Title of article :
The Role of Vacuum Assisted Closure in Patients with Pressure Ulcer and Spinal Cord Injury: A Systematic Review
Author/Authors :
Ploumis, Avraam Department of Medicine - University of Ioannina - Ioannina, Greece , Mpourazanis, George Department of Medicine - University of Ioannina - Ioannina, Greece , Martzivanou, Christina Department of Medicine - University of Ioannina - Ioannina, Greece , Mpourazanis, Pantelis Department of Chemistry - University of Ioannina - Ioannina, Greece , Theodorou, Areti Department of Medicine - University of Ioannina - Ioannina, Greece
Abstract :
BACKGROUND
Patients with spinal cord injury (SCI) tend to develop pressure
ulcers (PrUs) because of prolonged immobility. This study
assessed the efficacy of vacuum assisted closure for healing of
PrUs in individuals with SCI.
METHODS
In a systematic review, CINAHL, PubMed, Cochrane Clinical
Trials, DARE, MEDLINE, Scopus, Embase, Science Direct,
PsycInfo and Spinal Cord Journal were searched in March 2019.
The search combined related terms for pressure ulcer, spinal cord
injury, and vacuum assisted closure. Each database was searched
from its inception with no restrictions on year of publication.
RESULTS
The search yielded 7 studies for inclusion in a qualitative analysis.
The studies included a variety of methodologies, specifically 2
randomized controlled trials, 2 assessor-blinded crossover and
retrospective cohort study, 1 prospective non-randomized trial, 1
randomized case study and 1 case report. The meta-analysis was
unsuccessful. Only descriptive results mean±SD were reported
as well as time to heal and time to discharge after admission.
CONCLUSION
The studies that we included in our qualitative synthesis showed
that vacuum assisted closure promoted the healing of PrUs in
individuals with SCI.
Keywords :
Pressure ulcer , Spinal cord injury , Vacuum assisted closure , Intermittent negative pressure
Journal title :
World Journal of Plastic Surgery
