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Multicenter randomized controlled trial comparing the effectiveness and safety of hydrocellular and hydrocolloiddressings for treatment of category II pressure ulcers in patients at primary and long-term care institutions Pressure ulcers are a major burden to patients because they affect health, well-being, and health-related quality of life. Thus, prevention and early treatment of pressure ulcers is a major challenge for health care professionals.To compare the efficacy of hydrocellular (...) and hydrocolloiddressings after 8 weeks of treatment of category II pressure ulcers.A prospective multicenter clinical trial with blinded outcome assessors.Adult patients with category II pressure ulcers from primary and long-term care institutions on Majorca island.Category II ulcers were treated with ALLEVYN Adhesive® dressings or VARIHESIVE® GEL CONTROL dressings, with the primary outcome being healing of the ulcers in 8 weeks. Blinded confirmation of ulcer healing was performed by a treatment-group
Efficacy of chitosan derivative films versus hydrocolloiddressing on superficial wounds. Chitosan, the N-deacetylated derivative of chitin, has useful biological properties that promote haemostasis, analgesia, wound healing, and scar reduction; chitosan is bacteriostatic, biocompatible, and biodegradable. This study determined the efficacy of chitosan derivative film as a superficial wound dressing.This multicentre randomised controlled trial included 244 patients, of whom 86 were treated (...) with chitosan derivative film and 84 with hydrocolloid. The percentage of epithelisation, as well as patient comfort, clinical signs, and patient convenience in application and removal of the dressings were assessed.The primary outcome of this study was the percentage of epithelisation. Except for race (p = 0.04), there were no significant differences between groups in sex, age, antibiotic usage, or initial wound size (p > 0.05). There was no significant difference in the mean epithelisation percentage
Hydrocolloiddressings for healing diabetic foot ulcers. Foot ulcers in people with diabetes are a prevalent and serious global health issue. Wound dressings are regarded as important components of ulcer treatment, with clinicians and patients having many different types to choose from including hydrocolloiddressings. There is a range of different hydrocolloids available including fibrous-hydrocolloid and hydrocolloid (matrix) dressings. A clear and current overview of current evidence (...) is required to facilitate decision-making regarding dressing use.To compare the effects of hydrocolloid wound dressings with no dressing or alternative dressings on the healing of foot ulcers in people with diabetes.For this first update, in April 2013, we searched the following databases the Cochrane Wounds Group Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE
Prevention of hypergranulation tissue after gastrostomy tube placement: A randomised controlled trial of hydrocolloiddressings. Hypergranulation tissue formation is a common complication after gastrostomy tube (G-tube) placement, occurring in 44%-68% of children. Hydrocolloiddressings are often used in the treatment of hypergranulation tissue but have not been studied for the prevention of postoperative hypergranulation tissue. An institutional review board (IRB)-approved, prospective (...) , randomised study was performed in paediatric patients who underwent G-tube placement at a single, large children's hospital from January 2011 to November 2016. After placement, patients were randomly assigned to (1) standard postoperative G-tube care, (2) standard hydrocolloid G-tube dressing, or (3) silver-impregnated hydrocolloid G-tube dressing, and the incidences of postoperative hypergranulation tissue formation, tube dislodgement, infection, and emergency department use were compared. A total
Hydrocolloiddressings for donor sites of split thickness skin grafts [Cochrane protocol] Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing
Clinical effect of hydrocolloiddressings in prevention and treatment of infant diaper rash. The aim of the study was to investigate the application of hydrocolloiddressings in the prevention and treatment of infant diaper rash. A total of 210 infants with diaper rash were included in the study and randomized into 3 groups of 70 infants. Infants in group A received hydrocolloiddressings and individualized nursing; infants in group B received mupirocin plaster and topical application of pearl (...) and 80.0%, respectively (P<0.05). Hydrocolloiddressings combined with individualized nursing may prevent and treat infant diaper rash effectively, decrease the incidence of adverse reactions significantly, shorten time to resolution of diaper rash and hospitalization duration, reduce mean hospitalization cost, improve parent satisfaction and promote nursing-patient harmony. Thus, this method of treatment was worthy of clinical application.
