Table 15Local wound applications: Comparisons of different wound dressings – radiant heat

Author Year
Study Type
Quality
Number Enrolled/Completed
Setting
Pressure Ulcer StageaMean Age (Range)
Sex
Population
FollowupWound Applications ComparedOutcome Measures and Treatment EffectBenefit: Wound Improvement
Kloth 2002111
Trial
Fair

N= 53/40
Hospital and 7 nursing facilities
III and IV78 years (NR)
Female: 63%
General
4 weeksA: Semi-occlusive heated dressing
B: Standard care
Complete wound healing:
A: 48%
B: 36%
(p-value NR)

Reduction in mean surface area:
A: 69%
B: 50%
(p=0.11)

Healing rate:
A: 0.52 cm2 per week
B: 0.23 cm2 per week
(p<0.02)

Harms: NR
+
Price 2000110
Trial
Good

N=58/50
Multiple (hospital, nursing facility, community)
(Bergstrom stage 3, 4)73 years (NR)
Female: 64%
General
6 weeksA: Radiant heat dressing
B: Standard care
Complete wound healing:
A: 12%
B: 8%
(NS; p-value NR)

Wound surface area reduction: (% of initial area)
A: 75%
B: 40%
(p=0.078)

Time to reduce wound size to 25% of original area:
A: 33 days
B: 38 days
(p=0.058).

No difference between groups in pain scores at weeks 1 or 6.

Harms: No evidence that heat therapy was linked with deterioration in skin condition.
~
Thomas 2005109
Trial
Good

N=41/39
Nursing facility
(III, IV; Lazarus 1994)76 years (NR)
Female: 32%
General
12 weeksA: Radiant heat dressing
B: Hydrocolloid
Complete wound healing:
A: 57%
B: 44%
(p=0.46)

Harms: NR
~
Whitney 2001112
Trial
Fair

N=40/29
Multiple: (acute care, community, and nursing facility)
III, IV58 years (NR)
Female: 38 %
Mixed (Diabetes, SCI)
8 weeksA: Noncontact normothermic wound therapy (heated dressing)
B: Standard care
Complete wound healing:
A: 53%
B: 43%
(p-value NR)

Linear rate of healing (mean):
A: 0.012 cm2 per day
B: 0.004 cm2 per day
(p=0.01)
+

NPUAP = National Pressure Ulcer Advisory Panel; NR = not reported; NS = not significant

a

Pressure ulcer stage indicates NPUAP staging unless otherwise noted. Non-NPUAP staging was converted to the equivalent NPUAP stage where possible.

++Complete wound healing.

+Some improvement in wound healing.

~No difference.

From: Results

Cover of Pressure Ulcer Treatment Strategies: Comparative Effectiveness
Pressure Ulcer Treatment Strategies: Comparative Effectiveness [Internet].
Comparative Effectiveness Reviews, No. 90.
Saha S, Smith MEB, Totten A, et al.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.