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- Title
Use of autologous conditioned serum dressings in hard-to-heal wounds: a randomised prospective clinical trial.
- Authors
Gholian, Shakiba; Pishgahi, Alireza; Shakouri, Seyed Kazem; Eslamian, Fariba; Yousefi, Mehdi; Kheiraddin, Behzad Pourabbas; Dareshiri, Shahla; Yarani, Reza; Dolatkhah, Neda
- Abstract
Objective: In this study, we aimed to assess both the efficacy and tolerability of autologous conditioned serum (ACS) as an innovative wound dressing in the local management of hard-to-heal wounds. Method: In this single-blinded randomised controlled trial, patients with hard-to-heal wounds were randomly assigned to receive either ACS treatment or normal saline (NS) dressings. The treatment was applied once a week for three weeks with a final assessment at three weeks from the first ACS application. Results: A total of 30 patients took part in the study. Analysis of wound assessment data demonstrated statistically significant differences for wound surface area and Pressure Ulcer Scale for Healing scores (area score, exudate and tissue) from baseline to the end of the study in patients who received the ACS dressing, but not in patients who received the normal saline dressing. There were statistically significant differences in changes in: the wound surface area at week three (-6.4±2.69cm² versus +0.4±2.52cm²); area score at week three (-2.2±1.08 versus +0.2±0.86); exudate at week two (-1.2±0.70 versus +0.0±0.45) and at week 3 (-1.3±0.72 versus -0.1±0.63); tissue at week two (-1.1±0.35 versus +0.0±0.53) and at week three (-1.8±0.65 versus -0.1±0.63); and the PUSH total score at week one (-1.6±0.98 versus +0.4±1.22), week two (-3.2±0.86 versus +0.4±0.98) and week three (-5.3±1.17 versus -0.0±1.33) between the ACS and NS groups, respectively. Conclusion: This trial revealed a significant decrease in wound surface area as well as a considerable improvement in wound healing in the ACS dressing group. Declaration of interest: The trial is registered at the Iranian Clinical Trial Registry database (No. IRCT20100720004422N7). Funding was received from the Deputy of Research, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. The funding body had no role in the design of the study, collection, analysis, or interpretation of the data, or writing of the manuscript. The authors have no conflicts of interest to declare.
- Subjects
WOUND healing; STATISTICS; CHRONIC wounds &; injuries; ANALYSIS of variance; MEDICAL care costs; MANN Whitney U Test; TREATMENT effectiveness; RANDOMIZED controlled trials; BLIND experiment; RESEARCH funding; CHI-squared test; EXUDATES &; transudates; DESCRIPTIVE statistics; STATISTICAL sampling; DATA analysis software; DATA analysis; SURGICAL dressings; WOUND care; LONGITUDINAL method
- Publication
Journal of Wound Care, 2022, Vol 31, Issue 1, p68
- ISSN
0969-0700
- Publication type
Article