Creating Accurate Flap Designs Using a HydrocolloidDressing as a Template 28326150 2019 02 26 1937-5719 17 2017 Eplasty Eplasty Creating Accurate Flap Designs Using a HydrocolloidDressing as a Template. ic8 Kuc Amra A Morsani College of Medicine, University of South Florida; Tampa. Gopman Jared J Division of Plastic Surgery, Department of Surgery, Icahn School of Medicine, New York. Dayicioglu Deniz D Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University (...) of South Florida, Tampa. eng Case Reports 2017 03 14 United States Eplasty 101316107 1937-5719 design flap hydrocolloiddressing template tissue defect reconstruction 2017 3 23 6 0 2017 3 23 6 0 2017 3 23 6 1 epublish 28326150 PMC5356620 BMJ. 2006 Apr 1;332(7544):777-80 16575081 Postepy Dermatol Alergol. 2013 Oct;30(5):302-6 24353490 Plast Reconstr Surg. 1997 Feb;99(2):556-8 9030168 J Oral Maxillofac Surg. 2013 Aug;71(8):e243-7 23866954 Plast Reconstr Surg. 1993 Oct;92(5):968-71 8415982 J Plast
environment for wound healing. For the purposes of this briefing, advanced dressings are those that do this by simple physical or chemical means, typically by controlling moisture levels (for example, alginate, film, foam, hydrocolloid and hydrogel dressings). Systematic reviews and meta-analyses have identified little good quality evidence from randomised controlled trials (RCTs) to support the use of advanced or antimicrobial dressings (such as iodine, honey or silver dressings) for chronic wounds (...) in the evidence, and would probably change the implications for practice. The systematic reviews and meta-analyses included in this evidence summary found some low and very low-quality evidence that some advanced dressings (for example, hydrocolloid, hydrogel, film and foam dressings) are more effective than simple conventional dressings (such as basic wound contact or gauze dressings) for treating some wounds. However, many of the conventional dressings used as comparators are no longer routinely recommended
Comparing the efficacies of alginate, foam, hydrocolloid, hydrofiber, and hydrogel dressings in the management of diabetic foot ulcers and venous leg ulcers: a systematic review and meta-analysis examining how to dress for success. Diabetic foot ulcers and venous leg ulcers are chronic wounds frequently encountered by dermatologists. Choosing appropriate wound dressings can effectively promote wound healing and potentially reduce morbidity and financial burden experienced by patients (...) . The objective of our systematic review and meta-analysis was to evaluate wound healing efficacies of synthetic active dressings in diabetic foot ulcer and venous leg ulcer management. For data collection, PubMed, Embase, Cochrane Library, CINAHL, and clinicaltrials.gov online databases were searched from database inception to 10 May 2015. Fixed and random effects modeling were used to calculate pooled risk ratios for complete ulcer healing from pairwise dressing comparisons. The results of our review showed
).Four trials compared other dressings with different controls. Trials reported that there was no clear difference in pressure ulcer incidence between the following comparisons: polyurethane film and hydrocolloiddressing (n=160, RR 0.58, 95% CI 0.24 to 1.41); Kang' huier versus routine care n=100; RR 0.42, 95% CI 0.08 to 2.05); 'pressure ulcer preventive dressing' (PPD) versus no dressing (n=74; RR 0.18, 95% CI 0.04 to 0.76) We rated the evidence as very low certainty (downgraded for very serious (...) Dressings and topical agents for preventing pressure ulcers. Pressure ulcers, localised injuries to the skin or underlying tissue, or both, occur when people cannot reposition themselves to relieve pressure on bony prominences. These wounds are difficult to heal, painful, expensive to manage and have a negative impact on quality of life. Prevention strategies include nutritional support and pressure redistribution. Dressing and topical agents aimed at prevention are also widely used, however
within dressings classes (e.g. hydrocolloid, foam). We present estimates of effect with their 95% confidence intervals (CIs) for individual treatments focusing on comparisons with widely used dressing classes, and we report ranking probabilities for each intervention (probability of being the best, second best, etc treatment). We assessed the certainty (quality) of the body of evidence using GRADE for each network comparison and for the network as whole.We included 78 RCTs (7014 participants (...) Dressings and topical agents for treating venous leg ulcers. Venous leg ulcers are open skin wounds on the lower leg which can be slow to heal, and are both painful and costly. The point prevalence of open venous leg ulcers in the UK is about 3 cases per 10,000 people, and many people experience recurrent episodes of prolonged ulceration. First-line treatment for venous leg ulcers is compression therapy, but a wide range of dressings and topical treatments are also used. This diversity
Hydrocolloiddressings for healing venous leg ulcers [Cochrane Protocol] Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect
A trial of a hydrocolloiddressing in the management of indolent ulceration. A report of a randomised, controlled trial of a hydrocolloiddressing used in the treatment of leg ulcers that were failing to heal.
