for reoperation. Postamputation pain, including RLP and PLP, is debilitating. While the causes of such pain remain unknown, neuroma formation following sensory nerve transection is believed to be a major contributor. Various techniques exist for management of a symptomatic neuroma, but few data exist on which technique is superior. Furthermore, there are few data on primary prevention of neuroma formation following injury or intentional transection. The TMR technique shows promise for both management of PLP and RLP and prevention of neuroma formation. Following amputation, transected sensory nerves are coapted to nearby motor nerve supplying remaining extremity musculature. Not only does this procedure generate increased myoelectric signals for improved prosthesis control, TMR appears to neurophysiologically alter sensory nerves, preventing formation of painful sensory neuromas. The sole RCT to date evaluating the efficacy of TMR showed statistically significant reduction in PLP. TMR is not limited to use in the setting of major limb amputation. It has also been used in the setting of post-mastectomy pain, abdominal wall neuromas, digital amputations, and headache surgeries. This article reviews the origin of TMR and provides a brief description of histologic changes following the procedure, as well as current data regarding the efficacy of TMR with regard to postoperative pain relief. It also seeks to provide a concise, comprehensive resource for providers to facilitate better discussions with patients about treatment options.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
eCASH concept-based care for patients with small-area burns: a pilot randomized controlled trial. 为小面积烧伤患者提供基于 eCASH 概念的护理:随机对照试验。
IF 1.7 4区 医学
Qiuyan Fu, Yuhuan Qiu, Qin Xu, Yi Wu, Shuting Shi, Xiaoyu Tang, Shujun Fan, Linhong Zhu, Minlie Yang
{"title":"eCASH concept-based care for patients with small-area burns: a pilot randomized controlled trial.","authors":"Qiuyan Fu, Yuhuan Qiu, Qin Xu, Yi Wu, Shuting Shi, Xiaoyu Tang, Shujun Fan, Linhong Zhu, Minlie Yang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Small-area burn is a common but specific type of injury that can still lead to serious complications if not managed properly. Researchers have introduced a number of interventions.</p><p><strong>Objective: </strong>The objective of this study was to compare the effects of eCASH concept-based care (ie, eBCare) with those of standard treatment on wound healing in patients with small-area burns.</p><p><strong>Methods: </strong>In this prospective randomized controlled trial, patients with small-area burns received either eBCare (n = 35) or standard burn treatment (n = 35) for 2 weeks. Pain, anxiety, heart rate, exudate, and wound area were measured during and after dressing changes. Scar color and thickness were assessed 4 years or longer after discharge.</p><p><strong>Results: </strong>The eBCare group had a lower median pain score, anxiety score, and heart rate compared with the control group (P < .001). The eBCare group also had a higher median wound healing rate on day 14 than the control group (P < .05). At follow-up 4 years or more after discharge, the eBCare group had better scar color and thickness than the control group (P < .05).</p><p><strong>Conclusion: </strong>The use of eBCare reduced pain and anxiety, accelerated wound healing, and improved scar outcomes in patients with small-area burns, which suggests that eBCare may be a feasible option for this population.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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