3m™ tegaderm™ high performance foam adhesive dressing | case study poster sawc 2011
DESCRIPTION
For more product information, visit http://go.3M.com/SAWCtestimonials Presented at the 2011 SAWC show, this study features an adhesive foam dressing with a demonstrated high in vitro MVTR and a high in vivo fluid handling capacity. It was studied on a variety of wound types and in a variety of clinical settings.TRANSCRIPT
3M Skin & Wound Care
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Case-Series – Use of a Foam Adhesive Dressing* on Chronic WoundsMarie Brown-Etris, RN, CWOCN, † Cathy Milne, MSN, APRN, BC, CWOCN, ‡ Darlene Saucier, APRN, FNP-BC, ‡ Lisa Van Watermulen, FNP, CWOCN § William Lindroos, ǁ Shelley-Ann Walters, MS ǁ
† Etris Associates, Inc., Philadelphia, PA, USA, ‡ Connecticut Clinical Nursing Associates, Bristol, CT,
USA, § Mankato Clinic, Mankato, MN, USA, ǁ 3M Health Care, St. Paul, MN, USA
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Case Series Summary
Background: Case series studies are an important element in
understanding the clinical use of dressings on a variety of wounds to
which they are normally exposed. In this study an adhesive foam
dressing with a demonstrated high in vitro MVTR and a high in vivo
fluid handling capacity was studied on a variety of wound types and
in a variety of clinical settings.
Methods: The wounds selected were low- to high-exuding, partial-
and full-thickness dermal wounds that were currently being treated
with a foam dressing and were expected to use the study foam
dressing for four weeks. Weekly dressing changes were
recommended if possible, but more frequent changes were not
restricted. A total of 24 patients were enrolled into the study.
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Baseline Demographics
Facility: 29% Home Care, 33% Long-Term Care, 38%
Wound Clinic
Gender: 54% Female, 46% Male
Mean age = 68.2 (19-91) Years
Mean weight = 212.1 (102-596) lbs.
Wound Type: 50% Pressure, 17% Venous, 29% Surgical,
4% Trauma
Wound Location: 38% Sacrum/Coccyx/Buttock, 21% Foot/Heel,
17% Abdomen, 17% Lower Leg/Knee, 8% Other (Flank/Spine)
Wide range of wound age and pre-study foam use
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Overall Dressing Assessments
72% of the 140 dressing applications were rated as having good or very good
Ease of Application
Of the 116 dressing changes, 76% were rated as having good or very good Ease
of Removal
73% rated the dressing as very comfortable or comfortable
66% rated the dressing as maintaining a moist wound environment
89% of dressing changes were due to routine care, 3% due to leakage, 3% due to
soiled dressing
Wear Time: Mean (SD) = 4.8 (2.4) days (n=115 dressing applications) with the
investigators stating that 51% of the dressings could have remained on longer, and
at the end of the study they indicated that for all 24 subjects, the dressing met their
wear time expectations
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Baseline Wound Area and Change
Nine out of the 24 (38%) subjects had their wounds heal
during the study
Baseline wound area ranged from 0.29 cm2 to 111.6 cm2
with a mean of 10.92 cm2 (median 3.9 cm2); At last visit
the mean area was 6.4 cm2 (median 0.17 cm2) with a
mean area reduction of 70.8% (median 93.2%) and a
mean absolute area reduction of 4.5 cm2 (median 2.08
cm2). The last visit occurred between 5 and 35 days of the
first dressing application (mean of 22.4 days and median
23 days of test dressing use
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Case Study 1
Patient History:
75 year-old female
Venous ulcer (right medial malleolus)
Wound duration: 12-13 weeks
Prior treatment included a silver/foam dressing (~4 weeks),** a foam
dressing (~2 weeks), †† and then gentle adhesive foam dressing
until study enrollment (about ~5 weeks). ‡‡ Two-layer compression
maintained throughout the pre-study and study period
Punch biopsy 4 weeks pre-study suggestive of stasis dermatitis
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Case Study 1 Wound Size
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Case Study 1 Patient Outcome with Test Dressing*
Wound assessed healed after 4 weeks with use of the test
dressing* and continued compression therapy
Mild maceration at baseline but none after switching to the test
dressing*
Mild erythema at baseline and at week 2, decreasing to none at
week 3 and 4
Moderate exudate (serous) at baseline, decreasing to mild at
weeks 1, 2, & 3,with none present at week 4 (healed)
No adverse events reported during treatment period
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Case Study 1 Summary
