Negative pressure wound therapy system in extremely obese women after cesarean delivery compared with standard dressing. (Record no. 4208)

MARC details
000 -LEADER
fixed length control field 03669nam a22003857a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190521s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1476-4954
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1080/14767058.2019.1611774 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 31018727
245 ## - TITLE STATEMENT
Title Negative pressure wound therapy system in extremely obese women after cesarean delivery compared with standard dressing.
251 ## - Source
Source Journal of Maternal-Fetal & Neonatal Medicine. :1-5, 2019 May 05
252 ## - Abbreviated Source
Abbreviated source J Matern Fetal Neonatal Med. :1-5, 2019 May 05
253 ## - Journal Name
Journal name The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2019-05-21
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2013 to the present
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: In extremely obese women undergoing cesarean delivery, prophylactic PICO NPWT was not associated with a decreased risk of the primary outcome compared with standard dressings. A large prospective randomized controlled trial would be useful to answer if NPWT is beneficial for extremely obese women.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: Data regarding the use of the negative pressure wound therapy (NPWT) system in extremely obese women (body mass index [BMI] >= 50 kg/m<sup>2</sup>) undergoing cesarean delivery are limited. We sought to examine the rate of wound complications in extremely obese women according to postcesarean dressings (NPWT [PICO, Smith & Nephew, St. Peterburg, FL] versus standard dressings).
520 ## - SUMMARY, ETC.
Abstract RESULTS: Of 179 extremely obese women, 73 (40.8%) and 106 (59.2%) received NPWT and standard dressings, respectively; 61 women who received NPWT were matched to 61 women who received standard dressings. The rates of the primary outcome in the unmatched cohort were similar between women who received NPWT and those who received standard dressings (20.6 versus 16.0%; p = .44). The rates of primary outcome remained similar between women who received NPWT and those who received standard dressings after matching (18.0 versus 18.0%; p = 1.00).
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: This was a retrospective cohort study of all extremely obese women (BMI >= 50 kg/m<sup>2</sup>) at 23 weeks' gestation or greater who underwent cesarean delivery at an academic teaching hospital in Washington, DC, between January 2009 and September 2017. During this period, a PICO Single Use NPWT system was used at our institution. Women who missed a postpartum follow-up were excluded. Since 2014, Medstar Washington Hospital Center recommended the use of a PICO Single Use NPWT system for extremely obese women at the time of delivery. However, the ultimate decision to use the NPWT was made by attending physicians, considering the cost of the device and the risk of wound complication. Our primary outcome was a composite of cellulitis, hematoma/seroma, and wound dehiscence. Coarsened exact matching with k-to-k solution was performed using BMI, rupture of membranes, and labor.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics and Gynecology/Maternal-Fetal Medicine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Iqbal, Sara N
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kawakita, Tetsuya
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Overcash, Rachael T
790 ## - Authors
All authors Iqbal SN, Kawakita T, Overcash RT
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1080/14767058.2019.1611774">https://dx.doi.org/10.1080/14767058.2019.1611774</a>
Public note https://dx.doi.org/10.1080/14767058.2019.1611774
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/21/2019   31018727 31018727 05/21/2019 05/21/2019 Journal Article

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