Examining The Role Of NPWT In Limb Salvage
- Volume 22 - Issue 12 - December 2009
- 10174 reads
- 0 comments
Researchers utilized the InfoVAC system for the lower extremity wounds of 89 patients during 93 different admissions. The average length of stay for the InfoVAC patients was 10.83 days. In the control group of 78 patients who did not receive InfoVAC therapy, the average length of stay was 13.88 days. The patients receiving InfoVAC therapy had an average length of stay that was 3.05 days fewer than those patients who did not receive InfoVAC.
Performing diabetic limb salvage inpatient surgery in a setting of increased financial accountability requires diligent use of resources.
The preliminary evidence of the KCI InfoVAC system trial at Georgetown University Hospital has shown that one can achieve a decreased length of stay in this patient population through the incorporation of commercially available NPWT into the treatment algorithm. There is an abundance of clinical data that confirms the improved wound healing associated with the use of NPWT systems.14 This retrospective utilization review now provides evidence for improved fiscal accountability for the hospital and care provider as well.
Dr. Keplinger is a third-year resident within the Inova Fairfax Hospital Podiatric Residency Program in Falls Church, Va.
Dr. Steinberg is an Assistant Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. Dr. Steinberg is a Fellow of the American College of Foot and Ankle Surgeons.
Editor’s note: To access the archives or get information on reprints, visit www.podiatrytoday.com.
1. Eginton MT, Brown KR, Seabrook, GR, Towne JB. A prospective randomized evaluation of negative-pressure wound dressings for diabetic foot wounds. Ann Vasc Surg 2003; 17(6):645-649
2. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experiences. Ann Plast Surg 1997; 38(6):563-576.
3. DeFranzo AJ, Marks MW, Argenta LC, Genecov DG. Vacuum-assisted closure for the treatment of degloving injuries. Plast Reconstr Surg 1999; 104(7):2145-2148.
4. Kirby JP, Fantus RJ, Ward S, et al. Novel uses of a negative pressure wound care system. J Trauma 2002; 53(1):117-121.
5. Flack S, et al. An economic evaluation of VAC therapy compared with wound dressings in the treatment of diabetic foot ulcers. J Wound Care 2008; 17(2):71-8.
6. Phillbeck TE Jr., Whittington KT, Millsap MH, et al. The clinical and cost effectiveness of externally applied negative pressure wound therapy in the treatment of wounds in home healthcare Medicare patients. Ostomy Wound Manage 1999; 45(11):45-50.
7. McCallon SK, Knight CA, Valiulus JP, et al. Vacuum-assisted closure versus saline-moistened gauze in the healing of post-op diabetc foot wounds. Ostomy Wound Manage 2000; 46(8):28-34.
8. Armstrong DG, Lavery LA, Abu-Rumman P, et al. Outcomes of subatmospheric pressure dressing therapy on wounds of the diabetic foot. Ostomy Wound Manage 2002; 48(4):64-68.
9. Ambrosio A, et al. V.A.C. GranuFoam Silver Dressing – a new antimicrobial silver foam dressing specifically engineered for the use with V.A.C. Therapy. Kinetic Concepts, Inc (KCI). San Antonio, 1996, pp.1-15.
10. Fridkin SK, Gaynes RP. Antimicrobial resistance in intensive care units. Clin Chest Med 1999;20(2):303-315.
11. Ovington LG. The truth about silver. Ostomy Wound Manage 2004;50(9A Suppl):1S-10S.
12. Faust RA. Toxicity summary for silver. Report prepared for the Oak Ridge Reservation Environmental Restoration Program, December 1992.
13. Jones S, Bowler PG, Walker M. Antimicrobial activity of silver-containing dressings is influenced by dressing comfortably with a wound surface. Wounds 2005;17(9):263-270.
14. Page JC, Newstander B, Schwenke DC, et al. Retrospective analysis of negative pressure wound therapy in open foot wounds with significant soft tissue defects. Advances Skin Wound Care 2004; 17(7):354-364.