Eficacy, safety and efficiency of Negative Pressure Therapy system(V.A.C.) in traumatic and postoperative wounds. Systematic review.

Molina-Linde JM, Carlos-Gil AM, Márquez-Peláez S, Rosario-Lozano MP, Benot-López S.
Record ID 32018000415
Spanish
Original Title: Eficacia, seguridad y eficiencia del sistema de terapia de presión negativa V.A.C. en heridas traumáticas y postquirúrgicas. Revisión sistemática.
Authors' objectives: The aims was to evaluate the efficacy (in terms of wound closure or cure rate, infection and dehiscence), safety (adverse events) and efficiency of the negative pressure therapy system V.A.C. in adult patients with wounds by traumatic injuries, postoperative, and healing by secondary intention, compared to treatment with dressings and cures.
Authors' results and conclusions: For traumatic injuries, there are few studies with good methodological quality which are not economically supported by the manufacturer of the device used in negative pressure therapy. The evidence shows that the effectiveness of this technique is similar to standard treatment, being only superior in surgical site infections. For operative wounds with healing by secondary intention, currently there are no results from RCTs rigorous regarding the clinical effectiveness of the treatment of negative pressure wound. There is very little evidence of economic evaluations in the treatment of postoperative and traumatic wounds. Their results indicate that the negative pressure therapy system V.A.C.® KCI requires a high cost of equipment. However, due to fewer dressing changes (involving equipment and personnel), when compared with other techniques may equalize the total costs and in some cases even lead to savings, especially in clinical complexes processes that require longer hospital stays.
Details
Project Status: Completed
Year Published: 2016
English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Spain
MeSH Terms
  • Wounds and Injuries
  • Surgical Wound
  • Negative-Pressure Wound Therapy
  • Surgical Wound Dehiscence
  • Treatment Outcome
  • Surgical Wound Infection
  • Wound Infection
Keywords
  • Terapia de presión negativa
  • Heridas traumáticas
  • Heridas postquirúrgicas
Contact
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Health Technology Assessment Area
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