Hydration response technology dressings for low to excessively exuding wounds: a systematic review.

IF 1.5 4区医学 Q3 DERMATOLOGY Journal of wound care Pub Date : 2024-06-02 DOI:10.12968/jowc.2024.0088

Hadar Avihai Lev-Tov, Sarah Hermak

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Abstract

Objective: The aim of this systematic review was to identify and qualify the current available evidence of the wound exudate handling capabilities and the cost-effectiveness of hydration response technology (HRT). HRT combines physically modified cellulose fibres and gelling agents resulting in wound dressings that absorb and retain larger quantities of wound exudate.

Method: A systematic search was conducted in MEDLINE (via PubMed and PubMed Central) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was conducted using an unlimited search period. Studies or reviews that evaluated effect on wound exudate and cost-effectiveness, as well as the impact on wound healing were considered. Records focusing on wound management using HRT devices were included.

Results: The literature search identified four studies and one comparative analysis, ranging from low to moderate quality, that compared HRT dressings to other interventions (carboxymethyl cellulose dressing, other superabsorbent dressings, negative pressure wound therapy).

Conclusion: The analysed data supported the beneficial use of dressings with HRT for exuding wounds which was characterised by fewer dressing changes, improved periwound skin conditions and reduced costs.

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针对渗液较少或渗液过多伤口的水合反应技术敷料：系统综述。

目的：本系统性综述旨在识别和鉴定目前可用的有关伤口渗液处理能力和水合反应技术（HRT）成本效益的证据。水合反应技术将物理改性纤维素纤维和胶凝剂结合在一起，制成的伤口敷料能吸收和保留更多的伤口渗出液：根据《系统综述和元分析首选报告项目》（PRISMA）在 MEDLINE（通过 PubMed 和 PubMed Central）上进行了系统检索。检索时间不受限制。考虑了对伤口渗出物、成本效益以及对伤口愈合的影响进行评估的研究或综述。结果：文献检索发现了四项研究和一项比较分析，质量从低到中等不等，将 HRT 敷料与其他干预措施（羧甲基纤维素敷料、其他超吸收敷料、负压伤口疗法）进行了比较：分析数据支持使用HRT敷料治疗渗液伤口，其特点是换药次数少、伤口周围皮肤状况改善、费用降低。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.