Abstract
The management of patients with traumatic injuries can be a challenge. Many require surgical intervention, are at an increased risk of surgical site infections (SSIs), and have an associated increase in hospital length of stay and cost. Closed-incision negative pressure therapy (ciNPT) has shown benefits in the management of certain surgical sites by preventing infection and improving wound healing. In the setting of chest wall reconstruction after traumatic sternal and/or rib fractures, no study so far has examined the efficacy of this treatment. We report a single-center retrospective cohort study, examining outcomes using ciNPT following rib and sternal fixation in trauma patients. Data on 71 patients who suffered from rib and/or sternal fractures, requiring surgical intervention, were collected over a time period of three years, from December 2016 to December 2019. The patient population was 66% male (47/71), had a mean age of 63.3 years (range 23-90 years old), and suffered from injuries related to motor vehicle or motorcycle accidents (45/71, 63%). Among the patients treated with ciNPT, none developed signs of SSIs during their initial hospitalization or within two months post-discharge follow-up. Negative pressure therapy is an effective wound care management system for preventing infections in closed-incision sites following chest wall reconstruction.
Highlights
290,000 cases of surgical site infections (SSIs) occur every year in the United States and add an estimated $3.5 to $10 billion to healthcare costs annually [1]
CiNPT is well established in the management of open wounds in trauma and other surgical patients
This study reports on a single-center cohort of 71 patients who suffered from sternal and/or rib fractures, requiring surgical fixation and treatment with Closed-incision negative pressure therapy (ciNPT)
Summary
290,000 cases of surgical site infections (SSIs) occur every year in the United States and add an estimated $3.5 to $10 billion to healthcare costs annually [1]. Many of these infections occur in trauma patients and can be attributed to traumatic wound contamination, transient tissue hypoperfusion from sepsis and shock, altered patient immune response, and the need for multiple procedures [2]. CiNPT is well established in the management of open wounds in trauma and other surgical patients. CiNPT is regularly used to manage sternal infections [5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
