Multicenter postapproval clinical trial of Integra® dermal regeneration template for burn treatment

被引:233
作者
Heimbach, DM
Warden, GD
Luterman, A
Jordan, MH
Ozobia, N
Ryan, CM
Voigt, DW
Hickerson, WL
Saffle, JR
DeClement, FA
Sheridan, RL
Dimick, AR
机构
[1] Univ Washington, Dept Surg, Seattle, WA 98195 USA
[2] Shriners Burns Inst, Cincinnati, OH 45219 USA
[3] Univ S Alabama, Dept Surg, Mobile, AL 36688 USA
[4] Washington Hosp Ctr, Washington, DC 20010 USA
[5] Lions Burns Care Ctr, Las Vegas, NV USA
[6] Massachusetts Gen Hosp, Shriners Burns Inst, Boston, MA 02114 USA
[7] St Elizabeths Reg Burn Ctr, Lincoln, NE USA
[8] Univ Tennessee, Med Grp, Memphis, TN USA
[9] Univ Utah, Hosp & Clin, Burn Trauma Unit, Salt Lake City, UT USA
[10] St Agnes Burn Ctr, Philadelphia, PA USA
[11] Shriners Hosp Children, Burn Inst, Boston Unit, Boston, MA USA
[12] Univ Alabama Birmingham, Dept Surg, Birmingham, AL 35294 USA
来源
JOURNAL OF BURN CARE & REHABILITATION | 2003年 / 24卷 / 01期
关键词
D O I
10.1097/00004630-200301000-00009
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
The safety and effectiveness of Integra(R) Dermal Regeneration Template was evaluated in a postapproval study involving 216 burn injury patients who were treated at 13 burn care facilities in the United States. The mean total body surface area burned was 36.5% (range, 1-95%). Integra(R) was applied to fresh, clean, surgically excised burn wounds. Within 2 to 3 weeks, the dermal layer regenerated, and a thin epidermal autograft was placed. The incidence of invasive infection at Integra(R) treated sites was 3.1% (95% confidence interval, 2.0-4.5%) and that of superficial infection 13.2% (95% confidence interval, 11.0-15.7%). Mean take rate of Integra(R) was 76.2%; the median take rate was 95%. The mean take rate of epidermal autograft was 87.7%; the median take rate was 98%. This postapproval study further supports the conclusion that Integra(R) is a safe and effective treatment modality in the hands of properly trained clinicians under conditions of routine clinical use at burn centers.
引用
收藏
页码:42 / 48
页数:7
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