Evidence map›Paper›PMID 33546055›Full record

ArticleMedicine2021

Negative pressure wound therapy for skin necrosis prevention after snakebite in the emergency department: A retrospective cohort study.

Kwan Jae Kim, Jin Hong Min, Insool Yoo, Seung Whan Kim, Jinwoong Lee, Seung Ryu, Yeon Ho You, Jung Soo Park, Won Joon Jeong, Yong Chul Cho and 8 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Snakebite-Associated Infections: A Systematic Review and Meta-Analysis.The American journal of tropical medicine and hygiene · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. The Chinese guideline for management of snakebites.World journal of emergency medicine · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. 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

18 authors at 4 institutions in 2 countries.

Kwan Jae KimDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Jin Hong MinDepartment of Emergency Medicine, College of Medicine, Chungnam National University, 266, Munhwa-ro, Jung-gu, Daejeon.ORCID 0000-0003-0042-5167
Insool YooDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Seung Whan KimDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Jinwoong LeeDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Seung RyuDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Yeon Ho YouDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Jung Soo ParkDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Won Joon JeongDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Yong Chul ChoDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Se Kwang OhDepartment of Emergency Medicine.
Yong Nam InDepartment of Emergency Medicine.
Hong Joon AhnDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Chang Shin KangDepartment of Emergency Medicine, Chungnam National University Hospital, 282.
Hyunwoo KyungDepartment of Plastic Surgery, Chungnam National University Sejong Hospital, 7, Bodam-ro, Sejong.
Byung Kook LeeDepartment of Emergency Medicine, Chonnam National University School of Medicine.
Dong Hun LeeDepartment of Emergency Medicine, Chonnam National University Hospital, 42, Jebong-ro, Dong-gu, Gwangju.
Dong Hoon LeeDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, 47, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea.
Chungnam National University Hospital · KRChungnam National University · KRChonnam National University Hospital · KRS.P.E.C.I.E.S. · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThis retrospective cohort study aimed to compare the effectiveness of conventional treatment and ultra-early application of negative pressure wound therapy (NPWT) in patients with snakebites.Patients who visited the emergency department within 24 hours after a snakebite were assigned to the non- NPWT or NPWT group. Swelling resolution time and rates of necrosis, infection, and operations were compared between the 2 groups. The Stony Brook Scar Evaluation Scale was used to measure short- and long-term wound healing results.Among the included 61 patients, the swelling resolution time was significantly shorter in the NPWT group than in non- NPWT group (P = .010). The NPWT group showed lower necrosis (4.3% versus 36.8%; P = .003) and infection (13.2% and 4.3%; P = .258) rates than the non- NPWT group. The median Stony Brook Scar Evaluation Scale scores were higher in the NPWT group than in the non- NPWT group (P< .001).These findings suggest that ultra-early application of NPWT reduces edema, promotes wound healing, and prevents necrosis in patients with snakebites.

Indexed as

AgedCohort StudiesEmergency Service, HospitalFemaleHumansMaleMiddle AgedNecrosisNegative-Pressure Wound TherapyRepublic of KoreaRetrospective StudiesSkinSnake BitesTreatment Outcome

Identifiers

PMID33546055
PMCPMC7837876
OpenAlexW3126030091

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.