Silver Sulfadiazine-Impregnated HydrocolloidDressing Is Beneficial in Split-Thickness Skin-Graft Donor Wound Healing in a Small Randomized Controlled Study. Donor-site wound healing was tested with a silver sulfadiazine (SSD)-impregnated hydrocolloiddressing and hydrocolloiddressing applied manually by a physician on site. A total of 14 patients, 5 woman and 9 men (23-89 years old, average = 61.6 ± 18.70 years), were enrolled in this prospective controlled study. The degree of bleeding (...) was significantly less with the SSD-impregnated than with the hydrocolloiddressing (P < .01). In the moisture meter analysis, the values of the effective contact coefficient and corneal thickness were significantly smaller with the SSD-impregnated dressing (P < .05). In the color analysis, the clarity was significantly lower with the hydrocolloiddressing after 3 months than that of intact neighboring skin (P < .01). Regarding red-green color, SSD-impregnated and hydrocolloid values were significantly greater
participants), compared foam dressings with hydrocolloiddressings for eight weeks or less (short-term). It was uncertain whether foam dressings affected the probability of healing in comparison to hydrocolloiddressings over a short follow-up period in three trials (RR 0.85, 95% CI 0.54 to 1.34), very low-certainty evidence, downgraded for very serious study limitations and serious imprecision. It was uncertain if there was a difference in risk of adverse events between groups (RR 0.88, 95% CI 0.37 (...) Foam dressings for treating pressure ulcers. Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on dressing use. This review is part of a suite of Cochrane Reviews investigating the use of dressings
Dressings and topical agents for treating pressure ulcers. Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear (...) modelled the relative effectiveness of any two treatments as a function of each treatment relative to the reference treatment (saline gauze). We assumed that treatment effects were similar within dressings classes (e.g. hydrocolloid, foam). We present estimates of effect with their 95% confidence intervals for individual treatments compared with every other, and we report ranking probabilities for each intervention (probability of being the best, second best, etc treatment). We assessed the certainty
Hydrocellular Foam Versus Hydrocolloid Plate in the Prevention of Pressure Injuries. Pressure injury is one of the most prevalent skin injuries and a great challenge in the hospital environment. The implementation of preventive measures contributes to reducing its occurrence.This study compares the protective effect of 2 adhesive dressings used in the prevention of pressure injuries in at-risk patients.This case series was conducted at a university hospital in southeastern Brazil with 80 (...) hospitalized adult patients at risk for pressure injuries, as per the Braden Scale for Predicting Pressure Sore Risk. Patients were randomized to preventive intervention with either hydrocellular foam (n = 40) or hydrocolloid plate (n = 40) dressing, which was applied to the intact skin over the sacrum and trochanters and changed weekly over 8 weeks.Of the patients, 56.5% were women, 64.5% were 60 years of age or older, 58.1% were admitted to an intensive care unit, and 63.9% were at high risk for pressure
wounds.Wounds were inflicted in type-1 diabetic-streptozotocin (STZ) induced male Sprague Dawley rats. Subsequently, relevant groups were topically treated with the indicated concentrations (12.5, 25 and 50 μM) of VCN-2 hydrocolloid film over the study duration (14 days). The control group was treated with vehicle dressing (blank or allantoin). Wounded tissues and blood serum were collected on 0, 7 and 14 days prior to sacrifice. Appropriate wound assessments such as histological tests, nitric oxide assays (...) Improvement of diabetic wound healing by topical application of Vicenin-2 hydrocolloid film on Sprague Dawley rats. Impaired wound healing is a debilitating complication of diabetes that leads to significant morbidity, particularly foot ulcers. The risk of developing diabetic foot ulcers for diabetic patients is 15% over their lifetime and approximately 85% of limb amputations is caused by non-healing ulcers. Unhealed, gangrenous wounds destroy the structural integrity of the skin, which acts
Using transparent polyurethane film and hydrocolloiddressings to prevent pressure ulcers. To compare the performance and effectiveness of a hydrocolloiddressing (HD) and a transparent polyurethane film (PF) in preventing pressure ulcer (PU) development.The study was conducted in the intensive care unit, coronary care unit and medical clinic of the Holy House of Mercy of Passos, Brazil. Data were collected 48 hours after admission and during hospitalisation. The Braden scale was used for PU (...) . The most common reasons for changing dressings in both groups were moisture (PF 51.1%; HD 47.9%) and shear (HD 43%; PF 38.9%), with a significant difference in shear between groups. The incidence of PUs was significantly lower (p=0.038) in the PF group (8.7%) compared with that in the HD group (15%).The results suggest that the transparent polyurethane film had a better performance and was more effective than the hydrocolloiddressing in preventing PU development.