[Effectiveness, safety and cost-effectiveness of the negative pressure wound therapy on the treatment of chronic wounds: a systematic review].

Abstract:

:Negative-pressure wound therapy (NPWT) is used to promote wound healing by using suction to drain excess fluid from wounds. A systematic literature review was undertaken to assess the effectiveness, safety and cost-effectiveness of NPWT for the treatment of chronic wounds. Medline, Embase, CENTRAL, CINAHL and the Cochrane Wounds Group Specialised Trials Register were searched. A total of 9 randomized controlled trials (n=568) comparing NPWT with conventional wound therapy and four economic evaluations identified through NHS EED database were included. Five trials showed significant differences in favour of NPWT in primary outcome measures; however, most studies had small sample sizes and low scientific validity. Complications and adverse effects of NPWT are scarce compared to those of conventional treatment. There is no conclusive scientific evidence on the effectiveness and cost-effectiveness of NPWT in the treatment of chronic wounds and therefore its widespread use is not justified.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Trujillo-Martín M,García-Pérez L,Serrano-Aguilar P

doi

10.1016/j.medcli.2010.06.010

subject

Has Abstract

pub_date

2011-09-17 00:00:00

pages

321-8

issue

7

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(10)00743-8

journal_volume

137

pub_type

杂志文章,评审
  • [Delirium in an elderly population admitted at a general hospital].

    abstract:BACKGROUND:Delirium is an organic mental disorder frequently seen in elderly patients admitted to hospital for medical or surgical diseases. The prevalence, triggering factors, the relationship with prior existence of dementia and the evolution of delirium were studied. METHODS:One hundred eight elderly patients admit...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Lázaro L,Marcos T,Cirera E,Pujol J

    更新日期:1995-03-11 00:00:00

  • [Factors associated with the development of atopy in young adults].

    abstract:BACKGROUND:To determine the risk factors for the development of atopy in Spanish young adults. SUBJECTS AND METHODS:Case-control study over prevalent cases. Carried out in general population between the ages of 20 to 44 years old. Spanish participants of the ECRHS, a random representative sample of Spanish young adult...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71231-0

    authors: Cortès X,Soriano JB,Sunyer J,Martínez-Moratalla J,Muniozgoren N,Maldonado JA,Quirós R,Antó JM

    更新日期:2000-02-12 00:00:00

  • [Swelling of the bronchial mucose and quickness of onset in acute asthma].

    abstract:BACKGROUND AND OBJECTIVE:The plasma protein leakage produced in the bronchial mucose of patients with acute asthma might be associated to the quickness of the onset exacerbation. The aim of this study was to study this association. PATIENTS AND METHOD:22 patients with acute asthma were recruited, and the magnitude of ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13093055

    authors: Bellido-Casado J,Plaza V,Belda J,Martínez-Brú C,Torrejón M,Sanchis J

    更新日期:2006-09-30 00:00:00

  • [Gastric emptying in reflux esophagitis. Effect of metoclopramide and cinitapride].

    abstract::The gastric emptying of solids was evaluated with radionuclide techniques in 16 patients with reflux esophagitis, demonstrated by two of the following methods: endoscopy, pathology, and/or pH measurement. The percentage of radionuclide remaining within the stomach was 80.8 +/- 17% after 45 minutes, 63.3 +/- 10% after ...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Monés J,Espinós JC,Carrió I,Calabuig R,Vilardell F

    更新日期:1989-09-30 00:00:00

  • [Meningiomas with disomy of chromosome 22: study of 9 cases].

    abstract:BACKGROUND:Cytogenetic studies of meningiomas suggest that loss of (or parts of) chromosome 22 is a primary event in the development of these tumors; later on, other chromosomal changes would occur in the caryotypes. All these secondary changes are observed mainly in cases with high clinical aggressivity. However, in a...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: López-Ginés C,Cerdá-Nicolás M,Pérez-Bacete M,Barcia-Salorio JL,Llombart-Bosch A

    更新日期:1998-11-21 00:00:00

  • [Infection due to Mycobacterium kansasii in Elche, Spain].

    abstract:BACKGROUND AND OBJECTIVE:Our goal was to determine the incidence of infection due to Mycobacterium kansasii in Elche, Spain over the last 10 years and to study the activity of new antibiotics against the strains isolated. MATERIAL AND METHODS:A retrospective study of patients and study of antibiotic susceptibility in ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Rodríguez JC,Ayelo A,Ruiz M,López M,Royo G

