Universität zu Köln

Bredow, Jan, Hoffmann, Katharina, Oppermann, Johannes, Hellmich, Martin, Eysel, Peer and Zarghooni, Kourosh (2018). Evaluation of Absorbent Versus Conventional Wound Dressing. Dtsch. Arztebl. Int., 115 (13). S. 213 - 226. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

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Abstract

Background: Lower-limb endoprosthetic operations and spinal operations are among the more common types of orthopedic procedures. Postoperative wound-healing disturbances and infections can lead to longer periods of hospital stay and recovery as well as to higher morbidity and mortality. Methods: 209 patients who had been judged to have an indication for a primary knee or hip endoprosthesis or for a primary spinal operation were included in this randomized trial (ClinicalTrials. gov: NCT01988818) over the period June 2014-February 2015. After randomization, patients in the intervention group were given a trial dressing (Mepilex-Border Post-Op) and those in the control group were given a conventional adhesive dressing (Cosmopor). The primary endpoint was blister formation. Results: In the overall study population, only a single case of blister formation was seen. The affected patient belonged to the intervention group but was mistakenly given a control dressing and developed blisters on the 6th day after surgery. Dressings were changed less frequently in the intervention group, and this difference was statistically significant (p<0.001). The patients, nurses, and physicians all expressed greater satisfaction with the trial dressings than with the control dressings (p<0.001). Conclusion: The intervention group did not differ from the control group with respect to the primary endpoint, postoperative blister formation. The patients, nurses, and physicians all judged the dressing used in the intervention group more favorably than the conventional dressing.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bredow, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Zarghooni, Kourosh UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-192292
DOI:	10.3238/arztebl.2018.0213
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	115
Number:	13
Page Range:	S. 213 - 226
Date:	2018
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SURGICAL SITE INFECTION; TOTAL HIP; RISK-FACTORS; KNEE REPLACEMENT; CLINICAL-TRIAL; SURGERY; ARTHROPLASTY Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19229