Systematic review of skin graft donor-site dressings.

作者: Sophocles H Voineskos , Olubimpe A Ayeni , Leslie McKnight , Achilleas Thoma , None

DOI: 10.1097/PRS.0B013E3181A8072F

关键词:

摘要: Background: Debate continues about what split-thickness skin graft donor-site dressing provides the best outcomes for patients at lowest cost. The goal of this systematic review was to determine which dressings are associated with following: pain, infection rate, healing quality, quality life, and Methods: A comprehensive literature assessment undertaken by two independent reviewers. Articles were selected using specific inclusion criteria. Split-thickness classified as either moist or nonmoist based on state upon initial application. Methodological randomized controlled trials assessed Jadad scale. Results: Seventy-five relevant articles included in final analysis, three articles. most commonly measured outcome rate (64 72), followed pain (58 (40 cost (15 72). No studies life. majority (35 75), observational (22 unsystematic clinical observations (three 75). It difficult compare because methodological heterogeneity available evidence suggests, however, that superior terms pain. Conclusions: Some weak exists supports "wet dressings." To dressing, more methodologically sound needed. Trials parallel economic evaluations should be answer question.

参考文章(81)
A. Rogers, D. L. Feldman, R. H. S. Karpinski, A prospective trial comparing Biobrane, Duoderm and xeroform for skin graft donor sites. Surgery gynecology & obstetrics. ,vol. 173, pp. 1- 5 ,(1991)
Henk Giele, Amanda Tong, Sophie Huddleston, Adhesive retention dressings are more comfortable than alginate dressings on split skin graft donor sites--a randomised controlled trial. Annals of The Royal College of Surgeons of England. ,vol. 83, pp. 431- 434 ,(2001)
Joel W Beam, Management of superficial to partial-thickness wounds. Journal of Athletic Training. ,vol. 42, pp. 422- 424 ,(2007)
David Moher, Kenneth F Schulz, Douglas G Altman, The CONSORT statement: revised recommendations for improving the quality of reports of parallel group randomized trials BMC Medical Research Methodology. ,vol. 1, pp. 2- 2 ,(2001) , 10.1186/1471-2288-1-2
Davide Melandri, Armando De Angelis, Roberto Orioli, Giovanni Ponzielli, Paolo Lualdi, Nadia Giarratana, Valentina Reiner, Use of a new hemicellulose dressing (Veloderm) for the treatment of split-thickness skin graft donor sites A within-patient controlled study. Burns. ,vol. 32, pp. 964- 972 ,(2006) , 10.1016/J.BURNS.2006.03.013
Kay Dickersin, Jesse A. Berlin, Meta-analysis: State-of-the-Science Epidemiologic Reviews. ,vol. 14, pp. 154- 176 ,(1992) , 10.1093/OXFORDJOURNALS.EPIREV.A036084
Melvyn I. Dinner, Calvin R. Peters, James Sherer, Use of a semipermeable polyurethane membrane as a dressing for split-skin graft donor sites. Plastic and Reconstructive Surgery. ,vol. 64, pp. 112- 114 ,(1979) , 10.1097/00006534-197907000-00031
Stephen C. Brady, Charles F. T. Snelling, G Chow, Comparison of donor site dressings. Annals of Plastic Surgery. ,vol. 5, pp. 238- 245 ,(1980) , 10.1097/00000637-198009000-00013
M.R. Fechner, M. Kon, The treatment of donor sites with polyvinylalcohol hydrogelfilm (Cutinova European Journal of Plastic Surgery. ,vol. 13, pp. 43- 46 ,(1990) , 10.1007/BF00184405
M.D. Poole, A.M. Kalus, Dr. med. H. von Domarus, Aluminium foil as a wound dressing. British Journal of Plastic Surgery. ,vol. 32, pp. 145- 146 ,(1979) , 10.1016/0007-1226(79)90018-3