Use of oxidised regenerated cellulose/collagen dressings versus standard of care over multiple wound types: A systematic review and meta-analysis.

cellulose dressings collagen dressings matrix metalloproteinases meta-analysis wound healing

Journal

International wound journal
ISSN: 1742-481X
Titre abrégé: Int Wound J
Pays: England
ID NLM: 101230907

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 16 03 2021
accepted: 12 05 2021
pubmed: 12 6 2021
medline: 19 1 2022
entrez: 11 6 2021
Statut: ppublish

Résumé

Oxidised regenerated cellulose (ORC)/collagen dressings help maintain physiologically moist wound environments conducive to wound healing. While evidence supporting ORC/collagen dressing use exists, comprehensive assessment is needed. This systematic review/meta-analysis evaluated the performance of ORC/collagen dressings compared with standard dressings. A systematic literature search was performed using PUBMED, EMBASE, and QUOSA Virtual Library. Published studies and conference abstracts were assessed between 1 January 1996 and 27 July 2020. Comparative studies in English completed by 31 December 2019, with a study population ≥10 were included. Patient demographics, wound healing, and protease concentrations were extracted. A random-effect model was used to assess the effect of ORC/collagen dressings. Twenty studies were included following removal of duplicates and articles not meeting inclusion criteria. A statistically significant effect in favour of ORC/collagen dressings was found for wound closure (P = 0.027) and percent wound area reduction (P = 0.006). Inconclusive evidence or limited reporting prevented assessment of time to complete healing, days of therapy, number of dressing applications, pain, matrix metalloproteinase, elastase, plasmin, and gelatinase concentration. Statistically significant increase in wound closure rates and percent wound area reduction were observed in patients receiving ORC/collagen dressings compared with standard dressings in this systematic review/meta-analysis.

Identifiants

pubmed: 34114731
doi: 10.1111/iwj.13625
pmc: PMC8762558
doi:

Substances chimiques

Cellulose 9004-34-6
Collagen 9007-34-5
rayon, purified BX81F82EWG

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

241-252

Informations de copyright

© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

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Auteurs

Saeed A Chowdhry (SA)

Plastic, Reconstructive and Aesthetic Surgery, Rosalind Franklin University of Medicine and Science, Chicago Medical School, Chicago, Illinois, USA.

Yeni Nieves-Malloure (Y)

Medical Solutions Division, 3M, San Antonio, Texas, USA.

Mark Camardo (M)

Medical Solutions Division, 3M, San Antonio, Texas, USA.

Julie M Robertson (JM)

Medical Solutions Division, 3M, San Antonio, Texas, USA.

Joshua Keys (J)

Medical Solutions Division, 3M, San Antonio, Texas, USA.

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Classifications MeSH