Demonstration of the safety and effectiveness of the RECELL


Journal

Burns : journal of the International Society for Burn Injuries
ISSN: 1879-1409
Titre abrégé: Burns
Pays: Netherlands
ID NLM: 8913178

Informations de publication

Date de publication:
06 2019
Historique:
received: 29 09 2018
revised: 02 11 2018
accepted: 08 11 2018
pubmed: 24 12 2018
medline: 31 1 2020
entrez: 23 12 2018
Statut: ppublish

Résumé

Split-thickness skin grafts (STSG) are the standard of care (SOC) for burns undergoing autografting but are associated with donor skin site morbidity and limited by the availability of uninjured skin. The RECELL A multi-center, prospective, within-subject controlled, randomized, clinical trial was conducted with 30 subjects to evaluate RECELL in combination with a more widely meshed STSG than a pre-defined SOC meshed STSG (RECELL treatment) for the treatment of mixed-depth burns, including full-thickness. Treatment areas were randomized to receive standard meshed STSG (Control treatment) or RECELL treatment, such that each subject had 1 Control and 1 RECELL treatment area. Effectiveness measures were assessed and included complete wound closure, donor skin use, subject satisfaction, and scarring outcomes out to one year following treatment. At 8 weeks, 85% of the Control-treated wounds were healed compared with 92% of the RECELL-treated wounds, establishing the non-inferiority of RECELL treatment for wound healing. Control-treated and RECELL-treated wounds were similar in mean size; however, mean donor skin use was significantly reduced by 32% with the use of RECELL (p<0.001), establishing the superiority of RECELL treatment for reducing donor skin requirements. Secondary effectiveness and safety outcomes were similar between the treatments. In combination with widely meshed STSG, RECELL is a safe and effective point-of-care treatment for mixed-depth burns without confluent dermis, achieving short- and long-term healing comparable to standard STSG, while significantly decreasing donor skin use.

Identifiants

pubmed: 30578048
pii: S0305-4179(18)30883-0
doi: 10.1016/j.burns.2018.11.002
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

772-782

Informations de copyright

Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

J H Holmes (JH)

Wake Forest Baptist Medical Center, Winston-Salem, NC, United States.

J A Molnar (JA)

Wake Forest Baptist Medical Center, Winston-Salem, NC, United States.

J W Shupp (JW)

MedStar Washington Hospital Center, Washington, DC, United States.

W L Hickerson (WL)

University of Tennessee Health Science Center Firefighters Regional Burn Center, Memphis, TN, United States.

Booker T King (BT)

US Army Institute for Surgical Research, Fort Sam Houston, TX, United States.

K N Foster (KN)

Maricopa Health System, Phoenix, AZ, United States.

B A Cairns (BA)

University of North Carolina, Chapel Hill, NC, United States.

J E Carter (JE)

Louisiana State University School of Medicine, New Orleans, LA, United States.

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