The use of bioelectric dressings in skin graft harvest sites: a prospective case series

Document Type

Article

Abstract

Despite advances in wound care treatments for the management of acute and chronic wounds, there remains an unmet need for interventions that accelerate epithelialization. Many authors in the past have advocated the use of electric currents to accelerate wound healing. Novel wound dressings with inherent electric activity are emerging, and studies of these specific modalities are lacking. The principal aim of this study is to evaluate the impact of a bioelectric dressing on acute wound healing. Thirteen patients who underwent skin grafting were enrolled. One half of all skin graft donor sites were treated with the bioelectric dressing and semi-occlusive dressing (SOD) and the other half using solely a SOD. Epithelialization was rated by a blinded burn surgeon attending. Participants also provided a self-assessment of their scar appearance. At week 1 postprocedure, average epithelialization of 71.8% was noted on the bioelectric dressing-treated side, compared with 46.9% on the SOD side, representing an average 34.62% faster wound healing (P = .015). At 1 month, patients rated the bioelectric dressing-treated half as superior in terms of scar color (P = .198), stiffness (P = .088), thickness (P = .038), and overall quality (P = .028). These early data show promise in terms of faster healing, improved scarring, and improved patient subjective outcome with the use of the bioelectric dressing on acute wounds. With fulfillment of an extended study population, the authors hope to provide a solid foundation for extrapolating their data beyond skin graft donor sites to all areas of wound care.

Medical Subject Headings

Adult; Aged; Aged, 80 and over; Burns (diagnosis, surgery); Case-Control Studies; Electric Impedance (therapeutic use); Epithelium (growth & development); Female; Humans; Injury Severity Score; Male; Middle Aged; Occlusive Dressings; Prognosis; Prospective Studies; Risk Assessment; Skin Transplantation (adverse effects, methods); Time Factors; Transplant Donor Site; Treatment Outcome; Wound Healing

Publication Date

1-1-2012

Publication Title

Journal of burn care & research : official publication of the American Burn Association

E-ISSN

1559-0488

Volume

33

Issue

3

First Page

354

Last Page

7

PubMed ID

21979844

Digital Object Identifier (DOI)

10.1097/BCR.0b013e31823356e4

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