[Negative-pressure wound therapy]

Alfie V, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001499
Spanish
Original Title: Terapia por presión negativa en heridas agudas
Authors' recomendations: CONCLUSIONS High-quality evidence shows that negative-pressure therapy for closed wound care in the immediate post-operative period versus conventional care is associated to a slight reduction in surgical site infections, with no differences in terms of dehiscences, postoperative wound collections or hospital stay length. Moderate-quality evidence shows contradictory results in the benefits associated to negative-pressure use compared with the standard of care as regards number of infections, time to wound closure or better function of the extremity involved in patients with complex wounds, tissue loss or associated to fractures in the long-term follow-up. Very low-quality evidence does not allow determining the efficacy of this treatment when compared with standard of care for complex wound care or second-intention healing. The clinical practice guidelines surveyed mention the use of this technology in patients with wound-coverage deficit after a surgical procedure or secondary to trauma, but not as prophylactic method of surgical site wounds. High-income health sponsors cover this practice in cases of trauma-related wounds or with loss of coverage, but not for closed wound infection prophylaxis. There are no cost-effective studies available conducted in Argentina.
Details
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Wound Healing
  • Surgical Wound Dehiscence
  • Negative-Pressure Wound Therapy
  • Surgical Wound Infection
  • Postoperative Complications
  • Surgical Wound
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.