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Authors

  1. Kloth, Luther C. MS, PT, CWS, FAPTA
  2. Berman, Joseph E. PT, ATC, MHS
  3. Nett, Marilyn MPT
  4. Papanek, Paula E. PhD, MPT, FACSM
  5. Dumit-Minkel, Sonia MD, PT

ABSTRACT

OBJECTIVE: To determine the effect of noncontact normothermic wound therapy (NNWT) versus standard wound care on chronic full-thickness pressure ulcers.

 

DESIGN: Prospective, randomized, controlled trial

 

SETTING: Veterans administration medical center and 7 long-term-care facilities

 

PATIENTS: 40 inpatients with 43 Stage III and IV pressure ulcers

 

INTERVENTIONS: A sterile noncontact wound dressing was applied to 21 wounds for 24 hours per day, 7 days per week. Each day after the wound was irrigated and the noncontact dressing was changed, a heating element in the dressing was activated for 3 1-hour periods for 12 weeks or until wound closure. Twenty-two control wounds were treated with standard, moisture-retentive dressings 24 hours per day, 7 days per week for 12 weeks or until wound closure.

 

MAIN OUTCOME MEASURE: Measurement of wound surface area

 

MAIN RESULTS: Healing rate for the NNWT group was significantly greater than for the control group (0.52 cm2 per week and 0.23 cm2 per week, respectively;P <.02). A clinically significant increase was seen among the NNWT group in the incidence of closure among wounds that completed the entire 12-week protocol compared with controls (11 of 14 or 79% and 8 of 16 or 50%, respectively; not significant). The mean slope of the individual regression analyses for the NNWT group was significantly different from the mean slope for the control group (-0.07 and -0.033, respectively;P <.05). Large wounds in the NNWT group demonstrated a significantly greater healing rate than large wounds in the control group (P <.05).

 

CONCLUSION: Wounds treated with NNWT healed significantly faster than wounds in the control group. The healing rate was greatest for larger wounds treated with NNWT.