Meta-analysis of Randomized Controlled Trials on Hydrocolloid Occlusive Dressing Versus Conventional Gauze Dressing in the Healing of Chronic Wounds

Overview

Journal Asian J Surg

Publisher Elsevier

Specialty General Surgery

Date 2004 Nov 27

PMID 15564189

Citations 29

Authors

Aparajita Singh

Sajal Halder

Geetha R Menon

Sunil Chumber

Mahesh Chandra Misra

Lalit Kumar Sharma

Anurag Srivastava

Affiliations

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Abstract

Chronic wound management is a difficult area in surgical practice. A wide range of dressings have been recommended for the management of chronic wounds. The present meta-analysis was undertaken to determine the effectiveness of hydrocolloid dressing (HCD) in the healing of chronic wounds compared with conventional gauze dressing. All available controlled clinical trials published before December 2001 that compared HCD to conventional gauze dressing in the healing of chronic wounds were systematically reviewed. We identified and analysed 12 randomized trials (11 published; 1 unpublished) comprising 693 patients with 819 ulcers. The overall odds ratio under the fixed effect model was 1.72, that is, 72% more ulcers healed completely with HCD than with conventional gauze dressing. This result was both clinically and statistically significant.

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