Inpatient Versus Outpatient Management of Negative Pressure Wound Therapy in Pediatric Patients

Santosa, Katherine B.; Keane, Alexandra M.; Keller, Matthew; Olsen, Margaret A.; Sears, Erika D.; Snyder‐Warwick, Alison K.

doi:10.1016/j.jss.2020.04.025

Cited by 6 publications

(3 citation statements)

References 43 publications

(46 reference statements)

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“…The shift from inpatient care to primary care in a home setting is increasing, as is the case for NPWT. NPWT in outpatient settings has been shown to be more cost effective and associated with lower costs than treatments delivered in a hospital [4][5][6] .…”

Section: Discussionmentioning

confidence: 99%

“…Developing European guidelines for organisation and minimum recommendation concerning the knowledge and skills needed for healthcare personnel managing NPWT in primary care could be a way to enhance the use of this treatment method in an outpatient setting. This is of importance from both economic and societal perspectives, as they could be rendered more cost-effective [4][5][6] , and because research shows that it can be an advantage and beneficial for patients to be treated at home 5,9 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Organisation of NPWT in primary care in Europe – a descriptive survey

2023

JOWM

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Background Through recent years there has been a shift from inpatient hospital care out to primary care in a home care setting for many patients with different diseases and conditions. This ongoing transition for more primary care-based treatments in general has also been the case for wound treatment with negative pressure wound therapy (NPWT). AimTo get an overview of the current organisation of NPWT in primary care in different European countries Method An electronic survey was sent to 53 cooperating organisations of the European Wound Management Association (EWMA) in 35 countries in Europe. ResultsIn total, representatives from 32 EWMA cooperation organisations in 22 different European countries answered the survey. In 95% of the countries NPWT was used in primary care (n=21); only one country stated that the treatment was not used in primary care at all. The treatment was most commonly initiated from the hospital who prescribes it, and they were also then responsible for the treatment (63%). ConclusionNPWT in primary care is used, organised, monitored and financed differently in different European countries. The general perception is that treatment with NPWT in primary care is limited and could and should be increased.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Organisation of NPWT in primary care in Europe – a descriptive survey

2023

JOWM

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“…Conversely, we observed that the use of VAC decreased the nursing burdens as it abolished the multiple daily dressings needed for such complicated wounds. Santosa et al [12] reviewed a cohort of 1563 pediatric cases primarily treated by outpatient NPWT, mostly due to nonsurgical indications. They reported the feasibility and low complication rate of using outpatient NPWT without the need for sedation or anesthesia.…”

Section: Mccord Et Al [8]mentioning

confidence: 99%

Vacuum Assisted Closure Therapy in Children with Complicated Abdominal Wounds, with or without Viscero-Cutaneous Fistulae

ghandour

Naggar

Radwan

et al. 2023

Preprint

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Background:Management of complicated abdominal wounds is challenging in children. Vacuum-assisted closure proved to be beneficial. We aimed to report the outcome of VAC over 5 years’ practice in complicated abdominal wounds with or without viscero-cutaneous fistulae. Methods:Retrospective review of children managed by VAC over 5 years, from January 2017 to December 2022. Included patients had complicated abdominal wounds. Customized VAC devices with continuous negative pressure were used for all patients. The applied pressure was tailored according to the patient’s age and the wound condition. Results:Nineteen patients were included, their ages ranged from 3 months to 15 years. Peritonitis was the main pathology in 12 patients, abdominal wall infection in 4, and a combination of both in 3. VAC was applied over closed wounds in 10 patients and over open wounds in 9; 6 of them had cutaneous fistulae. The median duration of VAC application over closed wounds was 7.5 days ,while it was 10 days in open wounds. VAC promoted healing in closed and narrow-gapped wounds, while it was successfully used as a bridging therapy in 4 patients with wide-gapped wounds. Patients with viscero-cutaneous fistulae were successfully managed without further surgical intervention. VAC was complicated by fascial dehiscence with evisceration and incisional hernia in two patients. Conclusion:VAC could be beneficial to complicated abdominal wounds in pediatric age. It was helpful in managing small viscero-cutaneous fistulae.

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