Objective: To test whether the use of a wireless electroceutical dressing (WED) (Procellera (R)) in conjunction with a 5-day negative pressure wound therapy (NPWT) may reduce the number of dressing changes required per week with this therapy. Approach: At the Ohio State University Comprehensive Wound Center, chronic wound patients (n = 30) undergoing NPWT were randomized into two arms following consent as approved by the institutional review board. The control arm received standard of care NPWT, where the dressing change was performed thrice a week. The test arm received the same care except that the WED was added as an interface layer and dressing change was limited to twice a week. Results: A reduced cost of care was achieved using the WED in conjunction with NPWT. Despite fewer dressing changes in wounds dressed with the WED, closure outcomes were comparable with no overt signs of any wound complication, including infection. The cost of NPWT care during the week was significantly lower (from $2918 to $2346) in the WED-treated group compared with patients in the control arm. Innovation: This work introduces a novel technology platform involving a WED, which may be used in conjunction with NPWT. If used as such, NPWT is effective in decreasing the frequency of dressing change and lowering the cost of care. Conclusion: This work points toward the benefit of using the WED combined with NPWT. A larger clinical trial investigating the cost-effectiveness of WED in wound care is warranted.
机构:
Atal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Garg, Arun
Jayant, Sneh
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Atal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Jayant, Sneh
Gupta, Arun Kumar
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Atal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Gupta, Arun Kumar
Bansal, Lalit Kumar
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Atal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Bansal, Lalit Kumar
Wani, Abid
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Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, India
Atal Bihari Vajpayee Inst Med Sci, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Wani, Abid
Chaudhary, Poras
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Atal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India
Dr Ram Manohar Lohia Hosp, New Delhi, India
Post Grad Inst Med Educ & Res, New Delhi, IndiaAtal Bihari Vajpayee Inst Med Sci, Dept Surg, New Delhi, India