Evidence map›Paper›PMID 31858713›Full record

ArticleInternational wound journal2020

Instillation negative pressure wound therapy: An effective approach for hardware salvage.

Jason D Hehr, Trevor S Hodson, Julie M West, Steven A Schulz, Stephen J Poteet, Rajiv Y Chandawarkar, Ian L Valerio

Open access · bronzeAbstract read
In one paragraph

Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Modified negative pressure wound therapy as an adjunct to antibiotics in the treatment of orthopaedic infected metalwork.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Article
  3. Review
  4. 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 1 institution in 1 country.

Jason D HehrDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Trevor S HodsonDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Julie M WestDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Steven A SchulzDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Stephen J PoteetDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Rajiv Y ChandawarkarDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Ian L ValerioDepartment of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wound infection involving hardware can be notoriously difficult to treat, often requiring the removal of the infected implant. The goal of this study was to determine the utility of instillation negative pressure wound therapy to help eradicate infection and allow for definitive wound closure in patients without removing the infected hardware. A retrospective review was performed on the outcomes of 28 patients who presented with open wounds with exposed or infected hardware and who were treated with a combination of surgical debridement and negative pressure wound therapy with instillation (NPWTi). Eleven patients were treated for infected spinal hardware, 12 for extremity, and 5 for sternal hardware. Twenty-five of 28 (89%) patients had successful retention or replacement of hardware, with clearance of infection and healed wounds. Original hardware was maintained in 17 of 28 (61%) patients. In 11 patients, original hardware was removed, with subsequent replacement in eight of those patients after a clean wound was achieved. Average time to definitive closure was 12.6 days. Average follow-up was 135 days. This series supports NPWTi as an effective adjunct therapy to help expeditiously eradicate hardware infection, allowing for hardware retention.

Indexed as

Wound HealingAdultAgedDebridementEquipment DesignFemaleFollow-Up StudiesHumansMaleMiddle AgedNegative-Pressure Wound TherapyRetrospective StudiesSurgical Wound InfectionTherapeutic IrrigationTreatment OutcomeYoung Adultdebridementhardwareinfectionnegative pressure wound therapyVac with instillation

Identifiers

PMID31858713
PMCPMC7949304
OpenAlexW2995335341

What OpenQuestion holds

Textmetadata
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.