Here - EWMA 2013

POSTER: CASE STUDY
Poster: Case Study
P 414
AN EVALUATION OF A PORTABLE NPWT SYSTEM ON CHRONIC WOUNDS IN
A COMMUNITY CARE SETTING
Theresa Hurd 1 , Kim Deroo 1 , Sarah Maloney 1
1 Nursing Practice Solutions Inc. (Stevensville, Canada).
Aim: One of the most impressive advancement in the management of wounds is the
recent introduction of a portable single use Negative Pressure Wound Therapy (NPWT)
system. The introduction of this new technology required an evaluation that investigated
the clinical and economic effectiveness as well as the benefits for the patients, nurses
and organizations. The subsequent case series discloses measured results from an
eight month evaluation measuring portable NPWT in consideration of
Methods: The evaluation included the observation of 325 patients with a chronic wound
treated with portable NPWT over an eight-month period. Patients eligible for
conventional NPWT were considered for treatment. Patients’ wounds were measured at
baseline and then weekly thereafter. Results were recorded in the evaluation data.
Nurses completed the evaluation forms and patients completed post-evaluation forms
describing their experience with the NPWT unit. Additional findings are included in the
presentation.
Results: Over the course of the evaluation, 68% of wounds treated with the portable
negative pressure device healed with a median time to healing of 9 weeks. The majority
of patients reporting that they were pleased with the product, similarly, the majority of
nurses were pleased with the product. The evaluation also confirms measurable
outcomes (heal-ability, conformability, patient comfort and ease of application)
throughout the trial on several types of wounds.
Conclusions: The case series reports that investments in wound care, when carefully
directed within a framework of evidence-based metrics aimed at optimal clinical
outcomes, result in better patient care and improved cost efficiency.
P 415
EXTRA CELLULAR MATRIX MADE FROM COD SKIN USED ON
HARD TO HEAL WOUNDS
Poster: Case Study
Gudbjorg Palsdottir 1 , Baldur Baldursson 1 , Hilmar Kjartansson 1
1 Landspitali University Hospital (Reykjavik, Island).
Introduction: The use of Extracellular Collagen Matrices (ECM) in care in the last
decade has been increasing due to promising results in hard to heal wounds. Most
products on the market today are of mammalian or human origin. In this study we used a
novel product, ECM*, a fish derived ECM made from Atlantic cod skin containing
primarily collagen I as well as marine Omega3 fatty acids.
Aim: To describe the use of an ECM wound dressing made from cod skin* on hard to
heal wounds. To gather data regarding the efficacy and safety of the product.
Methods: Hard to heal wounds of varying aetiology that had not healed despite standard
treatment for at least 3 weeks were identified. Information on the aetiology of the wound,
duration, frequency of antibiotic treatment and type of treatment were collected.
Photographs were taken prior, during and at the end of treatment.
Results: Of the 14 wounds treated with cod skin ECM, 11 decreased significantly in size
or healed completely within 5 weeks. Five wounds healed completely. All but one
wounds showed a change with increased granulation tissues. None of the cases
recieving the treatment showed allergic reaction or discomfort in any way. The
application of cod skin ECM was easy.
Conclusion: Cod skin extracellular matrix is safe and effective to use on hard to heal
wounds of varying aetiology and is easy to use.
*Marigen Wound
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
237