Application of foam dressing in tracheotomy: a meta-analysis

doi:10.3969/j.issn.2095-4344.1740

Abstract

Abstract:

BACKGROUND: Foam dressing has been shown to reduce the risk of complications of tracheal incision, reduce the frequency of dressing change and shorten the healing time.

OBJECTIVE: To evaluate the effect of foam dressing in patients undergoing tracheotomy by meta-analysis.

METHODS: A computer-based search of randomized controlled trials concerning foam dressing applied in tracheotomy was carried out in PubMed, EMBASE, Cochrane, CNKI, CBM, WanFang and VIP databases before May 2018. Literature screening, quality evaluation and data extraction were conducted independently by two postgraduates. Revman 5.3 software was used for data analysis.

RESULTS AND CONCLUSION: Eighteen randomized controlled trials were included. The patients in the trial group were treated with foam dressing at the trachea incision, while the control group was treated with sterile gauze at the trachea incision. Meta-analysis results showed that the incidence of tracheal incision complications in the trial group was lower than that in the control group [OR=0.18, 95%CI (0.11, 0.27), Z=7.82, P < 0.000 01], the interval of dressing change was longer than that in the control group [OR =4.94, 95%CI (3.70, 6.18), Z=7.81, P < 0.000 01], and the healing time of tracheal incision was shorter than that in the control group [OR=-1.39, 95%CI (-1.64, -1.15), Z=11.30, P < 0.000 01]. To conclude, the effect of foam dressing is better than that of sterile gauze in patients undergoing tracheotomy.

Key words: foam dressing, polyurethane, tracheotomy, conventional dressing, aseptic gauze, three-dimensional polymer foaming materials, polyvinyl alcohol foam, randomized controlled trial, meta-analysis

CLC Number:

R318.08

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R318.08

Qiu Wenbo, Wu Xiaowan, Han Hui, Huang Ruina, Chen Huichao. Application of foam dressing in tracheotomy: a meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(22): 3599-3603.

Figures/Tables 6

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