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 |