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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evidence-based recommendations for the use of negative pressure wound therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus
Injury, Volume 42, No. SUPPL.1, Year 2011
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Description
Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this paper the results of the study of evidence in traumatic wounds (including soft tissue defects, open fractures and burns) and reconstructive procedures (including flaps and grafts) are reported. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel, followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80 approval. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Twelve recommendations were developed in total; 4 for soft tissue trauma and open fracture injuries, 1 for burn injuries, 3 for flaps and 4 for skin grafts. The present evidence base is strongest for the use of NPWT on skin grafts and weakest as a primary treatment for burns. In the consultative process, 11/12 of the proposed recommendations reached the 80 agreement threshold. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone. © 2011 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Runkel, N.
Unknown Affiliation
Krug, E.
Unknown Affiliation
Berg, L.
Unknown Affiliation
Lee, C.
Unknown Affiliation
Hudson, Donald Anthony
Unknown Affiliation
Birke-Sorensen, H.
Unknown Affiliation
Depoorter, M.
Unknown Affiliation
Dunn, R.
Unknown Affiliation
Jeffery, S.
Unknown Affiliation
Duteille, Franck
Unknown Affiliation
Bruhin, A.
Unknown Affiliation
Caravaggi, C.
Unknown Affiliation
Chariker, M.
Unknown Affiliation
Dowsett, Caroline
Unknown Affiliation
Ferreira, F.
Unknown Affiliation
Martínez, J. M.Francos
Unknown Affiliation
Grudzien, G.
Unknown Affiliation
Ichioka, S.
Unknown Affiliation
Ingemansson, Richard
Unknown Affiliation
Malmsjo, M.
Unknown Affiliation
Rome, P.
Unknown Affiliation
Vig, S.
Unknown Affiliation
Martin, R.
Unknown Affiliation
Smith, J.
Unknown Affiliation
Statistics
Citations: 177
Authors: 24
Affiliations: 23
Identifiers
Doi:
10.1016/S0020-1383(11)00041-6
ISSN:
00201383
Research Areas
Health System And Policy
Violence And Injury
Study Approach
Systematic review