Prospective evaluation of a closed-incision negative pressure wound therapy system in kidney transplantation and its association with wound complications Article Swipe
Susanna Lam
,
Annie Huynh
,
Tracey Ying
,
Charbel Sandroussi
,
David M. Gracey
,
Henry Pleass
,
Steven J. Chadban
,
Jerome Laurence
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fneph.2024.1352363
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fneph.2024.1352363
Introduction Wound complications can cause considerable morbidity in kidney transplantation. Closed-incision negative pressure wound therapy (ciNPWT) systems have been efficacious in reducing wound complications across surgical specialties. The aims of this study were to evaluate the use of ciNPWT, Prevena™, in kidney transplant recipients and to determine any association with wound complications. Material and methods A single-center, prospective observational cohort study was performed in 2018. A total of 30 consecutive kidney transplant recipients deemed at high risk for wound complications received ciNPWT, and the results were compared to those of a historical cohort of subjects who received conventional dressings. Analysis for recipients with obesity and propensity score matching were performed. Results In total, 127 subjects were included in the analysis. Of these, 30 received a ciNPWT dressing and were compared with 97 subjects from a non-study historical control group who had conventional dressing. The overall wound complication rate was 21.3% (27/127). There was no reduction in the rate of wound complications with ciNPWT when compared with conventional dressing [23.3% (7/30) and 20.6% (20/97), respectively, p = 0.75]. In the obese subset (BMI ≥30 kg/m 2 ), there was no significant reduction in wound complications [31.1% (5/16) and 36.8% (7/19), respectively, p = 0.73]. Propensity score matching yielded 26 matched pairs with equivalent rates of wound complications (23.1%, 6/26). Conclusion This is the first reported cohort study evaluating the use of ciNPWT in kidney transplantation. While ciNPWT is safe and well tolerated, it is not associated with a statistically significant reduction in wound complications when compared to conventional dressing. The findings from this study will be used to inform future studies associated with ciNPWT in kidney transplantation.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fneph.2024.1352363
- https://www.frontiersin.org/articles/10.3389/fneph.2024.1352363/pdf?isPublishedV2=False
- OA Status
- diamond
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392192110
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392192110Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fneph.2024.1352363Digital Object Identifier
- Title
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Prospective evaluation of a closed-incision negative pressure wound therapy system in kidney transplantation and its association with wound complicationsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-02-27Full publication date if available
- Authors
-
Susanna Lam, Annie Huynh, Tracey Ying, Charbel Sandroussi, David M. Gracey, Henry Pleass, Steven J. Chadban, Jerome LaurenceList of authors in order
- Landing page
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https://doi.org/10.3389/fneph.2024.1352363Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fneph.2024.1352363/pdf?isPublishedV2=FalseDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fneph.2024.1352363/pdf?isPublishedV2=FalseDirect OA link when available
- Concepts
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Medicine, Propensity score matching, Surgery, Negative-pressure wound therapy, Kidney transplantation, Cohort, Prospective cohort study, Cohort study, Transplantation, Complication, Internal medicine, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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