    更新日期:2003-03-01 00:00:00

  • Shared decision-making in advanced chronic kidney disease in the elderly.

    abstract::Chronic kidney disease is common in people >65years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2018.07.011

    authors: Heras Benito M,Fernández-Reyes Luis MJ

    更新日期:2019-03-01 00:00:00

  • [Prognostic factors for mortality related to nutritional status in the hospitalized elderly].

    abstract:BACKGROUND AND OBJECTIVE:The proportion of elderly patients hospitalized in acute care wards has progressively increased. Patients with a decreased functional status are prone to have malnutrition which negatively affects their prognosis and increases mortality. However, it is unclear whether functional and nutritional...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(04)74521-2

    authors: Asensio A,Ramos A,Núñez S

    更新日期:2004-09-25 00:00:00

  • [Human papillomavirus and human immunodeficiency virus infections as risk factors for cervix cancer in women prisoners].

    abstract:BACKGROUND:The identification of high risk groups for genital human papillomavirus (HPV) infection may contribute to cervical cancer prevention. The study was designed to estimate the prevalence of HPV infection and the related risk of cervical cancer among imprisoned women. PATIENTS AND METHODS:157 women were visited...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71472-2

    authors: de Sanjosé S,Valls I,Paz Cañadas M,Lloveras B,Quintana MJ,Shah KV,Bosch FX

    更新日期:2000-06-17 00:00:00

  • [Castleman's disease: description and comments on 3 cases].

    abstract::Three representative cases of the clinical heterogeneity of Castleman's disease are presented: one localized form with hialine vascular histology (HV) and 2 multicentric forms corresponding to the plasmocellular variety (PC). The asymptomatic patient with HV was treated with surgical resection of one tumor. The 2 pati...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Arranz R,Montesinos C,López Botet M,Acevedo A,Fernández Raãda JM

    更新日期:1994-11-12 00:00:00

  • [Evaluation of the use of statistical techniques in original articles published in the Medicina Clínica during 3 decades (1962-1992)].

    abstract:BACKGROUND:The incorrect use of statistical techniques in medical articles may seriously compromise the validity of conclusions. This finding otherwise is relatively common. METHODS:A total of 84 original articles published in Medicina Clínica between 1962 and 1992 were reviewed with the aim of assessing the use and a...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: González JC,Pulido M,Sanz F

    更新日期:1995-04-01 00:00:00

  • [DNA prints instead of plantar prints in neonatal identification].

    abstract:BACKGROUND:To check the possible usefulness in studying DNA in dried blood spots taken on filter paper blotters for newborn identification. It set out to establish: 1. The validity of the method for analysis; 2. The validity of all stored samples (such as those kept in clinical records); 3. Guarantee of non-intrusion i...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Rodríguez-Alarcón Gómez J,Martińez de Pancorbo Gómez M,Santillana Ferrer L,Castro Espido A,Melchor Maros JC,Linares Uribe MA,Fernández-Llebrez del Rey L,Aranguren Dúo G

    更新日期:1996-06-22 00:00:00

  • [Role of atherogenic dyslipidemia in the development of metabolic syndrome].

    abstract:BACKGROUND AND OBJECTIVE:Our goal was to know if the diagnosis of metabolic syndrome (MS) as defined by International Diabetes Federation (IDF) criteria 2005 identifies more subjects with atherogenic dyslipidemia and high cardiovascular risk than the National Cholesterol Education Program-Adult Treatment Panel III (NCE...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13092312

    authors: Real JT,Romero P,Martínez Hervas S,Pedro T,Carmena R,Ascaso JF

    更新日期:2006-09-09 00:00:00

  • [Treatment of solitary toxic thyroid nodule with 131I: results in 43 patients].

    abstract:BACKGROUND:Evaluation of the therapy with high-dose 131I in solitary toxic thyroid adenoma, with particular attention to the effects on thyroid function and on the nodular size. METHODS:A retrospective study of 43 patients with solitary thyroid nodule treated with radioactive iodine (mean dose 26.6 mCi, range 10-35) a...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:

    authors: Marín JF,Maraña G,Salto L,Astigarraga B,Estrada FJ,Lucas T,Barceló B

    更新日期:1991-05-18 00:00:00

  • Blood urea nitrogen to serum albumin ratio independently predicts 30-day mortality and severity in patients with Escherichia coli bacteraemia.

