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Negative pressure wound therapy for skin necrosis prevention after snakebite in the emergency department: A retrospective cohort study.
- Source :
-
Medicine [Medicine (Baltimore)] 2021 Jan 22; Vol. 100 (3), pp. e24290. - Publication Year :
- 2021
-
Abstract
- Abstract: This retrospective cohort study aimed to compare the effectiveness of conventional treatment and ultra-early application of negative pressure wound therapy (NPWT) in patients with snakebites.Patients who visited the emergency department within 24 hours after a snakebite were assigned to the non- NPWT or NPWT group. Swelling resolution time and rates of necrosis, infection, and operations were compared between the 2 groups. The Stony Brook Scar Evaluation Scale was used to measure short- and long-term wound healing results.Among the included 61 patients, the swelling resolution time was significantly shorter in the NPWT group than in non- NPWT group (P = .010). The NPWT group showed lower necrosis (4.3% versus 36.8%; P = .003) and infection (13.2% and 4.3%; P = .258) rates than the non- NPWT group. The median Stony Brook Scar Evaluation Scale scores were higher in the NPWT group than in the non- NPWT group (P< .001).These findings suggest that ultra-early application of NPWT reduces edema, promotes wound healing, and prevents necrosis in patients with snakebites.<br />Competing Interests: The authors have no conflicts of interest to disclose.<br /> (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- Subjects :
- Aged
Cohort Studies
Emergency Service, Hospital organization & administration
Emergency Service, Hospital statistics & numerical data
Female
Humans
Male
Middle Aged
Necrosis therapy
Negative-Pressure Wound Therapy methods
Negative-Pressure Wound Therapy statistics & numerical data
Republic of Korea epidemiology
Retrospective Studies
Skin physiopathology
Snake Bites epidemiology
Snake Bites nursing
Treatment Outcome
Necrosis prevention & control
Negative-Pressure Wound Therapy standards
Skin injuries
Snake Bites complications
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5964
- Volume :
- 100
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 33546055
- Full Text :
- https://doi.org/10.1097/MD.0000000000024290