Negative pressure wound therapy for skin necrosis prevention after snakebite in the emergency department A retrospective cohort studyopen access
- Authors
- Kim, Kwan Jae; Min, Jin Hong; Yoo, Insool; Kim, Seung Whan; Lee, Jinwoong; Ryu, Seung; You, Yeon Ho; Park, Jung Soo; Jeong, Won Joon; Cho, Yong Chul; Oh, Se Kwang; In, Yong Nam; Ahn, Hong Joon; Kang, Chang Shin; Kyung, Hyunwoo; Lee, Byung Kook; Lee, Dong Hun; Lee, Dong Hoon
- Issue Date
- Jan-2021
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- edema; negative pressure wound therapy; skin necrosis; snakebites; wound infection
- Citation
- MEDICINE, v.100, no.3
- Journal Title
- MEDICINE
- Volume
- 100
- Number
- 3
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/48339
- DOI
- 10.1097/MD.0000000000024290
- ISSN
- 0025-7974
1536-5964
- Abstract
- This retrospective cohort study aimed to compare the effectiveness of conventional treatment and ultra-early application of negative pressure wound therapy (NPWT) in patients with snakebites. Patients who visited the emergency department within 24 hours after a snakebite were assigned to the non- NPWT or NPWT group. Swelling resolution time and rates of necrosis, infection, and operations were compared between the 2 groups. The Stony Brook Scar Evaluation Scale was used to measure short- and long-term wound healing results. Among the included 61 patients, the swelling resolution time was significantly shorter in the NPWT group than in non- NPWT group (P = .010). The NPWT group showed lower necrosis (4.3% versus 36.8%; P = .003) and infection (13.2% and 4.3%; P = .258) rates than the non- NPWT group. The median Stony Brook Scar Evaluation Scale scores were higher in the NPWT group than in the non- NPWT group (P< .001). These findings suggest that ultra-early application of NPWT reduces edema, promotes wound healing, and prevents necrosis in patients with snakebites.
- Files in This Item
-
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.