Evidence map›Paper›PMID 30311743›Full record

SynthesisInternational wound journal2019

Effects and safety of atmospheric low-temperature plasma on bacterial reduction in chronic wounds and wound size reduction: A systematic review and meta-analysis.

Ojan Assadian, Karen J Ousey, George Daeschlein, Axel Kramer, Christina Parker, Judith Tanner, David J Leaper

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. M.O.I.S.T. Concept for the Local Therapy of Chronic Wounds: An International Update.The international journal of lower extremity wounds · 2026
    Review
  8. Article
  9. Systematics, diagnosis and treatment of wound infections in chronic wounds: A position paper from WundDACH.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Cold atmospheric plasma for addressing the COVID-19 pandemic.Plasma processes and polymers (Print) · 2022
    Review
  20. Article
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

7 authors at 4 institutions in 4 countries.

Ojan AssadianDepartment for Hospital Epidemiology and Infection Control, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.ORCID https://orcid.org/0000-0003-0129-8761
Karen J OuseyInstitute for Skin Integrity and Infection Prevention, University of Huddersfield, Huddersfield, UK.
George DaeschleinDepartment of Dermatology, University Medicine Greifswald, Greifswald, Germany.
Axel KramerInstitute of Hygiene and Environmental Medicine, University Medicine Greifswald, Greifswald, Germany.
Christina ParkerSchool of Nursing, Queensland University of Technology, Brisbane, Australia.
Judith TannerDivision of Nursing, School of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.
David J LeaperInstitute for Skin Integrity and Infection Prevention, University of Huddersfield, Huddersfield, UK.
University of Huddersfield · GBUniversitätsmedizin Greifswald · DEQueensland University of Technology · AUUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of atmospheric low-temperature plasma (AP) on chronic wounds and its effect on microbial bioburden in open wounds has not been explored with a systematic review and meta-analysis. PRISMA guidelines were followed and PubMed, Embase, CENTRAL, and CINAHL databases searched for randomised controlled trials (RCTs), which compared AP with no AP for the management of open, chronic wounds. The primary outcomes of reduction of bioburden or wound size were included. Meta-analyses were performed; odds ratio (OR) and 95% confidence intervals (CIs) were extracted and pooled in a random effects model. Four RCTs investigated the effect of AP on chronic wound healing. Chronic wounds treated with AP did not show a significant improvement in healing (AP vs control: OR = 1.46; 95% CI = 0.89-2.38; P = 0.13). Five further RCTs investigated the reduction of bioburden in wounds, but AP demonstrated no significant reduction of bioburden (AP vs control: OR = 0.85; 95% CI = 0.45-1.62; P = 0.63). All nine RCTs recorded the presence of any severe adverse events (SAEs) in the 268 patients studied, with only one unrelated SAE identified in each group (AP vs control: OR = 1.00; 95% CI = 0.05-19.96; P = 1.00). Use of AP in wound care is safe, but the retrieved evidence and meta-analysis show that there is no clinical benefit of AP in chronic open wounds using currently available AP device settings.

Indexed as

Cold TemperaturePlasmaAnti-Bacterial AgentsBacterial InfectionsBacterial LoadChronic DiseaseHumansWound HealingWounds and InjuriesAnti-Bacterial Agentsatmospheric low-temperature plasmabacterial reductioncold atmospheric plasmainfectionphysical plasmawoundwound healingwound tolerability

Identifiers

PMID30311743
PMCPMC7379569
OpenAlexW2896071117

What OpenQuestion holds

Textmetadata
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.