Evidence map›Paper›PMID 21756569›Full record

Trial reportThe journal of spinal cord medicine2011

Treatment of pressure ulcers with autologous bone marrow nuclear cells in patients with spinal cord injury.

J González Sarasúa, S Pérez López, M Alvarez Viejo, M Pérez Basterrechea, A Fernández Rodríguez, A Ferrero Gutiérrez, J García Gala, Y Menéndez Menéndez, D Escudero Augusto, A Pérez Arias and 1 more

4 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in The journal of spinal cord medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01572376 phase1 / phase2completednot on this map

Treatment of Pressure Ulcers With Autologous Bone Marrow Stem Cells in Spinal Cord Injury Patients.Phase I/II Study.

TypeinterventionalSponsorHospital Universitario Central de AsturiasRan2007 to 2010Enrolled30ConditionsType IV Pressure Ulcers, Chronic Wounds, Spinal Cord InjuryArmsInfusion of autologous bone marrow stem cells after wound debridement.
NCT02375802 phase1enrolling by invitationnot on this mapstarted 2015, after this paper: background citation

A Pilot Study: Evaluating the Safety and Feasibility of Using Autologous Adipose-Derived Stromal Cells From Stromal Vascular Fraction (SVF) on Adults With Pressure Ulcers or Diabetic Foot Ulcers

TypeinterventionalSponsorMayo ClinicRan2015 to 2027Enrolled12ConditionsPressure UlcerArmsAdipose-derived stromal cells
NCT04134676 phase1completednot on this mapstarted 2019, after this paper: background citation

Therapeutic Potential of Stem Cell Conditioned Medium on Chronic Ulcer Wounds : Pilot Study in Human

TypeinterventionalSponsorSukma Skin TreatmentRan2019 to 2020Enrolled38ConditionsChronic UlcerArmsConditioned Media
NCT05777213 phase1completednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Giving Injection of Human Umbilical Cord Secretome in the Case of Trophic Ulcers (Pre-post Intervention)

TypeinterventionalSponsorYohanes Firmansyah, dr, MH, MMRan2019 to 2023Enrolled27ConditionsTrophic Ulcer, Leprosy, Morbus HansenArmsSecretome
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. The Efficacy of Stem Cells in Wound Healing: A Systematic Review.International journal of molecular sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

J González SarasúaServicio de Cirugía Plástica, Hospital Universitario Central de Asturias, Oviedo, Spain.
S Pérez López
M Alvarez Viejo
M Pérez Basterrechea
A Fernández Rodríguez
A Ferrero Gutiérrez
J García Gala
Y Menéndez Menéndez
D Escudero Augusto
A Pérez Arias
J Otero Hernández
Hospital Universitario Central de Asturias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPressure ulcers are especially difficult to treat in patients with spinal cord injury (SCI) and recurrence rates are high. Prompted by encouraging results obtained using bone marrow stem cells to treat several diseases including chronic wounds, this study examines the use of autologous stem cells from bone marrow to promote the healing of pressure ulcers in patients with SCI.

objectiveTo obtain preliminary data on the use of bone marrow mononuclear cells (BM-MNCs) to treat pressure ulcers in terms of clinical outcome, procedure safety, and treatment time.

participantsTwenty-two patients with SCI (19 men, 3 women; mean age 56.41 years) with single type IV pressure ulcers of more than 4 months duration.

interventionsBy minimally invasive surgery, the ulcers were debrided and treated with BM-MNCs obtained by Ficoll density gradient separation of autologous bone marrow aspirates drawn from the iliac crest.

resultsIn 19 patients (86.36%), the pressure ulcers treated with BM-MNCs had fully healed after a mean time of 21 days. The number of MNCs isolated was patient dependent, although similar clinical outcomes were observed in each case. Compared to conventional surgical treatment, mean intra-hospital stay was reduced from 85.16 to 43.06 days. Following treatment, 5 minutes of daily wound care was required per patient compared to 20 minutes for conventional surgery. During a mean follow-up of 19 months, none of the resolved ulcers recurred.

conclusionsOur data indicate that cell therapy using autologous BM-MNCs could be an option to treat type IV pressure ulcers in patients with SCI, avoiding major surgical intervention.

Indexed as

AdultAgedBone Marrow CellsBone Marrow TransplantationDiagnostic ImagingFemaleFollow-Up StudiesHumansMaleMiddle AgedPressure UlcerSpinal Cord InjuriesTransplantation, AutologousTreatment Outcome

Identifiers

PMID21756569
PMCPMC3127373
OpenAlexW1966164547

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.