RS06 A Randomized Study Evaluating Negative-Pressure Therapy to Decrease Vascular Groin Wound Complications

Abstract

for future analysis. The majority of short-term readmissions are related to the index procedure; however, long-term readmission rates are related to systemic comorbidities. Targeted patient interventions may improve readmission rates, particularly in those with nonprivate insurance.

Meta-analysis of negative pressure wound therapy of closed groin incisions in arterial surgery

“…All the included studies reported a reduced incidence of SSIs in the NPWT group compared with the standard dressing group. The results were significant in three studies. Meta‐analysis of the seven studies, including all incisions from all arterial procedures, showed a reduction of SSIs, with an OR of 0·35 (95 per cent c.i.…”

“…). Of these, seven studies (from 13 records) were considered to have met the inclusion criteria: Kwon et al ,. Gombert et al ,.…”

“…Two studies had a high risk of detection bias because the evaluations for SSIs were not blinded. Three studies had an unclear risk of detection bias because any blinding of the assessor was not stated in their reports.…”

“…Two studies had a high risk of reporting bias. Gombert and colleagues received industry sponsorship from KCI (an Acelity Company, San Antonio, Texas, USA), the manufacturer of the interventional dressing (Prevena™ Incision Management System) and did not address all the secondary outcomes listed in the study protocol.…”

“…The secondary outcomes, seroma formation, wound dehiscence and scar formation, were reported in only three studies. Two participants in the study of Kwon and colleagues developed a seroma, both in the standard dressing group (2 of 60, 3 per cent). No patient had wound dehiscence.…”