    abstract:BACKGROUND:Elevated blood urea nitrogen to serum albumin (BUN/ALB) ratio had been identified as an independent risk factor related to mortality in community-acquired and hospital-acquired pneumonia. This study aimed to investigate whether this clinical index can predict the clinical outcomes of E. coli bacteraemia. MA...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2020.06.060

    authors: Zou XL,Feng DY,Wu WB,Yang HL,Zhang TT

    更新日期:2020-10-12 00:00:00

  • [Prevalence of infections by hepatitis A, B, C and E viruses in two different socioeconomic groups of children from Santa Cruz, Bolivia].

    abstract:BACKGROUND AND OBJECTIVES:The epidemiology of hepatitis A, E, B and C was analyzed in 1,393 children living in Santa Cruz de la Sierra, Bolivia. They were distributed in two groups according to the social condition. MATERIALS AND METHOD:1,393 children were selected from two different schools: one attended by children ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73826-3

    authors: Gandolfo GM,Ferri GM,Conti L,Antenucci A,Marrone R,Frasca AM,Vitelli G

    更新日期:2003-05-24 00:00:00

  • Analysis of biomedical Spanish articles retracted between 1970 and 2018.

    abstract:BACKGROUND AND OBJECTIVE:To analyse articles retracted due to irregularities by authors helps to determine the state of scientific integrity of a discipline or country. The Retraction Watch (RW) database is the largest worldwide database on retracted articles. The objective was to determine the reasons for and features...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2019.04.018

    authors: Dal-Ré R

    更新日期:2020-02-28 00:00:00

  • [Dysbaric accident in deep sea fishing].

    abstract::The case of a dysbaric accident with occurred in a professional athlete during a national competition is herein reported. The clinical symptoms and response to treatment in a depressurization chamber in addition to CT controls should alert physicians in coastal areas in which this sport is carried out in order to take...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: López Oblaré B,Campos Pascual F

    更新日期:1995-05-20 00:00:00

  • [The novel non-A, non-E hepatitis viruses and their pathogenic effect].

    abstract::Molecular techniques have allowed the identification of new viruses in a number of patients with cryptogenic hepatitis. Whether they are clinically inapparent or true hepatitis agents remains unknown for some of them. Latest described viruses include GBV, TTV and SENV. However, based on the limited data available, the...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-7753(04)74301-8

    authors: Quirós-Roldán E,Torti C,Carosi G

    更新日期:2004-04-17 00:00:00

  • [Q fever outbreak in an urban area following a school-farm visit].

    abstract:BACKGROUND AND OBJECTIVE:The aim of this study was to describe an outbreak of Q fever in a group of people (day care centre for mental-handicapped individuals) previously exposed to animals in a school-farm. PATIENTS AND METHOD:A retrospective cohort study among the 25 mental-handicapped individuals and the 30 workers...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13087697

    authors: de los Ríos-Martín R,Sanz-Moreno JC,Martín-Martínez F,Tébar-Betegón MA,Cortés-García M,Escudero-Nieto R

    更新日期:2006-04-22 00:00:00

  • [Organ damage and cardiorenal syndrome in acute heart failure].

    abstract::Heart failure is a complex syndrome that affects almost all organs and systems of the body. Signs and symptoms of organ dysfunction, in particular kidney dysfunction, may be accentuated or become evident for the first time during acute decompensation of heart failure. Cardiorenal syndrome has been defined as the simul...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/S0025-7753(14)70079-X

    authors: Casado Cerrada J,Pérez Calvo JI

    更新日期:2014-03-01 00:00:00

  • [Hematologic aspects of alcoholism (author's transl)].

    abstract::Alcohol causes different hematologic alterations on each of the three bone marrow cellular series. Its effect on the red series leads to the appearance of megaloblastic disturbances, erythroblastic vacuolization, iron metabolism abnormalities, and hemolytic syndromes. Megaloblastic disturbances may arise as a conseque...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Alvarez-Sala Walther JL,Urbán Poza MA,Sicilia de Salamanca JJ,Fernández Mendieta F,Serrano Heranz R,Espinós Pérez D

    更新日期:1979-02-25 00:00:00

  • [The usefulness of the teriparatide acetate (Parathar) infusion test in the diagnosis of pseudohypoparathyroidism].

