An extracellular matrix graft (Oasis® wound matrix) for treating full-thickness pressure ulcers: A randomized clinical trial

被引:45
|
作者
Brown-Etris, Marie [1 ]
Milne, Catherine T. [2 ]
Hodde, Jason P. [3 ]
机构
[1] Etris Associates Inc, 14450 Bustleton Ave, Philadelphia, PA 19116 USA
[2] Connecticut Clin Nursing Associates LLC, 204 Keegan Rd, Plymouth, CT 06782 USA
[3] Cook Biotech Inc, 1425 Innovat Pl, W Lafayette, IN 47906 USA
关键词
Pressure ulcer; Extracellular matrix; SIS; Oasis wound matrix; Pressure injury; Decubitus ulcer; SMALL-INTESTINAL SUBMUCOSA; LEG ULCERS; IMPACT;
D O I
10.1016/j.jtv.2018.11.001
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Aim: The purpose of the study was to evaluate clinical safety and effectiveness of Oasis (R) Wound Matrix as a treatment for full-thickness pressure ulcers and compare it to Standard Care. Methods: A total of 130 adults with Stage III or Stage IV pressure ulcers were randomly assigned, received either multiple topical treatments of SIS plus standard care (n = 67), or standard care alone (n = 63), and were subsequently evaluated. Ulcer size was determined at enrollment and weekly throughout treatment. Healing was assessed at each visit for a period of up to 12 weeks, with incidence of complete healing and 90% reduction in ulcer area being the primary outcome measures. Results: The proportion of complete healing in the RS group was 40% as compared to 29% in the standard of care group (p = 0.111); the percentage of patients having a 90% reduction in ulcer surface area was 55% in the SIS group versus 38% in the standard of care group (p = 0.037). Conclusions: The results of this study suggest that within the setting of a comprehensive wound care program, weekly treatment of chronic pressure ulcers with SIS wound matrix increases the incidence of 90% reduction in wound size versus standard of care alone.
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页码:21 / 26
页数:6
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