Results of this case study demonstrate utility of the test dressing* on
a longstanding venous ulcer undergoing compression therapy
After switching to the test dressing,* the wound healed rapidly within
4 weeks of treatment
The clinicians involved assessed that the test dressing was better
able to handle the amount of exudate produced by the wound and
thus promoted better healing than the prior dressings in use
Wear time for the test dressing* averaged 7 days with no
unscheduled dressing changes needed
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Case Study 1 Photographs
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Case Study 2
Patient History:
63 year-old female
Abdominal surgical wound with hypergranulation
tissue
Wound duration: > 3 months
Treated for >4 weeks in nursing home
Previous foam dressing†† changed daily due to
dressing edge lift
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Case Study 2 Wound Size
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Case Study 2 Patient Outcome with Test Dressing*
Wound improved significantly and was nearly closed after 4 weeks
with use of the test dressing*
Mild maceration at baseline but none after switching to the test
dressing*
Mild erythema at baseline and mild/no erythema with the test
dressing*
Exudate (serous) rated as mild at baseline and continuing throughout
the study. Exudate contained some liquefied necrotic tissue at week
one due to silver nitrate treatment of hypergranulation tissue
No adverse events reported during treatment period
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Case Study 2 Summary
Results of this case study demonstrate utility of the test dressing* on slow healing
dehisced surgical wound with hypergranulation tissue
Clinicians found it difficult to keep the previous foam dressing†† on for more than
one day due to the challenging location and exudate present
After switching to the test dressing,* the wound improved rapidly within 4 weeks of
treatment
The clinicians involved assessed that the test dressing was better able to handle
the amount of exudate produced by the wound and thus promoted better healing
than the prior dressings in use
Wear time for the test dressing* averaged 5.6 days which included one non-
dressing related unscheduled dressing change
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Case Study 2 Photographs
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Case Study 3
Patient History:
19 year-old male
Stage III pressure ulcer on heel
Wound duration: > 1 year
Treated for >4 weeks in Home Care
Previous foam dressing §§ changed daily due to dressing
edge lift
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Case Study 3 Wound Size
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Case Study 3 Patient Outcome with Test Dressing*
Wound assessed healed after 2 weeks with use of the
test dressing*
No periwound maceration or erythema present at any
time during the study
Exudate (serosanguinous) rated as mild at baseline and
non present at week 2
No adverse events reported during treatment period
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Case Study 3 Summary
Results of this case study demonstrate utility of the test
dressing* on a longstanding pressure ulcer
Clinicians found it difficult to keep the previous foam
dressing** on for more than one day due to the
challenging location of the wound
After switching to the test dressing,* the wound healed
rapidly within 4 weeks of treatment
Wear time for the test dressing* averaged 7 days with no
unscheduled dressing changes needed
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Case Study 3 Photographs
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Conclusions
Clinicians involved in this study found the test
dressing* to be easy to apply and remove, highly
conformable and comfortable for the patient, and
able to maintain a moist wound healing environment
Mean (SD) wear time was 4.8 (2.4) days and in all
cases met clinician wear time expectations
Results of this study corroborate in vitro MVTR and
in vivo fluid handling studies, showing this uniquely
designed dressing to have exceptional clinical
performance
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Dressing Footnotes
* 3M™ Tegaderm™ High Performance Foam Adhesive
Dressing
** Mölnlycke Mepilex® Ag Foam Dressing
†† Mölnlycke Mepilex® Border Dressing
‡‡ Smith & Nephew Allevyn™ Gentle Border Dressing
§§ Smith & Nephew Allevyn™ Adhesive Dressing
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Learn More at www.3M.com/Tegaderm-FoamSS
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