Evidence map›Paper›PMID 36472790›Full record

ArticleDermatology and therapy2023

Application of Comfort Therapy under eCASH Concept in Acute and Chronic Wound Treatment.

Shuting Shi, Jiayu Wei, Guozhong Lyu, Xiaohui Zhong, Minlie Yang, Lihong Zhu

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. [A compulsory course in clinical treatment of burn patients: pain and analgesia].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Shuting ShiWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China.
Jiayu WeiWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China.
Guozhong LyuWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China.
Xiaohui ZhongWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China.
Minlie YangWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China. jndxyml@sina.com.
Lihong ZhuWuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Binhu District, Wuxi, 214122, Jiangsu, China. fbjyzlh@163.com.
Jiangnan University · CNWuxi Fourth People's Hospital · CN

Funding

Wuxi Health and Family Planning Commission Z201710Wuxi Science and Technology Association N20192003
6 · The paper itself

Abstract

introductionGiven the new ideas on wound care offered by the eCASH (early Comfort using Analgesia, minimal Sedatives, and maximal Humane care) and the substantial differences in clinical treatment between acute and chronic wounds, we aimed to investigate the effect of comfort therapy under the eCASH concept on analgesic sedation and accelerated wound healing in patients with acute or chronic wounds.

methodsThis randomized clinical study was conducted in two parts: acute wounds and chronic wounds. Patients with acute wounds were allocated into the acute wound control group (AWCG) and the acute wound experimental group (AWEG). Patients with chronic wounds were allocated into the chronic wound control group (CWCG) and two experimental groups, in which they received intermittent negative pressure therapy (IPTEG) and continuous negative pressure therapy (CPTEG). On the basis of the standard treatment for patients in the control group, eCASH therapy was used in the experimental groups. In addition, pain intensity and procedural anxiety were evaluated using the visual analogue score (VAS) and the Hamilton Anxiety Scale (HAM-A). In addition, clinical effects were assessed on the basis of the size of the surface area, rate of healing, and concentration of pro-inflammatory factors (IL-1, IL-6, TNF-α) and growth factors (VEGF, bFGF, TGF-β1).

resultsCompared with the control group, the VAS score and HAM-A score in the experimental groups were significantly decreased after intervention (P < 0.05). After intervention, the levels of IL-1β, IL-6, and TNF-α in AWEG, IPTEG, and CPTEG were significantly lower than those in AWCG. In addition, the levels of VEGF, bFGF, and TGF-β1 in IPTEG and CPTEG were significantly higher than those in CWCG (P < 0.05).

conclusionThese results indicated that comfort therapy under the eCASH concept has a significant effect on ameliorating the pain and anxiety of patients, reducing the inflammatory reaction during the period of wound healing in the treatment of acute and chronic wounds. CLINICAL TRIAL REGISTRY: The trial has been registered in the Chinese Clinical Trial Registry (ChiCTR2200057981).

Indexed as

Comfort therapyContinuous negative pressure therapy (CNPWT)eCASHHamilton Anxiety Scale (HAM-A)Intermittent negative pressure wound therapy (INPWT)Visual Analogue Score (VAS)Wound care

Identifiers

PMID36472790
PMCPMC9823170
OpenAlexW4310784581

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.