![]() ![]() Visual analog scales were used to measure pain levels.Īmong the broad categories of nonmoist (sterile gauze, fine mesh gauze, Xerofoam ) and moist (DuoDERM hydrocolloid, Tegaderm transparent film, Opsite transparent film ) dressings, the outcomes of healing, infection, and pain were analyzed. Wound infection was subjectively measured based on clinical signs of infection (edema, heat, pain, or smell). Wound healing was measured by days to complete healing (when dressings could be removed without trauma and pain) and wounds healed by day X (removal of dressings at regular intervals). Inconsistency and variation in outcome measures and incomplete reporting of results prevented analysis of many studies. Main Results: The searches identified 111 studies and 1 integrative review, of which 58 studies met the inclusion and exclusion criteria. RevMan software (version 4.04 Cochrane Centre, Oxford, UK) was used for statistical analysis. χĢ analysis was used to determine heterogeneity among the studies. Data within broader dressing categories (nonmoist and moist) were analyzed with a random-effects model. When comparable, study results were pooled and analyzed with a fixed-effects model. The studies were grouped according to broad dressing type (nonmoist and moist) and specific types of moist dressings (hydrocolloids and polyurethane semipermeable transparent films). The principal outcome measures were healing (proportion of sites healed within the study period or time to complete healing), rate of infection, and pain scores. Details of the procedures were not fully explained. Study Selection: To be included in the review, each study had to fulfill the following criteria: it had to be an intraindividual or prospective randomized controlled trial of human subjects it had to include patients with postharvest split-thickness skin graft donor sites it had to evaluate the effectiveness of primary and secondary wound dressings and it had to have outcome measures that included healing (objective), infection (subjective), and pain (objective).ĭata Extraction: Data extraction and study quality assessment procedures were developed specifically for this review based on Cochrane Collaboration, Centre for Reviews and Dissemination, and Joanna Briggs Institute protocols and were performed independently by the author. Additional searches were performed with reference lists and bibliographies of retrieved studies. The use of moist wound-healing dressings in the management of split-thickness skin graft donor sites: a systematic review.Ĭlinical Question: Do rates of healing, infection, and pain differ depending on whether nonmoist or moist dressings are used to manage superficial to partial-thickness wounds?ĭata Sources: Investigations were identified by CINAHL, MEDLINE, Pre-MEDLINE, Cochrane Library, Current Contents, Health STAR, EMBASE, Expanded Academic Index, and Dissertation Abstracts International searches. ![]()
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