    abstract::In pseudohypoparathyroidism there is a resistance to the action of the parathormone in its target organs. Patients with this disease show clinical and laboratory data of hypoparathyroidism with normal or high levels of parathormone. Three types of pseudohypoparathyroidism are known according to the site in which the d...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Rius F,Salinas I,Reverter JL,Pizarro E,Lucas A

    更新日期:1993-09-18 00:00:00

  • [Prognostic impact of time-point and degree of arterial recanalization of acute middle cerebral artery occlusions after intravenous tPA administration].

    abstract:BACKGROUND AND OBJECTIVE:We aimed to evaluate the prognostic impact of the degree and time-point of arterial recanalization during the first 24h after tPA administration in patients with acute middle cerebral artery (MCA) occlusions. PATIENTS AND METHOD:We prospectively studied consecutive ischemic stroke patients tre...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2008.06.029

    authors: Dorado L,Arenillas JF,Millán M,Pérez De La Ossa N,Guerrero C,Dávalos A

    更新日期:2009-05-02 00:00:00

  • [Amyotrophic neuralgia associated with bilateral phrenic paralysis treated with non-invasive mechanical ventilation].

    abstract::Amyotrophic neuralgia is an uncommon neuropathy characterized by severe unilateral shoulder pain. Isolated or concomitant involvement of other peripheral motor nerves depending on the brachial plexus such as phrenic or laryngeal nerves is unusual(1). Its etiology is unknown, yet several explanatory factors have been p...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2015.03.016

    authors: García García Mdel C,Hernández Borge J,Antona Rodríguez MJ,Pires Gonçalves P,García García G

    更新日期:2015-09-07 00:00:00

  • [Cross-cultural validation of Antonovsky's Sense of Coherence Scale (OLQ-13) in Spanish elders aged 70 years or more].

    abstract:BACKGROUND AND OBJECTIVE:Sense of Coherence (SOC) is a construct relating to coping strategies in the face of traumatic events. SOC is defined as a personal disposition towards perceiving life experiences as understandable, manageable and meaningful. The construct has shown itself to be a predictor of self-reported and...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13100935

    authors: Virués-Ortega J,Martínez-Martín P,Del Barrio JL,Lozano LM,Grupo Español de Estudios Epidemiológicos sobre Envejecimiento.

    更新日期:2007-04-07 00:00:00

  • [Association of VCR-5FU-CYCLO-PDN in the treatment of disseminated carcinoma of the breast (author's transl)].

    abstract::A group of 32 patients with disseminated breast cancer were submitted to polychemotherapy following Cooper's protocol. Vincristine, cyclophosphamide, 5-fluorouracil, and prednisone were administered. The fifth drug used by Cooper, methotrexate, was not included in the therapy program because of difficulties in obtaini...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Estapé J,Millá A,Prats M,Herranz M,Visa J

    更新日期:1979-08-15 00:00:00

  • [Clinical and methodological considerations in the quantification of estrogen and progesterone receptors using monoclonal antibodies in breast cancer].

    abstract:BACKGROUND:The aim of the present study was to provide information on several clinical and methodological aspects of the measurement of the contents of estrogen (ER) and progesterone (PgR) receptors in breast tumoral tissue using monoclonal antibodies. METHODS:The contents of ER and PgR were measured in 94 tumor speci...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Navarro MA,Huguet J,Valero J,Samaniego JM,Rosel P,Sirvent JJ

    更新日期:1991-06-08 00:00:00

  • [Early detection of tuberculosis by the evaluation of contacts].

    abstract::We have evaluated the close contacts of 191 patients diagnosed of tuberculosis in our center between 1984 and 1987. The overall number of evaluated contacts was 666, and the mean number of contacts for each index case was 3.7. In 55% of the evaluated population PPD reaction was positive, and their mean age was 33.3 ye...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Ruiz Manzano J,Parra O,Roig J,Manterola J,Abad J,Morera J

    更新日期:1989-04-22 00:00:00

  • [Two first years' bacteremia incidence and impact in a new hospital].

    abstract:BACKGROUND AND OBJECTIVE:We pursued here to determine the incidence of blood-stream infections. PATIENTS AND METHOD:Longitudinal descriptive study. All patients admitted to hospital from January 1999 to December 2000 were included. Blood-stream infection episodes were defined according to CDC criteria. Blood-stream in...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73654-9

    authors: Bou R,Perpiñán J,Ramos P,Peris M,Aguilar A,Garcés R

    更新日期:2003-02-22 00:00:00