ASSESSMENT OF NEGATIVE PRESSURE WOUND THERAPY FOLLOWUP AND REPORT INITIATIVE IN TIKUR ANBESSA SPECIALIZED HOSPITAL
Introduction-Negative pressure wound therapy is a way of treating wounds using a vacuum-assisted system that is applied over the wound bed and helps expedite wound healing process.
Objective-To assess the contents of Vaccum Assisted Therapy(VAT) outcome reporting initiative in Tikur Anbessa Specialized Hospital, initiate a Wound care database and standardize patient follow-ups
Method-Patients who have been admitted to Orthopedics ward for various musculoskeletal pathologies and treated with wound VAC have been included in this study, descriptive analysis of these case series was performed with data obtained from Nursing follow-up forms and serial pictures.
Result-Out of the 28 patients, 18 were men, and 10 were women.71% of patients were between the age of 15-49,4 patients between the age of 50-65 , 2 pediatric patients under 15 years and 2 patients above the age of 65. 52 % of the patients had dressing changes up to 5 times and 48% required between 5-10 times. The most common cause of injury is road traffic injuries, 16 patients. The second most common cause is bullet injury, followed by falling down accidents in 4 patients. The average percentage of reduction in size was 49%, with a maximum of 94% on one patient, and a minimum of 0 % on 5 patients. Wounds were covered with primary closure in 11, secondary intention in 10, and skin graft was done for 7 patients.
Conclusion-Reporting of patient progress needs to be more detailed, inclusive, and creating a nationwide database is the first step forward.
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