Evaluation of chronic wound treatment with the SNaP wound care system versus modern dressing protocols

Plast Reconstr Surg. 2010 Oct;126(4):1253-1261. doi: 10.1097/PRS.0b013e3181ea4559.

Abstract

Background: Traditional negative-pressure wound therapy systems use an electrically powered pump to generate negative pressure at the wound bed. The SNaP Wound Care System is a novel, ultraportable device that delivers negative-pressure wound therapy without the use of an electrically powered pump.

Methods: At an outpatient wound care clinic, 21 subjects with difficult-to-treat lower extremity ulcers received treatment with the SNaP System and were evaluated for wound healing for up to 4 months. Outcomes were then compared with 42 patient-matched controls treated at the same center with modern wound care protocols that included the use of Apligraf, Regranex, and skin grafting.

Results: In the SNaP-treated group, 100 percent of subjects demonstrated improvement in wound size and 86 percent (18 of 21) exhibited a statistically significant healing trend (p < 0.05). Using Kaplan-Meier estimates of wound healing, SNaP-treated subjects healed in an average of 74.25 ± 20.1 days from the start of SNaP treatment and the matched controls healed in an average of 148.73 ± 63.1 days from the start of conventional treatment. This significantly faster healing time represents a 50 percent absolute reduction in time to healing (p < 0.0001) for subjects treated with the SNaP device.

Conclusions: The findings reported here for the SNaP Wound Care System are similar to published reports for powered negative-pressure wound therapy devices for the treatment of highly challenging lower extremity wounds. This study suggests that the SNaP Wound Care System may be a useful addition to the techniques available to the wound care clinician.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bandages*
  • Becaplermin
  • Case-Control Studies
  • Chronic Disease
  • Collagen / pharmacology
  • Female
  • Foot Ulcer / therapy
  • Humans
  • Kaplan-Meier Estimate
  • Leg Ulcer / diagnosis
  • Leg Ulcer / therapy*
  • Male
  • Middle Aged
  • Negative-Pressure Wound Therapy / instrumentation*
  • Negative-Pressure Wound Therapy / methods
  • Platelet-Derived Growth Factor / pharmacology
  • Proto-Oncogene Proteins c-sis
  • Retrospective Studies
  • Severity of Illness Index
  • Skin Transplantation / methods*
  • Treatment Outcome
  • Wound Healing / physiology

Substances

  • Apligraf
  • Platelet-Derived Growth Factor
  • Proto-Oncogene Proteins c-sis
  • Becaplermin
  • Collagen