Evidence map›Paper›PMID 25932993›Full record

Trial reportInternational wound journal2016

Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care.

Matthias Nordmeyer, Johannes Pauser, Roland Biber, Jonathan Jantsch, Siegfried Lehrl, Carsten Kopschina, Christian Rapke, Hermann J Bail, Raimund Forst, Matthias H Brem

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 8 pooled it
5.3field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 8 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Can prophylactic negative pressure wound therapy improve clinical outcomes in spinal fusion surgery? A meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
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  10. Surgical Site Infection in Cardiac Surgery.Journal of clinical medicine · 2022
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  11. Negative Pressure Wound Therapy in Spinal Surgery.Bioengineering (Basel, Switzerland) · 2022
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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

10 authors at 4 institutions in 1 country.

Matthias NordmeyerDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Johannes PauserDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Roland BiberDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Jonathan JantschInstitute for Medical Microbiology and Hygiene, University Regensburg, Regensburg, Germany.
Siegfried LehrlDepartment of Psychiatry and Psychotherapy, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
Carsten KopschinaDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Christian RapkeDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Hermann J BailDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Raimund ForstDepartment of Orthopaedic Surgery, University Hospital Erlangen, Erlangen, Germany.
Matthias H BremDepartment of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
Nuremberg Hospital · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEInstitute of Medical Microbiology and Hygiene · DEUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilisation of spinal fractures. This study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after surgical stabilisation of spinal fractures by internal fixation. Patients were randomised to either standard wound dressing treatment (group A) or NPWT (group B). The wound area was examined by ultrasound to measure seroma volumes in both groups on the 5th and 10th day after surgery. Furthermore, data on economic aspects such as nursing time for wound care and material used for wound dressing were evaluated. A total of 20 patients (10 in each group) were enrolled. Throughout the whole study, mean seroma volume was significantly higher in group A than that in group B (day 5: 1·9 ml versus 0 ml; P = 0·0007; day 10: 1·6 ml versus 0·5 ml; P <0·024). Furthermore, patients of group A required more wound care time (group A: 31 ± 10 minutes; group B 13·8 ± 6 minutes; P = 0·0005) and more number of compresses (total number; group A 35 ± 15; group B 11 ± 3; P = 0·0376). NPWT reduced the development of postoperative seroma, reduced nursing time and reduced material required for wound care.

Indexed as

Negative-Pressure Wound TherapyHumansProspective StudiesSeromaSpinal FracturesSurgical WoundWound HealingNPWTSpinal fractureWound complicationWound healing

Identifiers

PMID25932993
PMCPMC7949832
OpenAlexW1927880613

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.